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Alaska health officials report increase in cases of childbirth-related hemorrhages • Alaska Beacon

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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.

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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.

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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. 

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“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

Governor Dunleavy Names Stephen Cox his new Counsel to the Governor – Mike Dunleavy

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Governor Mike Dunleavy today announced the appointment of Stephen Cox as his new Counsel to the Governor. The appointment comes after the legislature’s decision to not confirm him as attorney general, despite his extensive legal and public policy experience and proven record of defending Alaska’s interests both at home and on the national level. Cox’s responsibilities will be to advise Governor Dunleavy on a wide range of legal, regulatory, and constitutional matters affecting the State of Alaska.

Governor Dunleavy also appointed Cori Mills acting attorney general for the Alaska Department of Law. Mills has been with the department for 14 years and most recently served as deputy attorney general.

“Stephen Cox has a strong understanding of Alaska law and the challenges facing our state,” said Governor Dunleavy. “His experience, professionalism, and commitment to public service make him a valuable asset as Counsel to the Governor. I look forward to working with Stephen as we continue advancing policies that strengthen Alaska’s economy, uphold the rule of law, and serve the people of our state.”

As Counsel to the Governor, Cox will continue to work closely with the Department of Law and other executive branch departments to provide counsel on policy initiatives, legislation, and executive actions.

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“I am honored to serve Governor Dunleavy and the people of Alaska in this new role,” said Stephen Cox. “I look forward to continue supporting the administration’s efforts to promote responsible resource development, governance and opportunities for Alaskans across the state.”

Cox assumes his new role effective today.



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Why Juneau should be on every Alaska traveler’s bucket list

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Why Juneau should be on every Alaska traveler’s bucket list



Juneau blends towering glaciers, the Tongass National Forest and rich Indigenous culture.

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Juneau, Alaska, is the only U.S. state capital not accessible by road — a remoteness that adds to its magic and appeal.

Nestled between mountains, rainforest, and the waters of the Inside Passage, Juneau combines Alaska Native heritage, Gold Rush history, and some of the state’s most spectacular scenery.

Visitors can watch humpback whales surface offshore, ride a tram above downtown, stand face-to-face with or even on Mendenhall Glacier, a river of ice flowing from the vast Juneau Icefield. Surrounded by the Tongass National Forest — the world’s largest temperate rainforest — Juneau offers a quintessential Alaska experience where nature feels immense, and adventure begins just minutes from the cruise dock.

Why Juneau matters

Long before prospectors arrived in search of gold, the area now known as Juneau was home to the Áak’w Kwáan, whose name for this place — Áakʼw, often translated as “little lake” — reflects a deep connection to the surrounding land and water.

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Russia later expanded into Alaska through the fur trade, bringing Orthodox missionaries, new trade networks, and profound cultural change to Indigenous communities across the region. Though Juneau rose to prominence during the Gold Rush and became the territorial capital after the United States purchased Alaska in 1867, the city still bears traces of both worlds.

As the nation approaches its 250th anniversary, Juneau offers visitors a richer understanding of America’s layered history — one that’s shaped by Native stewardship, Russian influence, and the enduring resilience of southeast Alaska’s Indigenous peoples.

What to see today

The star attraction is Mendenhall Glacier, a 13.6-mile-long glacier that descends from the Juneau Icefield into a turquoise lake.

Easy trails lead to roaring Nugget Falls, while boardwalks along Steep Creek offer chances to spot spawning salmon and black bears. Back downtown, colorful floatplanes skim the harbor and the Mount Roberts Tramway lifts visitors above the city for sweeping views of Gastineau Channel and the surrounding mountains.  

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One of Juneau’s most whimsical attractions is Glacier Gardens Rainforest Adventure, tucked into the Tongass rainforest just outside downtown.

Locals and visitors alike love the upside-down trees known as “Flower Towers” — massive spruce trunks planted root-side up, bursting with colorful blooms. The display is a unique (and accidental) creation of master gardener Steve Bowhay.

It’s an eccentric sight that feels uniquely Alaskan, blending lush rainforest scenery with a touch of horticultural imagination.  

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Haines Quick Shop reopens after burning down in 2024

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Haines Quick Shop reopens after burning down in 2024


Last Friday evening in Haines, there was only one place to be: The brand new Quick Shop, a shiny new building stocked with everything from ice cream and gun safes to an entire row of Xtratuf boots.

It seemed that much of town was packed into the building on the Haines’ waterfront — the store had just reopened after burning down more than a year ago.

The October 2024 fire destroyed a string of apartments and businesses including the convenience, liquor and sporting goods shop known collectively as the Quick Shop.

“It’s a big day for our town,” Haines Mayor Tom Morphet shouted from the checkout line that stretched through the store.

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Minutes after opening, some 50 people were already in line, with dozens more milling about. Many kids’ arms were piled high with goodies.

Further back in the store, owner Mike Ward was busy scanning toilet paper amid the chaos. In between greeting customers, and accepting their congratulations, he said it’s been a long road to get here.

“It’s a relief to finally be open,” Ward said. “But we got a lot of work ahead of us, so it’s not that much of a relief.”

Ward said he aims to have the store fully stocked and in order by the fire’s two-year anniversary on Oct. 5. He added that he rebuilt as quickly as possible because he had heard a larger convenience chain was thinking about moving into Haines.

“So that’s one of the major reasons why I got aggressive, right?” he said. “I didn’t even think about taking the money.”

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But the money part hasn’t been easy. Ward had insurance, but his policy didn’t come close to covering rebuilding costs – or the $1.8 million in inventory that also went up in flames.

“I got hosed,” he said. “I took a $2.5 million loss.”

The loss was felt in the community, too. Haines’ grocery stores close by 8 p.m. most days, and even earlier on Sundays. The Quick Shop is open until midnight.

“I feel like not having anywhere to get food late at night is pretty hard for people. So I feel like everyone’s pretty excited to have it back,” said local Ryan Irvin, who worked on the crew that built the facility.

He added that it’s cool – and somewhat novel – for the community to have a space that was actually built for its purpose.

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“We’re always retrofitting old buildings, making them work. But this is actually designed for what we’re doing, what Mike’s doing, rather,” Irvin said.

Morphet, the mayor, echoed that point. He said the new store is a testament to Ward’s faith in Haines’ capacity to keep it open.

“We’re only 2,000, 2,500 people here, so it’s kind of a shot in the arm to town morale,” Morphet said. “People like the town to have nice stuff, and this is beautiful.”



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