Homicide is a Leading Cause of Maternal Death, and We're Not Talking About It Enough.

Pregnancy should be a time of joy and anticipation, but for thousands of American women each year, it becomes the most dangerous period of their lives. In this eye-opening conversation with Professor Elizabeth Tobin-Tyler of Brown University, we explore the shocking reality that homicide is a leading cause of traumatic death for pregnant and postpartum women, accounting for 31% of maternal injury deaths.

Professor Tobin-Tyler draws on her unique background spanning both law and public health to explain how pregnancy often triggers escalating violence in abusive relationships. When an abuser's need for control meets the shifting attention and resources that accompany pregnancy, the results can be deadly—particularly for Black women, who die at five times the rate of white women from homicide during pregnancy.

We dive into the complex systems that fail pregnant survivors, from healthcare settings where brief appointments and the presence of abusers make disclosure difficult, to legal frameworks that inadequately protect women from armed abusers. The conversation explores innovative solutions like medical-legal partnerships that bring lawyers into healthcare settings to address both medical and social determinants of health simultaneously.

The ripple effects of this violence extend far beyond individual families. Children exposed to domestic violence face lifelong health consequences, creating an estimated $8 billion annual economic burden across healthcare, education, and criminal justice systems. Despite these staggering costs, funding for research and services continues to face cuts.

You'll come away from this conversation with a new understanding of how Medicaid access, firearm regulations, and community-based services can save lives, along with practical advice for supporting pregnant survivors in your own community. Professor Tobin-Tyler challenges us all to stop normalizing violence against women and to recognize pregnant women as valuable human beings in their own right—not just as vessels for their children.