Alaska
Alaska health officials report increase in cases of childbirth-related hemorrhages • Alaska Beacon
Reported cases of extreme blood loss during or after childbirth have increased in Alaska over the past eight years, and an education initiative for health providers is planned as a response, state health officials said.
The cases are known as obstetric hemorrhage, which is defined as the loss of at least 1,000 milliliters — or more than 2 pints — of blood during pregnancy or within 24 hours of childbirth. It is the leading cause of maternal death globally. Nonfatal cases can also have long-term health consequences.
In Alaska, reported rates of obstetric hemorrhage increased from 7.9% of hospital deliveries from 2016 to 2019 to 9% of hospital deliveries from 2020 to 2023, according to a bulletin issued by the Alaska Division of Public Health’s epidemiology section.
Reported rates in Alaska increased for nearly all geographic regions and demographic groups in the period evaluated, the epidemiology bulletin said. However, it is not clear whether the statistics reflects a true increase in case numbers or better identification and reporting of cases, the bulletin noted.
The highest rates are in the southwestern part of the state, where 15.6% of hospital deliveries from 2020 to 2023 involved such hemorrhages, and the northern part of the state, where the rate during that period was 12.6%, according to the bulletin.
Among ethnic groups, Pacific Islanders had the highest rates of obstetric hemorrhage, at 14.2% of hospital deliveries from 2020 to 2023, according to the bulletin. Indigenous patients had the second highest rate, at 12.7% during those years, the bulletin said.
A new campaign to educate health providers about obstetric hemorrhage will be launched in January by the Alaska Perinatal Quality Collaborative, a volunteer group of maternity health care specialists from around the state.
Rebekah Porter, a nurse consultant with the Alaska Division of Public Health and an author of the bulletin, described the plans for that initiative.
“The Alaska Perinatal Quality Collaborative’s Obstetric Hemorrhage Initiative will focus on both prevention and treatment of obstetric hemorrhage by promoting evidence-based change ideas that facilities can select based on their specific needs,” she said by email.
Through education and use of an American College of Obstetricians and Gynecologists tool called the Obstetric Hemorrhage Patient Safety Bundle, “the initiative aims to standardize care, improve outcomes, and enhance the readiness of healthcare providers across the state,” Porter said.
Excessive bleeding after childbirth causes about 70,000 maternal deaths a year, according to the World Health Organization. Those deaths are concentrated in low-income nations.
In Alaska, bleeding-related maternal deaths are rare.
From 2012 to 2016, there were no recorded maternal deaths in Alaska that were attributed to obstetric hemorrhage, according to state data. In the past five years, there have been fewer than five cases, Porter said.
However, health officials who are monitoring what is known as “severe maternal morbidity” – defined as unexpected outcomes of labor and delivery that have severe health impacts – have noticed an uptick in hemorrhage cases in recent years, Porter said.
“This increase is another key reason for launching the AKPQC initiative at this time,” she said.
Most pregnancy-related deaths in Alaska are from some kind of trauma rather than from pregnancy-related medical causes, with domestic violence a prominent feature, according to state records. Unintentional injuries, homicides, assaults, suicides and overdoses together accounted for about two-thirds of pregnancy-related deaths from 2015 to 2019, according to state records.
Nationally, rates of hemorrhage after childbirth have increased over the past two decades, according to a study published last year by the National Institutes of Health. From 2000 to 2019, the rate of postpartum hemorrhage increased from 2.7% to 4.3%, the study said.
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Alaska
Winter Solstice celebration takes over Cuddy Park
ANCHORAGE, Alaska (KTUU) – On the darkest weekend of the year, Alaskans gathered at Cuddy Park to mark the moments before daylight finally begins its slow return.
To celebrate, the Municipality held its annual winter solstice festival, inviting everyone for an evening of cold-weather fun.
”Some of the highlights, of course, are ice skating at the oval right over there, some holiday music, we have Santa and Mrs. Claus wandering around, we are going to have some reindeer here,” Anchorage Parks and Recs Community Engagement Coordinator, Ellen Devine, said.
In addition to seeing reindeer, folks could take a ride around the park in a horse-drawn carriage or sit down and watch a classic holiday film provided by the Alaska Bookmobile.
Despite the frigid temperature, people made their way down to the park to partake in some festive cheer.
“It is my first time in Anchorage,” attendee Stefan Grigoras said. “It’s beautiful, it is a little bit cold, I’m not going to lie, but I want to take a picture with the reindeer.”
Grigoras, like many, took part in the free hot chocolate and took his photo with St. Nick and Mrs. Claus, who were seen wandering around bringing joy to all.
“[The kids] get so excited and, you know, you have everything from run over and almost knock us down with hugs to not even wanting to come near us, and it’s just a fun combination of all that,” Mrs. Claus said.
Some of those kids were Logan and Keegan, who were out and about with their parents, Samantha and Trevor. The two kids asked for things that every child is sure to want.
“A monster truck,” Logan said.
“Bingo,” Keegan said.
”Like Bluey and Bingo,” Samantha clarified for Keegan.
The young family is originally from Arkansas and is excited to be a part of a thriving community.
“I love Anchorage’s community. There’s so many community events, and especially as a young family, it makes me really excited to get together and get to know people,” Samantha said.
As the festivities continued into the night, a familiar holiday message could be heard.
”Merry Christmas, ho, ho, ho,” the Clauses yelled!
“Merry Christmas,” Logan and Keegan said.
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Alaska
Opinion: You get what you pay for — and Alaska is paying too little
Most Alaskans, perhaps even most Americans, have a knee-jerk reaction to taxes. They affect citizens in a sensitive area — their pocketbook. Perhaps a little analysis and thought could change this normal negative reaction.
It is clear, even to the stingiest among us, that Anchorage and Alaska need more income. Our severely underfunded public schools, decreasing population — called “outmigration” these days — underfunded police force, deteriorating streets and highways, underfunded city and state park budgets, and on and on, are not going to fix themselves. We have to pay for it.
Public schools are the best example. Do you want your first grader in a classroom with 25-plus students or your intermediate composition student in a class with 35-plus students? What if the teacher needs four to five paragraphs per week per student from two such classes? Who suffers? The teacher and 70 students. It’s not rocket science — if you minimize taxes, you minimize services.
I was an English teacher in Anchorage and had students coming into my classroom at lunch for help. Why? They were ambitious. Far more students who wanted and needed help were too shy, too busy or less motivated. With smaller class sizes, those students would have gotten the help in class.
Some Alaskans resent paying taxes that help other people’s children. They often say, “But I don’t have any kids in school!” The same attitude is heard when folks say, “The streets in our neighborhood are fine.” Taxes are not designed to help specific taxpayers; they are, or should be, designed to help the entire community. And we are a community.
As well, lots of people get real excited by sales taxes, especially those who have enough income to buy lots of stuff. They argue that, on balance, sales taxes are unfair — they are regressive. That means that individuals with less income pay a higher percent of their income than individuals with a higher income, and this is true. It is minimized by exempting some expenses — medical care, groceries and the like.
A recent opinion piece published in the Anchorage Daily News explained the disadvantages of a regressive tax. In doing so, the author made an excellent argument for using a different kind of tax.
The solution is to use an income tax. With an income tax, the regulations of the tax can prevent it from being regressive by requiring higher tax rates as individual incomes increase. Alaska is one of only eight or nine states with no state income tax. For those folks all worked up about regressive sales taxes, this is the solution.
Any tax that most folks will accept depends on people seeing themselves as part of the same community. That’s not always obvious these days — but it doesn’t change the bottom line: We still have to pay our way.
Tom Nelson has lived in Anchorage more than 50 years. He is a retired school teacher, cross country ski coach, track coach, commercial fisherman and wilderness guide.
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Alaska
Maintenance delays Alaska Air Cargo operations, Christmas packages – KNOM Radio Mission
Christmas presents may be arriving later than expected for many rural communities in Alaska. That’s after Alaska Air Cargo, Alaska Airlines’ cargo-specific carrier, placed an embargo on freight shipments to and from several hubs across the state. According to Alaska Airlines, the embargo began on Dec. 16 and will end on Dec. 21.
The embargo excludes Alaska Air Cargo’s GoldStreak shipping service, designed for smaller packages and parcels, as well as live animals.
Alaska Airlines spokesperson, Tim Thompson, cited “unexpected freighter maintenance and severe weather impacting operations” as causes for the embargo.
“This embargo enables us to prioritize moving existing freight already at Alaska Air Cargo facilities to these communities,” Thompson said in an email to KNOM. “Restrictions will be lifted once the current backlog has been cleared.”
Other carriers like Northern Air Cargo have rushed to fill the gap with the Christmas holiday just a week away. The Anchorage-based company’s Vice President of Cargo Operations, Gideon Garcia, said he’s noticed an uptick in package volume.
“It’s our peak season and we’re all very busy in the air cargo industry,” Garcia said. “We are serving our customers with daily flights to our scheduled locations across the state and trying to ensure the best possible holiday season for all of our customers.”
An Alaska Air Cargo freighter arrives in Nome, Dec. 18, 2025. It was the daily-scheduled flight’s first arrival in Nome in a week after maintenance issues plagued the Alaska Air Cargo fleet. Ben Townsend photo.
Garcia said the holiday season is a tough time for all cargo carriers, but especially those flying in Alaska.
“We operate in places that many air carriers in other parts of the country just sort of shake their head at in disbelief. But to us, it’s our everyday activity,” Garcia said. “The challenges we face with windstorms, with cold weather, make it operationally challenging.”
Mike Jones is an economist at the University of Alaska Anchorage. He said a recent raft of poor weather across the state only compounded problems for Alaska Air Cargo.
“I think we’ve seen significantly worse weather at this time of year, that is at one of the most poorly timed points in the season,” Jones said.
Jones said Alaska Air Cargo is likely prioritizing goods shipped through the U.S. Postal Service’s Alaska-specific Bypass Mail program during the embargo period. That includes palletized goods destined for grocery store shelves, but not holiday gifts purchased online at vendors like Amazon.
“When a major carrier puts an embargo like this it clearly signals that they’re having an extraordinarily difficult time clearing what is already there, and they’re trying to prioritize moving that before they take on anything new,” Jones said.
According to the U.S. Bureau of Transportation Statistics, Alaska Airlines was responsible for 38% of freight shipped to Nome in December 2024.
Alaska Air Cargo’s daily scheduled flight, AS7011, between Anchorage and Nome has only been flown four times in the month of December, according to flight data from FlightRadar24. An Alaska Air Cargo 737-800 freighter landed in Nome Thursday at 11:53 a.m., its first arrival in one week. Friday’s scheduled flight has been cancelled.
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