Almost two-thirds of Nebraska’s counties are considered “maternal care deserts” in a new report. Stacey Stewart, president of the March of Dimes, says women in those counties are at greater risk of complications from childbirth, including the death of the mother, the baby or both.

Of Nebraska’s 93 counties, 61 of them are considered “maternal care deserts” where there’s not a single hospital offering childbirth care or O-B-G-Y-N services. Stewart says most of those counties are rural.

The report says more than 700 American women die in childbirth each year and 50-thousand suffer life-threatening complications. Women of color are most at risk of complications, and black women are more than three times as likely as white women to die from pregnancy-related causes.