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Brief Overview of State MMR or PAMR

Massachusetts Maternal Mortality & Morbidity Review Committee (MMMRC) convened in 1998. The committee has 16 members, meets twice annually, and reviews all pregnancy associated and pregnancy related deaths. In 2014, Massachusetts had 71, 867 live births with 29 pregnancy associated deaths.

Primary
Name: 
Karin Downs
Credentials: 
RN, MPH
Title: 
MCH Director
Phone: 
617-624-5967
Affiliation: 
Massachusetts Department of Public Health
Secondary
Name: 
Hafsatou Diop
Title: 
Director, Office of Data Translation
Phone: 
617-624-5764
Affiliation: 
Massachusetts Department of Public Health
Scope of Cases Reviewed
  • All pregnancy-associated deaths (All deaths of women while pregnant or within one year of the end of pregnancy, due to any cause)
Location of Deaths Reviewed by Committee
  • State Residents (or City/County Residents if local review)
Jurisdiction Convenes More Than a Single MMR/PAMR
  • The MMMM reviews are grouped by injury and medically related deaths.
Individuals, Disciplines, and Organizations Represented on Review
  • Academic Institutions
  • Anesthesiology
  • Critical Care Medicine
  • Epidemiology
  • Fetal and Infant Mortality Review Program Staff
  • Forensic Pathology
  • Maternal Fetal Medicine
  • Midwifery
  • Nursing
  • Obstetrics and Gynecology
  • Patient Safety
  • Perinatal Nursing
  • Quality/Risk Management
  • State Medicaid Agency
  • State Title V Program
  • Substance Abuse Counseling
  • Vital Records

RESOURCES

Massachusetts Case Summary Form

Source: 
Massachusetts Department of Public Health
Year of publication or last update: 
2014
A primary and a secondary reviewer from the MMMMRC analyze all available documents on pregnancy associated and pregnancy related deaths. The reviewers use the MMMMRC Case Summary Form to summarize each case for the entire Committee without identifying patients, clinicians, or institutions.

Study Pledge of Confidentiality

Source: 
Massachusetts Department of Public Health
Year of publication or last update: 
2012
All MMMMRC members sign this confidentiality pledge before participating in any reviews.

M.G.L. c. 111, section 24A and 24B

Source: 
Massachusetts Department of Public Health
Year of publication or last update: 
1997
There is a long history of reviewing maternal deaths in Massachusetts which began as a systematic effort in 1941 when the Committee on Maternal Welfare of the Massachusetts Medical Society initiated case reviews of maternal deaths with the goal of improving maternal health. Since 1997, the Massachusetts Department of Public Health (MDPH) has convened the Maternal Mortality and Morbidity Review Committee (MMMRC) to review maternal deaths, study the incidence of pregnancy complications, and make recommendations to improve maternal outcomes and eliminate preventable maternal death. The work of the MMMRC, protected under M.G.L. c. 111, section 24A and 24B, assures the confidentiality of all records and proceedings. Part B is available in the following location: https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapter111/Section24B
Website: 

Maternal Mortality and Morbidity Review in Massachusetts: A Bulletin for Health Care Professionals

Source: 
Massachusetts Department of Public Health
Year of publication or last update: 
2014
The purpose of this report is to present data on maternal deaths and pregnancy-associated mortality from 2000 through 2007 in Massachusetts. This report also suggests strategies for improving maternal health outcomes. This report covers both medical and injury-related deaths of women who died while pregnant or within one year postpartum.
Website: