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Maternal Mortality Review Information Application - MMRIA

mmria logo image

Although maternal mortality review committees (MMRCs) have been in place for some time, there has never been a standardized data system available to support essential review functions. MMRIA, or "Maria," reflects lessons learned from implementing a previous version of the system, the Maternal Mortality Review Data System (MMRDS), among 13 state MMRCs.

MMRIA is designed to support and standardize:

  • Data abstraction
  • Case narrative development
  • Documentation of committee decisions
  • Routine analysis

MMRIA is free and publicly available. However, states and jurisdictions interested in using MMRIA work in close partnership with the Building U.S. Capacity to Review and Prevent Maternal Deaths team at CDC. The team provides programmatic assistance to help committees use the system effectively and reduce duplicative processes during abstraction, case review, and analysis.

  • Visit to learn more and to complete a brief survey.
  • Get in touch!
  • MMRIA is regularly updated with system and feature improvements. The team will provide instructions for downloading and installing new versions, while preserving your existing data. Work in close partnership with the CDC team in completing these steps.

MMRIA is much more than a data system – it supports developing a common language for reviews to work together. It supports the breadth of scope and processes of MMRCs, recognizing that no two MMRCs are the same, but all can work toward a shared vision. Therefore the MMRIA project includes numerous resources for each step of a standard approach to case review. To see all MMRIA materials, visit the Review to Action Resource Center. Below are some key highlights:

  • Abstractor Manual: This manual is an in-depth guide to case abstraction, intended for abstractors both seasoned and new to their positions.
  • MMRC Facilitation Guide: This guide is intended to help maternal mortality review committees establish processes for case review. The guide is structured in the order of the steps a committee might take in conducting an actual review committee meeting.
  • Committee Decisions Form: This form is a recommended format for documenting key decisions and recommendations made by the MMRC. It maps back to the fields in MMRIA for ease-of-entry during or after committee meetings.
  • Case Identification Process: This diagram describes the process used for case identification, abstraction, review and data system entry.

What is this report?

A preliminary report of data from four states using an innovative data-collection system provides the first in-depth look at key factors contributing to maternal death and showcases opportunities for prevention.

For example:

  • It offers concrete evidence that a maternal death is the tragic result of an intersection of a number of factors. It is the sum of a range of circumstances related to communities, healthcare facilities, providers, and patients. On average, three to four critical factors were identified for each pregnancy-related death.
  • This report highlights that causes of pregnancy-related death differ by age and depending on whether a woman was pregnant, was in delivery or had recently delivered.
  • These data also show that mental health conditions were a leading cause of pregnancy-related death in these four states. More specifically, among postpartum women, suicide most commonly occurs in the late-postpartum period.
  • As more states participate, we can use these data to identify causes and contributing factors to pregnancy-related death and the prevention opportunities with the greatest potential impacts.
  • MMRIA is a powerful resource, allowing states to collaborate around a shared data framework and initiate discussions around how the data can inform improvement activities. The United States can best save lives and prevent harm by thoughtful and strategic practices that honor states’ unique contexts and needs, and at the same time adopt a cohesive approach that leverages all of the data we collect on maternal deaths. In February 2017, project staff released the first ever report combining data from multiple MMRCs as a proof of concept, a recognition of our common commitment to reducing preventable maternal deaths, and a reminder that we can only fulfill our commitment by working together. The first report includes data from four states: Colorado, Delaware, Georgia, and Ohio. The following year, the MMRIA project staff will release a more comprehensive report that engages more states in this shared endeavor.
Download Report from MMRCs: A View Into Their Critical Role

MMRIA Events and Activity Updates

Last Updated: September 25, 2017

  • September 28-29, 2017 - At the New England Maternal Mortality Summit the Building U.S. Capacity to Review and Prevent Maternal Deaths team will share best practices specific to the maternal mortality review process and discuss how the CDC MMRIA data system can support the maternal mortality review process among Region 1 states.
  • November 2, 2017 - A training focused on building analysis capacity among jurisdictions using MMRIA.
  • November 4-8, 2017 - At the American Public Health Association Annual Meeting & Expo in Atlanta, GA the team will present lessons learned from using combined data from multiple maternal mortality review committees and highlight opportunities to strengthen their impacts, with a particular focus on understanding socio-spatial contributors to maternal deaths.
  • November 14, 2017 - CDC Public Health Grand Rounds

    Meeting the Challenges of Measuring and Preventing Maternal Mortality in the United States will be held at 1 pm on the CDC Roybal Campus, Clifton Road, Atlanta, GA.
  • February 7-8, 2018 - The MMRIA User Meeting (MUM) will provide essential training on critical elements of maternal mortality review: abstraction, data analysis and stakeholder engagement. 


Where has the team been lately?

Since the winter of 2016, the Building U.S. Capacity to Review and Prevent Maternal Deaths team has provided 1:1 on-site support to the following jurisdictions:

  • Arizona
  • Colorado
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Illinois
  • Maryland
  • Massachusetts
  • Michigan
  • Mississippi
  • New Jersey
  • New Mexico
  • New York City
  • North Carolina
  • Ohio
  • South Carolina
  • Tennessee
  • Utah
  • Virginia 
  • U.S.-Mexico Border Health Commission