There are six key decisions that maternal mortality review committees make for each death reviewed:
- Was the death pregnancy-related?
- What was the cause of death?
- Was the death preventable?
- What were the critical contributing factors to the death?
- What are the recommendations and actions that address those contributing factors?
- What is the anticipated impact of those actions if implemented?
If available, the following additional information should be captured and included in case presentations to prompt reflection on these influences:
- Did obesity contribute to the death?
- Did discrimination contribute to the death?
- Did mental health conditions contribute to the death?
- Did substance use disorder contribute to the death?
- Was the death a suicide?
- Was the death a homicide?
- If this death was a homicide, suicide, or accidental death, list the means of fatal injury.
- If this death was a homicide, what was the relationship of the perpetrator to the decedent?
The Maternal Mortality Review Information Application (MMRIA) is a comprehensive database that provides for standardized documentation of committee decisions. The MMRIA Committee Decisions Form may be printed and distributed with case review materials to facilitate committee discussion.