Merkt PT, Kramer MR, Goodman DA, et al. - As there has been no improvement in the US pregnancy-related mortality ratio over the past decade along with the presence of striking disparities by race/ethnicity and by state, researchers sought to compare pregnancy-related mortality across and within urban and rural counties by race/ethnicity and age. A descriptive analysis of 3,747 pregnancy-related deaths was conducted during 2011–2016 (the most recent available). Among these pregnancy-related deaths, 52% occurred in large metro counties and 7% occurred in noncore (rural) counties. Although large metro counties had occurrences of more than half of pregnancy-related deaths, the pregnancy-related mortality ratio increased with increasing rurality. Urban-rural categories exhibited disparities, including by age group and by race/ethnicity. The lowest pregnancy-related mortality ratio was recorded in large metro counties while noncore counties had the highest , including for most race/ethnicity and age groups. Within each urban-rural category, they noted higher pregnancy-related mortality ratios among non-Hispanic Black women compared with non-Hispanic White women. Per these findings, geographic location is an important context for initiatives to avert future deaths and annihilate differences.