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America’s Maternal and Infant Health Crisis Deepens

BLACKPRESSUSA NEWSWIRE — The March of Dimes has released its 2025 Report Card, and across the United States, the findings tell a story of mothers and infants facing preventable risks that too often lead to tragedy.

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By Stacy M. Brown
Black Press USA Senior National Correspondent

The March of Dimes has released its 2025 Report Card, and across the United States, the findings tell a story of mothers and infants facing preventable risks that too often lead to tragedy. The national preterm birth rate remains at 10.4 percent. Babies born to Medicaid-insured mothers experienced an 11.7 percent preterm birth rate, while babies born to mothers with private insurance recorded a 9.6 percent rate. For Black mothers, the rate climbed to 14.7 percent, the highest of any group in the country.

“Behind every statistic is a mom, a baby, and a family that deserves their best chance at a healthy start,” Dr. Elizabeth Kielb, Director of Maternal and Infant Health at the March of Dimes, stated.

Those numbers speak to families whose lives can change in an instant. Preterm birth remains one of the leading causes of infant death and long-term health complications. For many mothers, the first signs of a problem appear months before delivery, yet too often they cannot secure the early prenatal care that could help keep a pregnancy safe. The United States now has hundreds of counties with no obstetric providers or birthing facilities. Some families travel for hours for a basic checkup. Others miss appointments because clinics are full or insurance does not cover the visit.

The Commonwealth Fund’s 2025 national analysis found that the United States continues to have the highest maternal mortality rate among wealthy nations. American women die from pregnancy-related causes at rates far beyond those of peer countries. The Fund reported that Black women face the greatest danger, in part because of delays in care, long-standing gaps in coverage, unaddressed chronic conditions, and limited access to trusted providers. These findings match the patterns documented by the March of Dimes.

The March of Dimes identifies several reasons behind the country’s performance. Many women enter pregnancy with unmanaged hypertension, diabetes, or other chronic conditions. Large portions of the country are considered maternity care deserts, with no birthing hospitals and few clinicians trained in maternal health. Millions of women lose health insurance shortly after childbirth, leaving complications untreated. Black and Native mothers often report that their concerns are dismissed during prenatal and postpartum appointments, which can lead to dangerous complications that go unnoticed until they become life-threatening. These conditions place families at greater risk, no matter where they live.

The states struggling the most sit in every region of the country. Mississippi recorded a preterm birth rate of 14.8 percent. Alabama stood at 13.6 percent. Louisiana recorded 13.2 percent. South Carolina reached 12.7 percent. Georgia reported 12.4 percent. These states received failing grades from the March of Dimes. Each has large rural regions with few maternity care providers, high rates of chronic medical conditions, and long-standing racial gaps that make pregnancy more dangerous for families of color.

Cities face their own challenges. Memphis recorded one of the highest preterm birth rates among major metro areas. Detroit continued to see some of the largest racial gaps in infant outcomes. In Fresno and Bakersfield, mothers face long waits for prenatal care and limited access to specialists. In Washington, D.C., the preterm birth rate rose to 11.8 percent, the largest one-year increase in the country.

Maryland and Virginia show mixed signs of progress. Maryland received a D+ with a 10.5 percent preterm birth rate. Virginia earned a C minus at 10.1 percent. Both states continue to wrestle with racial gaps and shortages in maternity care providers across rural communities and urban neighborhoods.

The March of Dimes notes that these conditions are not distributed evenly. Families with higher incomes and stable private insurance can often secure early prenatal care, while families with low incomes or public insurance face delays that increase the risk of complications. Many women do not receive postpartum care beyond the immediate weeks after childbirth, even when ongoing monitoring is needed.

The organization is trying to address these gaps through mobile health centers, NICU Family Support programs, and partnerships with hospitals aimed at improving maternal and infant care. On the national level, the March of Dimes is calling for investment in maternal mortality review committees, research funding through the PREEMIE Act, and nationwide adoption of extended Medicaid postpartum coverage.

Dr. Michael Warren, Chief Medical and Health Officer at the March of Dimes, said the findings show how much is at stake. “As a clinician who has seen how much is possible when we get it right, the data is deeply frustrating,” Dr. Warren said. “We have known about risk factors for preterm birth, including a history of prior preterm birth, chronic disease, and unequal access to care for years.”

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Smooth Ride! Car Suspension & Comfort Tested #shorts

Smooth suspension meets surprisingly spacious legroom. Experience true comfort on any road!

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Car suspension test demonstrating a smooth ride, comfort features, and handling on various terrains.

Experience the difference smooth suspension makes on rough streets. Check out the surprisingly good second-row legroom – test it yourself for true comfort.

🔗 Watch the full video: https://youtu.be/l9Z571za5Gc

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61 years since Selma, Houston leaders say the bridge remains to be crossed

61 years after Selma, Houston leaders say the fight for equality continues. The issues that sparked the marches still impact Black Americans today.

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Houston leaders discuss the ongoing struggle for civil rights 61 years after Selma, emphasizing the need for continued action.

It has been 61 years since the Selma marches. But political leaders in Houston say that the issues protesters were marching for still plague the lives of Black Americans.

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Here is what you need to know about finding unique white elephant gift ideas that everyone wants to steal

The best white elephant gift ideas are funny enough to get a reaction but useful enough that people actually want to steal them. Look for gifts with a surprise factor, broad appeal, an inside joke, and just enough personality to spark some friendly competition. The wrapping paper comes off, the room goes quiet for half […]

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The best white elephant gift ideas are funny enough to get a reaction but useful enough that people actually want to steal them. Look for gifts with a surprise factor, broad appeal, an inside joke, and just enough personality to spark some friendly competition.

The wrapping paper comes off, the room goes quiet for half a second, and suddenly everyone wants the same gift. That is the sweet spot. A great white elephant pick should make people laugh, lean in, and start plotting their next steal before the turn is even over.

Should a White Elephant Gift Be Funny or Useful?

A white elephant gift can be funny or useful, but the strongest choices usually give people a reason to laugh and a reason to keep the item. A practical gift with an odd design, unexpected feature, or playful theme can get a reaction without becoming something the recipient immediately wants to give away.

The right balance depends on the group. Close friends and family members may enjoy a ridiculous gag gift because they already understand one another’s sense of humor.

A workplace exchange, neighborhood party, or mixed-age gathering usually calls for something with broader appeal. In those settings, humor works better when it is built into an item people could still use afterward.

It also helps to think about how quickly the gift will make sense once it is opened. A strangely shaped kitchen tool, oversized mug, quirky desk accessory, or unexpectedly fancy everyday item can create an immediate reaction. Guests understand the joke right away, while the item still has enough practical value to attract a steal.

Pure gag gifts can be harder to pull off. Something that exists only for the punchline may get a big laugh during the reveal and then sit untouched for the rest of the game. If the goal is to bring one of the gifts everyone keeps fighting over, usefulness gives the joke staying power.

Memorable Present Ideas: Creating Inside Joke Gifts

Inside joke gifts can make a white elephant exchange feel much more personal, especially when most of the group shares the same stories. The trick is choosing a reference that people will recognize quickly instead of building the entire joke around something only two guests understand.

You can turn a memorable vacation mishap, office catchphrase, family story, or long-running group joke into the theme of the gift. A personalized comic book can work especially well when it turns familiar people or a ridiculous shared moment into part of the story. 

Think carefully about who the joke involves before ordering anything permanent. The gift should make the person feel included in the fun, not singled out for the wrong reason.

Can You Bring Something You Already Own?

Holiday gift exchanges can be a good place to re-gift something you never used, especially if it is unopened and clean.

The following can all work if they still look presentable:

  • A duplicate kitchen gadget
  • An untouched game
  • A decorative item
  • A sealed gift set 
  • An unopened candle
  • A new travel accessory

The goal is to give the item a second chance, not use the exchange as an excuse to clear out damaged or unwanted clutter.

Take a close look at the packaging before wrapping it. Faded boxes, missing pieces, visible wear, or anything that looks obviously used can make the gift feel careless. 

Wrapping Budget-Friendly Gifts

Wrapping can make gifts more entertaining before anyone even knows what’s inside.

Misdirection works especially well for fun party games. Put a small gift inside a much larger box. Use packaging from an unrelated household item.

Add harmless weight so guests cannot guess what they are holding. The reveal becomes part of the joke without changing the gift itself.

You can also lean into the theme of the exchange. Bright paper, oversized bows, reusable bags, or deliberately over-the-top wrapping can make an ordinary item feel more memorable. If the gift itself is already funny, simple wrapping may work better so the surprise stays hidden until the last second.

Frequently Asked Questions

Is Picking Last an Advantage in White Elephant?

Picking last can be an advantage because you get to see almost every gift before making your move. Instead of choosing blindly from the remaining wrapped presents, you can steal something that has already caught your attention if the rules still allow it.

That advantage depends on the house rules. Some games limit how many times a gift can be stolen.

Others lock an item once it reaches a certain number of steals. If the most popular gifts are already unavailable, the final player may have fewer strong options than expected.

The first player can also get another turn at the end in some versions of the game. That rule can balance things out, since the person who started with the least information may get one final chance to steal.

How Do You Plan White Elephant for a Large Group?

For a large white elephant exchange, set a firm spending limit and establish the stealing rules in advance.

Create a clear turn order before the game begins. Drawing numbers as guests arrive can save time once everyone is ready to start.

Keep the number of steals per gift limited so the game does not drag on. It also helps to have one person track which creative holiday presents have been stolen and when they are locked, especially if dozens of people are participating.

Can You Play White Elephant Virtually?

A virtual white elephant exchange can work over a video call, with one person keeping track of the turn order and each steal. Guests can either mail physical gifts ahead of time or use digital gifts that can be delivered once the game ends.

Set the spending limit and stealing rules before everyone joins. It also helps to decide how gifts will be revealed and who is responsible for sending each one afterward so the exchange does not become confusing.

Choose a Perfect White Elephant Gift in a Snap

Look for a white elephant gift that fits some of these criteria, and everyone will be trying to grab it at your next celebration.

Do you need more gift-giving tips and tricks? Make sure you read some of our other posts.

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