The easy mistake is taking for granted US skewed units of measures, I simply posted official stats from International organizations that normalize data across different countries and use standard methodologies.
Anyway your numbers are not better than Germany, but also:
What country has the highest rate of maternal mortality?
The U.S.
Key Findings: The U.S. has the highest maternal mortality rate among developed countries.
Average US mortality rate is 17/100,000
Average European mortality rate is 8/100,000
Remember that in Europe live at least a hundred million more people than in US an it includes much less developed countries than any US State.
Yet the US average is two times worse than EU and 8.2 (EIGHT!) times worse than Belarus (BELARUS!), Poland or my country, Italy.
You know who's got the same stats of US?
Russia. Yes. That Russia.
US maternal mortality rate is the same of Russia, despite spending billions over billions more on healthcare.
Despite being considered a third World country from the American POV.
To put things in perspective for you: Turkmenistan MMR is 10, in Iran is 16, in Tajikistan is 17 (same of the USA).
Can a certain kind of mentality against women bodies considered "unholy" be the cause of it?
Just asking, I don't know the answer.