Author Archives: Sarah D. Hesse

Maternal Deaths in the U.S.

mother holding baby

Photo Credit: Elisa Talentino, New York Times

When most American couples get pregnant their attentions immediately turn to the bundle of joy they are about to bring into the world. They worry whether they will be good parents and whether their child will be born healthy. They have financial worries. They nest. But they most likely do not consider leaving the hospital without the mother of the child in toe.

On a global scale, rates of maternal mortality rates have taken a sharp turn for the better. However, as the rest of the world makes improvements, maternal death rates have increased in the United States. According to the Institute of Health Metrics and Evaluation, American rates have increased by more than half since 1990. Among other rich nations, the United States is the only country to experience an increase in maternal birth rates. Unlike the maternal deaths of 19th century caused by eclampsia, this recent increase is associated with chronic medical conditions such as diabetes and obesity, especially among African American women. Additionally,women are giving birth at older ages. Although maternal deaths are hard to count, many experts claim that the deaths are indeed on the rise.

 Maternal mortality hits very close to home, especially for one American family, the Buhanan-Deckers. Jared Buhanan-Decker, who shared his story on the podcast, Strangers, lost his wife to a rare condition called amniotic fluid embolism. This condition occurs when the amniotic fluid leaks into the blood stream of the mother and triggers a severe immune reaction in which oxygen is cut off to all non-vital organs. The uterus is considered a non-vital organ; therefore oxygen supply is cut off from the baby. In many cases, both mother and baby die. In Jared’s case, on the very same day his son was born his wife died. He claims his wife gave up her life for that of their child. Although, amniotic fluid embolism is an extremely rare condition that accounts for 7.5% to 10% of maternal deaths in the U.S., it is a reminder that women still die while giving life. 

Maternal deaths show us how closely linked death and life are and how dangerous giving birth continues to be. Accompanied by great grief is great joy. While mourning the death of the child’s mother, the surviving parent must create an environment for a baby to flourish and grow. The surviving parent will someday have to explain to their child why and how his or her mother died. For Jared, when those questions arise, he plans to tell his son that it was not his fault that his mother died. If anything she chose to save him by sacrificing her own life. In making meaning of his wife’s death, Jared is able to come to turns with her death and mourn the future they would have shared together.

Maternal death may conjure images of women bleeding to death during childbirth in an unsanitary environment. But in reality, maternal death continues to be an issue in the sterile, equipped hospitals in the United States of America.


Thau, L 2017, Wouldn’t it be Nice, audio podcast, Strangers, Radiotopia, PRX, 2 April. Available from [13 January 2017].

Tavernise, S, ‘Maternal Mortality Rate in U.S. Rise, Defying Global Trend, Study Finds’, New York Times, 21 September. Available from [2 April 2017].


If You Can’t Cheat Death, Why Fake It

Death Certificate

Recently, I feel as if I have been paying special attention to death much more than usual. What I have noticed is that death itself is constructed and created. Currently, I am reading an biographical novel about a prominent Viennese family, the Wittgensteins. Three of the Wittgenstein children are believed to have committed suicide, two of which, it is certain.  One of the sons, Hans Wittgenstein simply vanished; evidence points to him having committed suicide. Neither his body or Hans himself ever resurfaced. The family chose to withhold the news of his “suicide” for months until they thought the time to announce his death was most opportune.

For some reason the story of Hans Wittgenstein and his family made me think about pseudocide. Pseudocide, otherwise known as the act of faking one’s death, is a drastic measure taken by many who choose to avoid capture by law enforcement or engage in fraudulent activities such as insurance fraud. It can also be used to run away from massive debts. In today’s hypervigilant world, it has become extremely arduous for one to fake his or her own death. One must find a way to come up with way to make it seem as if he or she has actually died. The most popular ways to do so are pretend drowning or suicide. Even after the death, an individual must stay off the grid and assume a new identity.

With a quick Google search, one can find a WikiHow article called “How to Fake Your Own Death“. Additionally, a number of books exist on the matter, including a book by Elizabeth Greenwood in which she researched how to successfully make the world believe she had died. What I find to be most interesting is that, in faking one’s death, one must cut all ties from persons from one’s past life. In order to successfully fake your death, you must let go of your past life, the bad as well as the good. This I think, is both incredibly difficult and terrifying.

The circumstances under which individuals choose to fake their deaths must be especially dire enough for one to have enough desperation to run away from one life into another. Committing pseudocide is not without consequences for the friends and family left behind; if a body is not recovered, they may never experience closure. If they find out the truth behind their loved one’s death, the results of the deceit could be disastrous.

Ultimately, no matter what you are running from, is it worth it to fake your own death?


Waugh, A, 2010, The House of Wittgenstein: A Family At War, Anchor Books, New York.