Editorial illustration for article on rising rates of hypertension-related maternal mortality in the US. Factors driving this include the rising obesity epidemic, delayed childbearing and assisted reproductive technologies. Preeclampsia is associated with acute renal failure, respiratory distress, cerebrovascular accidents, ARDS, heart failure and pulmonary dysfunction. Warning signs include severe edema, severe systolic blood pressure, nausea vomiting and epigastric pain. Primary causes of maternal death include intercranial hemorrhage, cardiopulmonary arrest, respiratory failure, hepatic hemorrhage hypoxic ischemic encephalopathy and DIC.