The study analyzed deaths among pregnant and postpartum women (within 42 days after delivery) in the US from 2018 to 2023 based on death certificates[3]. Accidental drug overdose was the leading cause of death with a rate of 5.2 deaths per 100,000 births, followed by homicide and suicide combined at a rate of 3.9 deaths per 100,000 births[3]. More than half of overdose and violence deaths occurred during pregnancy, while other causes such as cardiovascular disease, infections, hypertension, and bleeding occurred more often in the early postpartum period[3]. Overdose and suicide were more common among white women, homicide among black women, and more than three-quarters of violent deaths involved firearms[3]. The overall maternal mortality rate has remained stable, except for an increase during the COVID-19 pandemic[3]. Between 2018–2022, there were a total of 10,715 pregnancy or postpartum deaths, including 837 homicides, 579 suicides, 2,083 drug overdoses, and 851 firearm deaths[2]. The highest rates were for homicide in Mississippi (12.86 per 100,000 live births), suicide in Montana (21.55 per 100,000 live births), and overdose in Delaware (36.03 per 100,000 live births)[2].