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Abstract: Currently, the United States of America maintains the highest maternal mortality rate (MMR) out of all industrialized nations. The goal of this paper is to compare guidelines for the top three causes of maternal death in the United States during pregnancy, birth, and up to one year postpartum to those of six countries whose MMR are exceptionally low. By comparing the maternal guidelines in the United States with those of more successful countries, the writers hope to determine areas in which the United States may revamp their policies to improve upon their MMR. The methods employed included collecting data on country-specific guidelines as well as additional insight regarding care policies and societal influence from research papers, national and world data tools, and governmental policies. After compiling the findings, it was determined that most of the guidelines regarding the leading causes of maternal death were largely similar among the compared countries, with some slight alterations. The writers therefore conclude that the guidelines themselves are not inherently influencing the high MMR within the United States. The cause is multifactorial and likely results from a combination of factors including, but not limited to, healthcare type, racial inequality, access to care, and population and land mass size.