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California's Maternal and Infant Health Report Card: A Comprehensive Look at Progress and Challenges

In a recent release, March of Dimes announced its findings from the 2025 Report Card on maternal and infant health, with California earning a commendable B- grade. The report, which is revealed annually on World Prematurity Day, assesses the state of maternal health by examining preterm birth rates, access to maternity care, and several other crucial indicators of well-being.

Key Findings from the Report

California has a preterm birth rate of 9.1%, positioning it 7th among the 52 assessed regions, which include all states, Washington D.C., and Puerto Rico. Notably, the state has improved its preterm birth rate since 2023 and maintains one of the lowest infant mortality rates, with just 4.1 deaths per 1,000 live births. A stark contrast to the national trend, which reveals a severe crisis in maternal and infant health across the United States.

While California's advancements serve as a beacon of hope, the national statistics tell a different story; the overall U.S. earned a grade of D+ for its preterm birth rate—a historic low of 10.4%. The divide in maternal health care quality becomes even more evident when looking at the statistics from Medicaid-insured mothers, who have a preterm birth rate of 11.7%, compared to 9.6% of privately insured mothers. Additionally, the report indicates that preterm birth rates among Black mothers have grown to 14.7%, highlighting the ongoing racial disparities that disproportionately affect certain communities.

Dr. Michael Warren's Insights

Dr. Michael Warren, Chief Medical and Health Officer at March of Dimes, expressed deep frustration regarding the data, noting that while progress is being made in California, the national preterm birth rate remains stagnant despite known risk factors. Understanding the intersectionality of healthcare access disparities is vital for pushing forward policies that will better support mothers and infants.

California: A Model for Maternal Health

California's success in maternal and infant health can be traced back to its comprehensive policy measures. The state has effectively implemented five out of the six major initiatives outlined by March of Dimes, which includes:

• - Medicaid Expansion and Extended Postpartum Coverage: Ensuring mothers have adequate medical support for a full year post-birth.
• - Paid Family Leave: Allowing parents essential time for recovery and bonding with their newborns.
• - Doula Care Reimbursement: Increasing access to trained birth support professionals.
• - Postpartum Depression Screening: Offering reimbursement for screenings to help mitigate maternal mental health challenges.
• - Maternal Mortality Review Committee: Investigating causes of maternal deaths for preventive action recommendations.

David Pisani, Director of Advocacy and Government Affairs, emphasized how California sets an example for the rest of the nation by fusing policy, innovation, and compassion. The state’s commitment to well-rounded family support is gradually making significant changes that benefit both mothers and their babies.

Future Directions

Despite the commendable B- grade for California, March of Dimes remains committed to combatting healthcare disparities. Collaboration with policymakers and health systems aims to enhance the available programs and resources for mothers. The organization operates Mom & Baby Mobile Health Centers® and funds Prematurity Research Centers, fostering partnerships that can help develop preventive measures against preterm births.

While the findings of the 2025 report expose a troubling national trend, California’s effective strategies signify the potential for improvement across the U.S. in maternal and infant health. This model, characterized by data-oriented policymaking and community-based solutions, serves as an instructive guide for other regions striving for better health outcomes for moms and babies alike.

To explore the complete 2025 Report Card, including individual state assessments and recommendations, visit marchofdimes.org/reportcard. This crucial information emphasizes the need for comprehensive medical policies that ensure healthy beginnings for every family.

About March of Dimes

March of Dimes is a leading organization dedicated to improving the health of all moms and babies. Providing programs, services, and advocacy, they strive to create a better start for every child. For further information, visit marchofdimes.org or nacersano.org.