On this interactive map, you’ll find links to profiles for state, city, and jurisdiction-level Maternal Mortality Review Committees (MMRCs) across the nation.
Scroll over a state or jurisdiction or select one from the list on the left to access profiles and to view contact information to connect with colleagues and learn more about their important work.
The Rhode Island Pregnancy and Postpartum Death Review Committee (PPDRC) is a multi-disciplinary review board, first convened in 2021, that examines the deaths of people who were pregnant or within one year of pregnancy when they died. The PPDRC is made up of medical professionals (maternal fetal medicine specialists, midwives, substance use specialists), insurance representatives, breastfeeding specialists, doulas, and representatives of populations often underserved and under-represented in medicine. This diverse group meets at least four times per year to review eligible deaths; determine if the deaths are related to, and/or associated with, pregnancy; and to identify areas of opportunity for systemic changes that could decrease and eliminate deaths during pregnancy and the postpartum period. Our Mission is to identify pregnancy-associated deaths, review those caused by pregnancy complications and other associated causes, identify the factors contributing to these deaths, and recommend public health and clinical interventions that may reduce these deaths and improve systems of care. The PPDRC’s vision is to eliminate preventable perinatal deaths, reduce perinatal morbidities,and improve population health for people in the perinatal period.
The Maternal Mortality Review Panel (MMRP) was established by Act 35 (2011) to conduct comprehensive, multidisciplinary reviews of maternal deaths for the purpose of identifying factors associated with these deaths and creating recommendations for system changes for improving the health care and social services for Vermonters. Act 142 (2020) amended the MMRP’s charge to include in their review, considerations of health disparities and social determinants of health, including race and ethnicity in maternal death reviews.
The Maternal Mortality Review Committee Establishment Act of 2018 (DC Law 22-111) became effective on June 5, 2018. Immediately following, recruitment for members commenced, leading to their official swearing in on May 9, 2019. Comprising of twenty-five (25) members, the first case review meeting was held on September 24, 2019. The DC MMRC conducts a systematic, multi-agency, multi-disciplinary review of pregnancy-related or pregnancy-associated deaths within the District using a non-judgmental life course approach.
The Utah Department of Health (awardee) partnered with the Wyoming Department of Health (sub-awardee) to submit a successful cross-state application for Centers for Disease Control and Prevention (CDC) Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) funding in 2019. The funding established a cross-state maternal mortality review committee in 2020, with the first Wyoming maternal deaths reviewed in 2021. Seven Wyoming representatives joined the long-standing Utah Perinatal Mortality Review Committee. Wyoming representatives attend quarterly committee meetings to review maternal deaths from Utah and Wyoming. The committee reviews all pregnancy associated deaths. In 2021, eight Wyoming maternal deaths were reviewed.
Minnesota Maternal Mortality Review first convened in 2011. The committee has 25-35 members, meets at least quarterly, and reviews all pregnancy-associated maternal death cases. In 2016, the state of Minnesota had 69,749 live births and 12.9 pregnancy-related deaths. Our vision is to eliminate preventable maternal deaths, reduce maternal morbidities, and improve population health for all birthing people of reproductive age in Minnesota.
The WV IMMRP first convened in 2010. The committee is comprised of various fields of subject matter experts in relation to infant and maternal deaths and is mandated by legislation those that must be members of the panel. The Panel meets at least annually but is transitioning to quarterly meetings in order to cover all infant deaths throughout the year. All maternal deaths and all infant deaths are reviewed. In 2018, there were slightly more than 18,000 births in West Virginia and 3 pregnancy realted deaths. The Infant and Maternal Mortality Review process is a method of understanding the diverse factors and issues that contribute to preventable deaths and identifying and implementing interventions to address these problems. The knowledge gained from the reviews will be used to enhance services, influence public health policy and direct planning efforts intended to lower mortality rates.
In 2010, the Philadelphia Department of Public Health (PDPH) convened the Maternal Mortality Review Committee (MMRC) to address a sharp increase in pregnancy-related deaths in the city. Philadelphia's rate of pregnancy related deaths from 2013-2018 was approximately 20 per 100,000 live births. The MMRC is a highly dedicated, multidisciplinary group of more than thirty members from city-based service organizations, delivery hospitals, and governmental agencies. The goal of the Philadlephia MMRC is go gain knowledge and insight into the contributing factors of all pregnancy associated deaths, document signficnat maternl health challenges, and develop evidence-informed recommendations for solutions in order to improve trends in maternal deaths and methods to track progress.
The Alabama Maternal Mortality Review Committee was established in 2018. The committee has 53 members, meets quarterly, and currently reviews all maternal deaths. In 2017, Alabama had 58,936 live births and 22 pregnancy-related deaths. Our mission is to identify pregnancy-associated deaths, review those caused by pregnancy complications and other selected deaths, and identify problems contributing to these deaths and interventions that may reduce these deaths. The Maternal Mortality review Committee’s vision is to eliminate preventable maternal deaths in Alabama.
The Michigan Maternal Mortality Surveillance's review committee first convened in 1950. The current committee has 29 members, meets eight times per year, and reviews all pregnancy-associated deaths or any deaths of women with indication of pregnancy up to 365 days, regardless of cause. In 2017, Michigan had 111,507 live births and 11 pregnancy-related deaths. Our mission is to review all maternal deaths to identify factors contributing to the deaths and to recommend clinical, systems and public health interventions or measures that may reduce the number of maternal deaths and improve outcomes.
In 2016, the Hawaii legislature authorized the Department of Health to conduct multidisciplinary and multiagency reviews to reduce the incidence of preventable maternal deaths. The Hawaii Maternal Mortality Review first convened in 2017. The committee has 22 members, meets semi-annually, and reviews all pregnancy-associated cases. In 2016, Hawaii had 18,053 live births (preliminary).
Ohio Pregnancy-Associated Mortality Review (PAMR) first convened in 2011. The committee has 52 members, meets 3-4 times per year and reviews all pregnancy-associated deaths. In the most recent year of reviews completed (2017), Ohio had 137,520 live births and 40 pregnancy-related deaths. Our mission is to review all pregnancy-associated deaths of Ohio residents.
The Utah Perinatal Mortality Review (PMR) first convened in 1995. The committee has 41 members, meets monthly, and reviews maternal deaths and infant deaths due to perinatal conditions. In 2018, Utah had 47,211 live births, and 22 total maternal deaths. Of these, 11 were pregnancy-related, and 11 were pregnancy-associated but not related. The Perinatal Mortality Review Committee's mission is to determine the factors contributing to maternal and infant mortality in Utah and identify interventions to improve systems of care.
Illinois has two maternal mortality review committees that determine factors contributing to maternal deaths and 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 unintentional drug overdose. Each multi-disciplinary committee has about 25-30 members and meets 6 times a year. 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. Illinois has about 140,000 births to Illinois residents each year. During 2016-2017, there were 175 pregnancy-associated deaths in Illinois. Of these deaths, 57 were reviewed by the MMRC and 72 were reviewed by the MMRC-V. A total of 60 cases (from both committees combined) were determined to be pregnancy-related. Our mission is to review deaths to identify opportunities for improvement and create actionable recommendations to ultimately improve health outcomes for all women, children, and families.
The South Dakota MMRC first convened 2021. The committee has 15 members and is reviewing all cases of maternal deaths.
The Arizona Maternal Mortality Review Committee (MMRC) first convened in 2011 after being established by Senate Bill 1121. The committee has 30 active members and meets monthly. Arizona statue requires that the MMRC review all maternal deaths occuring in Arizona (regardless of pregnancy duration or manner of death). Reviews include ages 10-60, Arizona resident deaths occuring outside of the state, and non-resident deaths occuring in Arizona. The MMRC completed reviews of 2017 deaths in late 2020. Arizona had 81,664 live births in 2017, with 59 pregnancy-associated deaths (13 of which were pregnancy-related).
Louisiana’s Pregnancy Associated Mortality Review (PAMR) Committee convened in 2010. The state has reviewed maternal deaths in some capacity, however, since 1992. The current committee has about 40 rotating members, meets quarterly, and reviews all pregnancy-associated and related cases. In 2017, Louisiana had 61,163 births and 65 pregnancy-associated deaths. The goal of the Louisiana PAMR is to identify and review all pregnancy-associated and related deaths in Louisiana to develop actionable recommendations to reduce maternal mortality.
The review of all maternal deaths was added to the Child Death Review Team's scope in 2013 and reviews began in 2014. The reviews of deaths that occurred in 2014-2016 were conducted under contract by the Nebraska Medical Association. In 2018, the Child and Maternal Death Review Team (CMDRT) approved and supported the reorganization of how maternal death reviews were conducted, resulting in a sub-committee of the CMDRT: the Maternal Mortality Review Committee (MMRC). Reviews utlizing methodology aligned with CDC, CDC Foundation, and AMCHP best practices began in 2019. Nebraska MMRC is comprised of approximately 17 members, meets quarterly, and reviews all pregnancy-associated cases. In 2018, our state had 25,495 births and 9 pregnancy-associated deaths. Between 2014-2018, Nebraska had 49 pregnancy-associated, and 18 pregnancy-related maternal deaths.
Montana’s maternal mortality review is part of the FICMMR (Fetal, Infant, Child & Maternal Mortality Review) program. FICMMR is a statewide effort to reduce preventable fetal, infant, child and maternal deaths. While the program is statewide, it is powered locally by multi-disciplinary county teams. Review teams include health and social service professionals, law enforcement, coroners, tribal representatives, and experts from other fields as indicated in the Fetal, Infant Child and Maternal Mortality Prevention (FICMMP) Act. Copy this link into browser to see the full Act: https://leg.mt.gov/bills/mca/title_0500/chapter_0190/part_0040/sections_index.html.
FICMMR review teams share and discuss comprehensive information on the circumstances leading to a death, if it was preventable, and the response to the death. The process identifies critical community strengths and needs - in order to effectively address the unique social, health, and economic issues associated with negative health outcomes which may have caused or contributed to the preventable death. When a maternal death is on the agenda, the FICMMR law requires either an Obstetrician, or a Family Practice Physician, or a Physician's Assistant who has direct OB responsibilities to participate in the review. All pregnancy–associated and pregnancy-related deaths are reviewed.
Montana is preparing to transition maternal mortality review to the MMRIA (Maternal Mortality Information Application.) Montana Department of Public Health and Human Services (MT DPHHS) epidemiologists have built and are now testing a database to house historical maternal death reviews up until entering them into MMRIA. The Department is working with the CDC and planning MMRIA training for state staff and the local teams. After launching MMRIA, MT DPHHS will convene and facilitate a Montana Maternal Mortality Review Council (MMRC), which will be a state-level, multidisciplinary council with local county representation. The MMRC will meet regularly to review and analyze case data to capture contributing factors and map each death to a prevention recommendation that can be implemented statewide.
Georgia's Maternal Mortality Review Committee first convened in 2012. The committee has 30 members, meets quarterly, and reviews all pregnancy-associated cases. In 2016, Georgia had 129,940 live births and 21 pregnancy-related deaths. Our mission is to identify pregnancy-associated deaths, preview pregnancy-associated deaths, and identify the factors contributing to these deaths and recommend public health and clinical interventions that may reduce these deaths and improve systems of care.
The Maryland Maternal Mortality Review Committee first convened in 2000. The committee has approximately 20 members, meets monthly from September to June, and reviews all pregnancy-associated deaths. In 2017, Maryland had 71,589 live births and 52 pregnancy-related deaths. Our goal is to identify and review all pregnancy-associated deaths, and to develop recommendations for the prevention of future deaths.
The California Pregnancy-Associated Mortality Review first convened in 2007. The CA-PAMR committees have varied in size based on the scope of the review and the expertise needed. Currently, there are three committees: a committee conducting rapid-cycle reviews of all pregnancy-related deaths statewide for surveillance, a committee conducting in-depth reviews of deaths from obstetric hemorrhage, and a committee conducting in-depth reviews of all-cause pregnancy-related deaths in a defined region of Southern California. Each committee meets quarterly at minimum. California has between 490,000 and 500,000 live births and approximately 250 pregnancy-associated deaths annually. In the last several years, California had 60 to 70 pregnancy-related deaths annually. Our mission is to conduct ongoing enhanced surveillance, prevent pregnancy-related deaths and eliminate related racial/ethnic disparities.
The Maternal Mortality Prevention Program (MMPP) exists to eliminate preventable maternal deaths in the State of Colorado, reduce maternal morbidities, and improve population health and health equity for pregnant and postpartum people. This practice impacts the maternal population in Colorado, focusing on deaths that occur during pregnancy and up to one year after pregnancy, regardless of the cause.
The MMPP is responsible for administering the Maternal Mortality Review Committee (MMRC), a multidisciplinary committee that reviews every maternal death that occurs in the state. The MMPP works to prevent maternal deaths by improving the maternal mortality review process and implementing recommendations for prevention through community-led solutions, clinical quality improvement, and public health programs, including evidence-based interventions to reduce disparities and achieve health equity in maternal health outcomes.
Colorado’s commitment to reviewing maternal mortality was put in statute in May 2019 when Gov. Jared Polis signed the bipartisan Maternal Mortality Prevention Act to formalize and fund the Maternal Mortality Review Committee (MMRC). It also provided subpoena protection for MMRC members, and required affected communities to be represented on the MMRC. The legislation also enabled Colorado to apply for and receive grant funding from the Centers for Disease Control and Prevention’s ERASE Maternal Mortality grant program, which began in October 2019. The CDC grant supports the state to expand its three-pronged strategy of community-led solutions, clinical quality improvement, and public health programs. With funds from the CDC and the state, Colorado can collect better data, analyze and publish data more frequently, and implement recommendations to prevent deaths and improve maternal health equity.
Iowa Maternal Mortality Review Committee first convened in November of 1970. The committee has 12 members, meets annually, and reviews all pregnancy-associated deaths (All deaths of women while pregnant or within on year of the end of pregnancy, due to any cause). In 2019, Our the State of Iowa had 37,597 live births. Our mission is to identify pregnancy-associated deaths, review those caused by pregnancy complications and other associated causes, and identify the factors contributing to these deaths and recommend public health and clinical interventions that may reduce these deaths and improve systems of care.
The Kansas Maternal Mortality Review Committee (KMMRC) first convened in 2018. The committee has 41 members, meets 4 times per year, and reviews about 24 cases per year. In 2018, Kansas had 36,268 live births and 3 pregnancy-related deaths and 17 Pregnancy associated deaths. Our mission is to increase awareness of the issues surrounding pregnancy-related death and to promote change among individuals, communities, and healthcare systems in order to reduce the number of deaths.
The KY Maternal Mortality Review Program first convened in 2018. The committee has 30 members, meets every two months, and reviews all pregnancy-associated cases. In 2021, Kentucky had approximately 54,000 live births and 9 pregnancy-related deaths. The mission is to identify and review all pregnancy-associated deaths in KY in order to develop recommendations to reduce maternal mortality.
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.
Mississippi’s Maternal Mortality Review Committee (MMRC) is currently in the developmental stages. It first convened in August of 2016 with a core advisory committee of 10 members. The full committee will convene in 2017 following passage of formal legislation to establish the MMRC. The committee will meet quarterly and review all pregnancy-associated cases. In 2014, Mississippi had 38,735 live births and 14 pregnancy related deaths. The goal of the Mississippi MMRC is to identify and review all pregnancy-associated deaths in Mississippi and generate effective strategies to reduce maternal mortality, improve maternal health and strengthen maternity care in Mississippi.
The Pregnancy Associated Mortality Review board first convened in 2011. The committee has 18 members, meets four to five times annually, and reviews all pregnancy-associated cases identified. In 2018, MO had 73,281 love births and 24 pregnancy related deaths. In addition to raising awareness of the problem of maternal mortality, the committee seeks to incorporate community perspectives on the major barriers to care for pregnant women so that it could develop targeted interventions to prevent future instances of maternal mortality.
Nevada's MMRC first convened in 2020. The committee has 12 members, meets as needed but at least twice a year, and reviews all pregnancy associated deaths regardless of cause of death. In 2018, the State had 35,379 live births and in 2017 had 12 pregnancy-related deaths (PMSS). Our mission is to to identify pregnancy-associated deaths, review those caused by pregnancy complications and other associated causes, and identify the factors contributing to these deaths and recommend public health and clinical interventions that may reduce pregnancy associated and pregnancy related deaths and severe maternal morbidity and improve systems of care.
The New Hampshire Maternal Mortality Review Committee was legislatively established in 2010 and began reviewing pregnancy-associated deaths in 2012. The committee meets as needed (at least 1x/year). The statute establishing the panel can be found here.
In 2017 the New York City Department of Health and Mental Hygiene (NYC DOHMH) established a committee with the aim of eliminating preventable maternal mortality and severe maternal morbidity and thereby contributing to the broader goal of reproductive justice and racial equity in maternal health outcomes in NYC. The NYC DOHMH Maternal Mortality and Morbidity Review Committee (M3RC) consists of over 40 members and meets nearly monthly to conduct a multidisciplinary expert review of each maternal death in NYC from both a clinical and social determinants of health perspective. The members are from variety fields, such as OBGYNs, midwives, doulas, mental health providers, community members, first responders, maternal-fetal medicine specialists, and pathologists.
The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) was legislatively established in 2013 and convened in 2014. The 17-member multidisciplinary review committee meets quarterly and reviews all pregnancy-associated deaths occuring in a calendar year among Texas residents with an indication of pregnancy within up to one year of the end of pregnancy except for motor vehicle crashes not involving vehicular homicide or suicide. In 2013, Texas had 387,110 live births and 175 confirmed pregnancy-associated deaths subject to review. Texas Health and Safety Code Chapter 34 directs the MMMRC to study and review: cases of pregnancy-related deaths; trends, rates or disparities in pregnancy-related deaths and severe maternal morbidity; health conditions and factors that disproportionately affect the most at-risk populations; and best practices and programs operating in other states that have reduced rates of pregnancy-related deaths. Through this process, the MMMRC develops recommendations to help reduce the incidence of preventable pregnancy-related deaths and severe maternal morbidity.
The Idaho MMRC was established in 2019 and reviewed their first cases in 2020. The committee has 13 members, meets annual, and reviews all pregnancy-associated deaths.
The Florida Maternal Mortality Review Committee (Florida MMRC),formerly known as the Pregnancy-Associated Mortality Review (PAMR), first convened in 1996. The committee currently has 25 members, meets quarterly, and reviews all pregnancy-related cases as well as a sample of pregnancy-associated cases. In 2020, cases from 2019 were reviewed. Florida had 220,010 live births and 43 pregnancy-related deaths. The Florida MMRC mission is to increase awareness of the issues surrounding pregnancy-related deaths and to promote change among individuals, communities, and health care systems in order to reduce the number of deaths.
The Alaska Maternal and Child Death Review (MCDR) has been in place since 1989 and was established under Alaska State Statute 18.23.010 - 18.23.070. The program is federally funded by the HRSA Title V MCH Block grant, the CDC Sudden Unexpected Infant Death (SUID) Case Registry grant, the CDC Supporting Maternal Mortality Review Committees (MMRC) grant and some state general funds.
The Washington State Maternal Mortality Review Panel first convened in 2016 in accordance with RCW 70.54.450. The Department of Health is directed by law to convene a multidiscplinary review panel to conduct comprehensive reviews of maternal deaths in the state to identify factors surrounding the deaths and make recommendations to policy makers for healthcare and systems changes to improve perinatal care for all people in Washington. The panel currently has 72 members from across the state, meets throughout the year, and with the Department of Health, reviews all pregnancy-associated deaths to determine if they are pregnancy related and preventable. In 2016, there were 90,489 live births in Washington and a total of 9 pregnancy-related deaths. Our mission is to reduce maternal mortality and inequities in maternal mortality throughout the state, develop a better understanding of how social determinants of health impact maternal health outcomes, increase awareness of the factors cotnributing to maternal mortality and morbidity, and improve the overall wellbeing of parents and families in our state.
The Indiana Maternal Mortality Review Committee first convened in 2018. The committee has 65 members, meets monthly, and reviews all pregnancy-associated cases. In 2018, Indiana had 81651 live births and 10 pregnancy-related deaths. The mission is to increase awareness of the issues surrounding pregnancy-related death and to promote change among individuals, communities, and healthcare systems in order to reduce the number of deaths. The mission of the Indiana Maternal Mortality Review Committee is to identify pregnancy-associated deaths, review those caused by pregnancy complications and other associated causes, and identify problems contributing to these deaths and recommend interventions that may reduce these deaths.
The Oklahoma Maternal Mortality Review Committee was reestablished in 2009. In 2019, HB 2334 was passed by the legislature providing statutory authority for the MMRC and defining the multidisciplinary membership. Currently there are 25 members, 18 of which are defined by specific positions/roles and seven members appointed by the Comissioner of Health to fit precribed roles. The committee meets quarterly and reviews all pregnancy associated deaths. Oklahoma averges approximately 50,000 births/year and 11 maternal deaths/year. Our goals are to:
- Improve and enhance public health efforts to reduce and prevent maternal deaths in Oklahoma,
- Improve identification of maternal deaths in order to interpret trends, identify high-risk groups and develop effective interventions,
- Utilize review information to identify health system isseus and gaps in service delivery, and
- Develop action plans and prevenetive strategies to implement recommendations in communities and provider networks.
Pennsylvania Maternal Mortality Review Committee first convened in 2019. The committee has 30 members, meets quarterly, and reviews all pregancy-associated cases. The mission of the Pennsylvania Maternal Mortality Review Committee is to systematically review all maternal deaths, identify root causes of these deaths and develop strategies to reduce preventable morbidity, mortality and racial disparities related to pregnancy in Pennsylvania.
New Jersey’s Maternal Mortality Review Committee started in 1932 when the Medical Society of New Jersey established one of the first maternal mortality reviews in the United States. Between 1999 and 2020, Central Jersey Family Health Consortium oversaw the 26 member committee that met 5 times a year and reviewed all pregnancy-associaated deaths. In August 2020, the New Jersey Department of Health relaunched the MMRC in compliance with P.L. 2019 C.075. The 24 member multidisciplinary committee meets monthly to review all pregnancy-associated death cases and completes the MMRIA committee decision form. In 2014-2016, our state had 307,486 live births and 151 pregnancy-associated deaths, of which 46 were pregnancy-related. The NJ MMRC's overall goal is to review all pregnancy-aassociated deaths, identify contributing factors, develop actionable recommendations and interventions to reduce maternal mortality, analyze maternal mortality trends, and publish public reports in collaboration with the New Jersey Maternal Care Quality Collaborative, our statewide maternal health taskforce.
The New Mexico Maternal Mortality Review Committee first convened in 2018. The committee has a maximum of 25 members, meets quarterly, and reviews all pregnancy-associated deaths (all deaths of women while pregnant or within one year of the end of pregnancy, due to any cause). In 2018, New Mexico had 23,038 resident live births and 5 pregnancy related deaths. Our mission is to to identify and review maternal deaths caused by pregnancy complications and other factors, to identify remediable problems contributing to maternal deaths, and to develop interventions to reduce these deaths. Our vision is to advance the safety and well-being of pregnant women in New Mexico by reducing deaths from preventable causes. Our goals are:
- Conduct a thorough record abstraction, in order to obtain details of events and issues leading up to the terminal event.
- Perform a multidisciplinary review of cases to gain a holistic understanding of the issues.
- Determine the annual number of maternal deaths related to pregnancy (pregnancy-related and pregnancy-associated mortality).
- Identify trends and risk factors among pregnancy-related deaths in New Mexico.
- Recommend improvements to care at the individual, provider, and system levels with the potential for reducing or preventing future events.
- Prioritize findings and establish recommendations for reducing maternal deaths.
- Partner with the New Mexico stakeholders, to assist in developing and implementing statewide strategies to reduce maternal mortality.
- Develop actionable strategies for prevention and intervention.
- Disseminate the findings and recommendations to a broad array of individuals and organizations.
- Promote the translation of findings and recommendations into quality improvement actions at all levels.
- Promote the reduction in health inequities and disparities by examining the influence of racism and discrimination as contributing factors to maternal deaths and providing recommendations related to these factors.
The South Carolina Maternal Mortality and Morbidity Review Committee (SCMMRC) was created in 2016 by state legislation. The multidisciplinary committee has 30 members, meets quarterly, and reviews all pregnancy-associated deaths. The mission of the SCMMMRC is to identify pregnancy-associated deaths (deaths during or within a year of pregnancy), review those caused by pregnancy complications and other selected deaths, and identify problems contributing to these deaths and interventions that may reduce these deaths. The goals of the committee’s reviews and associated maternal mortality work are to: determine the annual number of maternal deaths related to pregnancy (pregnancy-related mortality); identify trends and risk factors among pregnancy-related deaths in South Carolina; and develop actionable strategies for prevention and intervention.
The Delaware Maternal Mortality Review panel first convened in 2011. The committee has 46 members, meets 3-4 times per year and reviews all pregnancy associated deaths. From 2015 to 2019, Delaware had 54908 births and 10 (32%) pregnancy-related deaths. The mission of the Delaware Maternal Mortality Review Committee is to:
- Identify pregnancy-associated deaths, review those caused by pregnancy complications and other associated causes,
- Identify the factors contributing to these deaths and recommend public health and clinical interventions that may reduce these deaths and improve systems of care,
- Increase awareness of the issues surrounding pregnancy-related deaths, and
- Promote change among individuals, healthcare systems, and communities in order to reduce the number of deaths.
The Wisconsin Maternal Mortality Review Team (MMRT) collects and reviews case-level information about all maternal deaths among Wisconsin residents for the purpose of making recommendations to the Department of Health Services and its partners on changes in systems and practice that may result in the prevention of future Wisconsin maternal deaths.
The Wisconsin MMRT was established by the Wisconsin Division of Public Health and the Wisconsin Section of the American College of Obstetricians and Gynecologists in 1997. Prior to 1997, cases of maternal mortality were reviewed by a committee of the Wisconsin Medical Society. Currently, the MMRT is supported through the Centers for Disease Control (CDC) and Prevention ERASE MM Grant, CDC Foundation Rapid Maternal Overdose Review (RMOR) Grant, and the Title V Maternal and Child Health (MCH) Block Grant administered by the Federal Health Resources and Services Administration.
The Wisconsin MMRT is currently reviewing deaths from 2017. There were 66,593 live births in 2016.
New York’s Maternal Mortality Review Initiative (MMR) was convened in 2010 to systematically review all maternal deaths with the goal of ensuring a comprehensive review of factors leading to maternal deaths in New York State. The Committee has 30 members representing over 20 professional organizations. The committee meets annually to review aggregate data, examine trends or emerging issues and recommend opportunities for improvement.
In 2018 the Connecticut General Assembly passed legislation granting statutory authority to the Department of Public Health to convene a muliti-disciplinary Connecticut Maternal Mortality Review Committee in order to not only review pregnancy-associated deaths but also to develop recommendations for action. The first meeting was convened in September 2018 and the first cases were reviewed under statutory protection in December 2018. The committee has 28 members, meets monthly and reviews all pregnancy-associated deaths, defined as those deaths that occurred within one year of the end of a pregnancy, regardless of the outcome. The most recent year completed were 2020 deaths and data are still being analyzed. In the most recent CT MMR Evaluation Report of 2015-2019 cases, of the 62 pregnancy-associated deaths 25 (40%) were found to be pregnancy-related. Our mission is to review all pregnancy-associated deaths, identify those that are pregnancy-related and develop recommendations to reduce subsequent risk.
Tennessee established the Maternal Mortality Review (MMR) Program on January 1, 2017 upon the effective date of the Maternal Mortality Review and Prevention Act of 2016 (T.C.A. § 63-3-601). The act was amended in 2020 to include an annual report rather than biennial (T.C.A 68-3-607). The legislation further created the MMRC to review maternal deaths and make determinations regarding the preventability of maternal deaths. Set forth in legislation, the purpose of the MMR Program is to: Identify and address the factors contributing to poor pregnancy outcomes for women and facilitate state systems changes to improve the health of women before, during and after pregnancy. The MMRC is a multidisciplinary expert panel, with representation from public health, obstetrics-gynecology, maternal and fetal medicine, anesthesiology, neonatology, pediatrics, nurse-midwifery, nursing, mental and behavioral health, domestic violence, Hospital Patient Safety, TennCare/Medicaid, District Attorney’s office, the Department of Mental Health and Substance Abuse Services, the Tennessee Senate and House of Representatives, and the State Chief Medical Examiner. The Committee is tasked to review maternal deaths and report recommendations for changes to any law, rule, and policy that would promote the safety and well-being of women and prevention of maternal deaths. As of 2019, Tennessee has approximately 77,000 live births and has had 67 pregnancy-related deaths since 2017.