North Dakota
Group seeking more money, answers to high maternal mortality in North Dakota • North Dakota Monitor
A state-funded group that researches maternal mortality wants the Legislature to increase its funding five-fold to $240,000 for the 2025-2027 budget cycle.
North Dakota’s 26-member maternal mortality review committee collects and analyzes data on pregnancy-related deaths in the state. It’s affiliated with a national program under the Centers for Disease Control and Prevention.
While the state’s annual maternal deaths are consistently in the single digits, North Dakota’s overall maternal death rate is still significantly higher than the national average, according to Dr. Dennis Lutz, chair of obstetrics and gynecology at University of North Dakota School of Medicine and Health Sciences.
The review committee is working to collect information that could help speak to why, but still faces several barriers to gathering accurate and complete data, said Lutz, who oversees the committee.
Its budget for the 2023-2025 biennium was $48,000. The committee wants to grow this number to cover expenses including recruiting additional staff, continuing medical education as well as travel costs.
It has plans to add two new staff members — one to act as a liaison to the Indian Health Service, and another to specialize in social work, Lutz said.
“I know it sounds like a lot of money,” he told lawmakers during a Health Care Committee meeting this month in Bismarck. “But on the other hand, if it’s preventative, and if we can reduce maternal deaths and complications and problems with newborns along the way, it’ll be well worth the money.”
Since North Dakota’s fertility rate is about 12,000 births per year, the funding would be equivalent to roughly $10 per delivery, he added.
Rep. Gretchen Dobervich, D-Fargo, a member of the Legislature’s interim Health Care Committee, said she’s spent the last year working on a tribal maternal mortality committee project with the CDC.
She said many North Dakotans face obstacles to quality maternal health care, especially Native residents and those who live in rural areas. A September article published by the North Dakota News Cooperative noted that more than two-thirds of counties in North Dakota were considered maternal health care deserts in 2022.
“As access to prenatal, natal and postnatal care gets more difficult for women to access, it is important for us to find solutions,” Dobervich said.
She said she’s interested in supporting Lutz’s request, but wants to hear more specifics about the maternal mortality review committee’s proposed budget.
In 2022, there were six maternal deaths in North Dakota, said Lutz. That included two traumatic deaths, one case of sepsis and a cardiac arrest.
Only one of those deaths has been confirmed as having been pregnancy-related under CDC criteria, according to a committee report. The CDC defines a pregnancy-related death as any death that occurs during pregnancy or within one year of having been pregnant.
The other five deaths could have been associated with pregnancy, but are still under investigation.
“Sometimes it takes us two or three years to research these cases and figure out what really happened,” Lutz said.
Lutz said the committee is aware of five maternal deaths that occurred in 2023, though those numbers are preliminary.
Based on the committee’s research, North Dakota’s average maternal mortality rate from 2008 to 2022 was about 50 women per 100,000 births, Lutz said.
“That’s a high number anywhere — one of the highest in the country, actually,” he said.
American Indian mothers accounted for about 30% of maternal deaths in North Dakota over that 15-year span, the committee found. By comparison, just about 8-12% of North Dakota births are to American Indian mothers.
Roughly 60% of maternal deaths in North Dakota over that time span were to white mothers, while 5% of deaths were to Black mothers.
The United States’ overall maternal mortality rate has been increasing for more than two decades, though experts aren’t sure why, said Lutz. In 2022, the national maternal mortality rate was about 22.3 deaths per 100,000 births according to data from the CDC. That’s higher than most wealthy nations.
The CDC estimates that about 80% of pregnancy-related deaths are preventable. Within the American Indian and Alaska Native population, this figure is estimated to be roughly 93%.
It can be extremely difficult to nail down what caused a maternal death, Lutz said. Sometimes, death records are filled out wrong, or are incomplete.
“For example, we’ve had exam cases where a coroner says the patient was pregnant, but she’s 80 years old. Well, obviously she wasn’t pregnant,” Lutz said.
To improve the accuracy of death records, the committee is working with the North Dakota Department of Health and Human Services, but also with local coroners and funeral home directors, he said.
The fact that many medical records are protected from release under law also makes it difficult for the committee to decode the circumstances behind a death.
“Our biggest problem right now is that over a third of all maternal deaths in this country are related to mental health issues — that could be suicide, it could be due to overdoses,” Lutz said. “And because we often have no way to get those records legally — at least their mental health records — we end up calling all those maternal deaths.”
The committee is interested in collecting data on maternal morbidity as well, Lutz said — instances where a mother experiences a health condition during pregnancy, labor or after delivery.
One National Institutes of Health article from 2021 that analyzed data on mothers who gave birth in California between 2007 and 2012 found about 1.3% experienced severe maternal morbidity as defined by the Centers for Disease Control.
Sen. Kristen Roers, a nurse, said the committee might benefit from investing more resources in this area.
“We need to do a better job on our morbidity data, so that we can see what those trends are where you can possibly put an intervention in place,” the Fargo Republican said.
Lutz noted it’s very hard to get information on morbidity cases since they aren’t reported to the state.
“We would have to have the permission of hospitals to look at all their data,” he said, “and I don’t know that they would be willing to do that.”
The committee presents its research to the North Dakota Society of OB/Gyn in hopes that its insights can help educate medical professionals to prevent maternal deaths.
“Most OBGYNs have never had a maternal death in their career. If you’ve never experienced something, how do you prevent it?” Lutz said.
The committee doesn’t yet have data that could speak to how the state’s abortion ban may have affected maternal health care for North Dakota mothers, he said. The law was active from April 2023 to September 2024, when it was declared unconstitutional and vacated by a state judge.
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JAMESTOWN, N.D. — The No. 2 seed Thompson Tommies survived an upset scare by defeating the No. 7 seed Rugby Panthers 39-36 on Thursday, March 5, in the quarterfinals of the North Dakota Division A girls basketball state tournament at the Jamestown Civic Center.
With 16 seconds left in the game and down 39-36, Panthers coach Jen Brossart drew up one final play in an attempt to send the game to overtime. Strong defense from the Tommies formed a cluster of players at the top of the arc, and as time expired, Panthers guard Avery Santjer put up a falling-away 3-point attempt that came up short, giving the quarterfinal victory to Thompson.
Addison Sage had 15 points to lead Thompson with Kya Hurst chipping in 11. Santjer led Rugby with 13.
Burchill’s double-double leads Valley City to win
Valley City junior forward Katie Burchill scored a 23-point double-double with 18 rebounds to lead the Hi-Liners to a 64-44 quarterfinal victory over Devils Lake on Thursday.
Valley City outscored Devils Lake 21-6 in the third quarter to take a commanding lead.
Presley Brown and Tylie Brodina each scored 12 for the Firebirds.
Burchill and sophomore forward Skye Nelson also recorded nine of Valley City’s 12 blocks.
John M. Steiner / The Jamestown Sun
South Prairie-Max runs past Watford City
South Prairie-Max scored a 50-point victory over Watford City, winning 75-25 on Thursday in the quarterfinals behind 19 points from Skotti Beck.
Mya Gunville added 12 points and Brianna Rose 11 for South Prairie-Max.
Lohgan Hanna led Watford City with nine points.
Trenbeath, Kindred squeak by Hazen
Liza Trenbeath’s 27 points paced No. 4 seed Kindred to a 56-54 win over No. 5 Hazen in Thursday’s quarterfinals.
Siera Nipstad chipped in 19 points and six rebounds as the Vikings (20-5) advanced to Friday’s state semifinals against top-seeded South Prairie-Max (24-1). Tipoff is set for 8:15 p.m. at the Jamestown Civic Center.
Kindred shot 22 of 51 (43.1%) from the field to Hazen’s 19 of 41 (46.3%)
Our newsroom occasionally reports stories under a byline of “staff.” Often, the “staff” byline is used when rewriting basic news briefs that originate from official sources, such as a city press release about a road closure, and which require little or no reporting. At times, this byline is used when a news story includes numerous authors or when the story is formed by aggregating previously reported news from various sources. If outside sources are used, it is noted within the story.
Greg Power, fisheries division chief with the North Dakota Game and Fish Department, shares information about the new 2026-2028 Fishing Guide and a few new regulations starting April 1, 2026.
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SIOUX FALLS — Ali Stephens had 17 points and 13 rebounds and 8th-seeded Omaha defeated 9th-seeded North Dakota 49-39 in the first round of the Summit League women’s tournament.
The Fighting Hawks had a tough time putting the ball in the hoop all night long, scoring just three points in the first quarter and having only marginally better luck from there.
UND (7-24) shot just 23.5 percent from the floor (12-for-51) and made 1-of-20 shots from outside the arc. Walker Demers and Mackenzie Hughes had 10 points each to lead the Hawks, with Demers adding eight rebounds.
Matt Zimmer/Sioux Falls Live
Regan Juenemann had 10 points and five rebounds for the Mavericks while Avril Smith had seven points and 16 rebounds and Sarai Estupinan eight points, five assists and three rebounds. Omaha (6-26) shot the ball slightly better than the Hawks, going 16-of-53 from the field (30 percent) and 8-of-23 (35 percent) on 3-pointers.
With the win, the Mavs earn a date with top-seed North Dakota State on Thursday at 2:30 p.m.
The Bison won both regular season matchups by more than 50 points.
Matt Zimmer/Sioux Falls Live
Oral Roberts 84, Kansas City 62 — Don’t look now but the team that started the conference season 0-10 and at one point lost 15 of 16 games might be the hottest in the Summit League.
Oral Roberts picked up their fourth straight victory on Wednesday night in the conference tournament opener, routing Kansas City at the Premier Center in the 8/9 “play-in” game.
Ty Harper had 22 points to lead the Golden Eagles (10-22), who took a 44-21 lead by halftime and never looked back. ORU shot 50 percent from the floor and made 13-of-27 3-pointers while the Kangaroos shot just 34 percent and made 6-of-24 from deep. Martins Kilups had 17 points for the Eagles and Connor Dow added 14.
Jayson Petty had 14 points to lead the Kagaroos, who finish the season 4-27. It was their final game under coach Marvin Menzies, whom the school announced earlier this season would not return next year.
With the win ORU advances to face top-seed North Dakota State on Thursday at 6 p.m.
The Golden Eagles lost to NDSU 86-58 in Tulsa on Jan. 24 but they took the Bison to overtime in Fargo on Jan. 3 in a 79-77 loss.
Matt Zimmer is a Sioux Falls native and longtime sports writer. He graduated from Washington High School where he played football, legion baseball and developed his lifelong love of the Minnesota Twins and Vikings. After graduating from St. Cloud State University, he returned to Sioux Falls, and began a long career in amateur baseball and sports reporting. Email Matt at mzimmer@siouxfallslive.com.
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