The United Nations and Save the Children released a list of the best and worst places in the world to be a Mother. It’s the 16th annual Mother’s Index, which rates 179 countries on five indicators.

The indictors are related to: maternal health, education, income levels and the status of women. This year the United States dropped from 31 to 33 making it the worst place in the world to be a mother for developed countries. The U.S. fell behind Japan, Poland and Croatia.

The best place in the world to be a mother is Norway barley beating out Finland which held the top spot last year. Among the top 10, Australia is the only non-European country, at number nine.

The worst countries, to be a mother, are all sub-Saharan African countries, Haiti and Sierra Leone.

America women have a one in 1,800 risk of maternal death, the worst level of risk of any developed country. An American woman is 10 times as likely to die in child-birth as a Polish woman.

Of the 24 wealthiest capital cities, Washington DC had the highest infant deaths per 1,000. There are 7.9 deaths per 1,000; by comparison, Stockholm and Oslo had infant mortality rates at 2 deaths per 1,000.

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