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Brief Overview of State MMR or PAMR

Illinois has two maternal mortality review committees that determine factors contributing to maternal deaths and to identify potential prevention strategies. The Maternal Mortality Review Committee (MMRC) was convened in 2000 and reviews all pregnancy-associated deaths that were potentially related to pregnancy, excluding injury-related deaths. The Maternal Mortality Review Committee on Violent Deaths (MMRC-V) was convened in 2015 and reviews all pregnancy-associated deaths that are due to homicide, suicide, or drug overdose. Each multi-disciplinary committee has about 25-30 members and meets quarterly. These committees are sub-committees of the state's Perinatal Advisory Committee, and are officially charged with providing recommendations to the Illinois Department of Public Health (IDPH) on issues relating to the health of mothers and infants. IDPH provides extensive administrative support to the committees, including meeting organization, distribution of materials, and case abstraction. During 2015, Illinois had 158,101 live births (including out-of-state occurrences to Illinois residents) and 93 pregnancy-associated deaths. Of these deaths, 37 were reviewed by the MMRC and 28 were reviewed by the MMRC-V. A total of 36 cases (from both committees combined) were determined to be pregnancy-related.

Primary
Name: 
Amanda Bennett
Credentials: 
PhD
Title: 
CDC Assignee in MCH Epidemiology
Phone: 
312-814-6816
Affiliation: 
Illinois Department of Public Health
This individual fills the role of: 
Epidemiologist
Secondary
Name: 
Shannon Lightner
Phone: 
312-814-1884
This individual fills the role of: 
State Agency Leadership (e.g. MCH Director, Chief Medical Examiner)
Scope of Cases Reviewed
  • All deaths during pregnancy or within one year of the end of pregnancy from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy, and not intentional or unintentional injury
  • A sample of deaths caused by intentional or unintentional injury
Other type of case? (Please explain): 
The MMRC reviews all pregnancy-associated deaths that are potentially related to pregnancy, excluding injury deaths. The MMRC-V reviews all pregnancy-associated deaths due to homicide, suicide, or drug overdose.
Location of Deaths Reviewed by Committee
  • Deaths of Non-residents in State (or city/county if local review)
  • State Residents (or City/County Residents if local review)
Jurisdiction Convenes More Than a Single MMR/PAMR
  • In 2015, Illinois convened a second MMRC that focuses on violent deaths (MMRC-V). This committee reviews all pregnancy-associated deaths due to homicide, suicide, or drug overdose.
Individuals, Disciplines, and Organizations Represented on Review
  • Domestic Violence
  • Perinatal Quality Collaborative
  • Perinatal Nursing
  • Psychiatry/Mental Health Provider
  • Midwifery
  • mental health providers
  • Nursing
  • Obstetrics and Gynecology
  • Some members fill multiple categories
  • State Title V Program
  • Community Organization/Leadership
  • Cardiology
  • Also ability to call in any expertise necessary for each case.
  • Academic Institutions
  • Anesthesiology
  • Behavioral Health Agency
  • Emergency Response
  • Home Visiting
  • Maternal Fetal Medicine
  • Forensic Pathology
  • Family Medicine
  • Epidemiology
  • Family Planning

RESOURCES

Maternal Cardiovascular Mortality in Illinois, 2002-2011

Source: 
Briller, et. al., for the Illinois Department of Public Health Maternal Mortality Review Committee Working Group
Year of publication or last update: 
2017
Manuscript describing demographic characteristics of women in Illinois who died from cardiovascular disease during pregnancy or up until 1 year postpartum, addressing specific etiologies, timing of death, proportion of potentially preventable mortality, and factors associated with preventability. Reviews findings are based on hospital reviews (not the state MMRC).
Website: 

Assessing preventability of maternal mortality in Illinois: 2002-2012

Source: 
Geller et al. Illinois Department of Public Health Maternal Mortality Review Committee Working Group
Year of publication or last update: 
2014
Manuscript describing the relation to pregnancy, major causes, and preventability of maternal deaths in Illinois during 2002-2012, as determined by reviews at regional perinatal centers.
Website: 

Higher Risk of Homicide Among Pregnant and Postpartum Females Aged 10-29 Years in Illinois, 2002-2011

Source: 
Koch et al. Illinois Department of Public Health Maternal Mortality Review Committee Working Group
Year of publication or last update: 
2016
Manuscript describing the rates of homicide among pregnant and postpartum women compared to non-pregnant women. Pregnant and postpartum females aged 10-29 years were at twice the risk of homicide compared with their nonpregnant or postpartum counterparts.
Website: 

Comparing Two Review Processes for Determination of Preventability of Maternal Mortality in Illinois

Source: 
Geller et al.. Illinois Department of Public Health Maternal Mortality Review Committee Working Group
Year of publication or last update: 
2015
Manuscript describing differences between the hospitals/perinatal-center based reviews of maternal deaths and the findings of the state MMRC. The statewide MMRC found more potential preventability and determined that preventability was associated with provider and systems factors, not patient factors.
Website: 

Illinois Administrative Code

Source: 
Illinois Department of Public Health
Year of publication or last update: 
2002
Administrative code that provides authority for IDPH to collect and review information on maternal deaths. These rules define maternal death and the requirements for reporting by hospitals.
Website: