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Illinois

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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.

Contacts
Primary
Name
Cara Bergo
Credentials
PhD, MPH
Title
Maternal Mortality Epidemiologist
Affiliation
Illinois Department of Public Health
MMRC Role
Coordinator
Epidemiologist/Data Analyst
Email
cara.bergo@illinois.gov
Phone
312-814-4532
Secondary
Name
Amanda Bennett
Credentials
PhD, MPH
Title
MCH Epidemiologist
Affiliation
Illinois Department of Public Health
MMRC Role
Coordinator
Epidemiologist/Data Analyst
Email
amanda.c.bennett@illinois.gov
Phone
312-814-6816
Sources of Funding
ERASE MM
Yes
STATE MATERNAL HEALTH INNOVATION
No
TITLE V MCH SERVICES BLOCK GRANT
Yes
STATE BUDGET
No
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), excluding motor vehicle accidents
Individuals, Disciplines, and Organizations Represented on Review
Organizations Core Disciplines Specialty Disciplines
Academic Institutions
Behavioral Health Agencies
Hospitals/Hospital Association
Private and Public Insurers
Rural Health Associations
State Medicaid Agency
State Medical Society
State Title V Program
Violence Prevention Agencies
Anesthesiology
Community Advocates
Family Medicine
Forensic Pathology
Maternal Fetal Medicine/Perinatology
Nurse Midwifery
Obstetrics and Gynecology
Perinatal Nursing
Psychiatry
Public Health
Social Work
Addiction Counseling
Cardiology
Emergency Response
Epidemiology
Law Enforcement
Mental Health Provider
Pharmacy
Public Health Nursing

Success Stories

Illinois Success Story: Medicaid Coverage for 1 Year Postpartum


In April 2021, Illinois became the first state in the United States to extend full Medicaid coverage to people who just gave birth from 60 days to one year postpartum. This policy implementation was based on a key recommendation made by the Illinois Maternal Mortality Review Committees in the 2018 Illinois Maternal Morbidity and Mortality Report. The report showed that one third of pregnancy-related deaths occur later than 43 days postpartum and access to care throughout one year postpartum is vital to preventing maternal deaths.

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Illinois Success Story: Masks for MOMS Ensure Mask Distribution for COVID-19 Protection


Ensuring that pregnant and postpartum persons had access to masks to protect them and their families, the MASKS for MOMS campaign collected homemade masks from volunteers throughout Chicagoland and then distributed these masks through community-based clinics, hospitals, and other community sites. Masks were provided to pregnant persons during in-person clinician visits, labor and delivery, and postpartum

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State Materials
document icon
Illinois Maternal Morbidity and Mortality Report (published April 2021)
Illinois Department of Public Health
2021
This report describes severe maternal morbidity and maternal mortality for Illinois women. It includes a description of the state's process for identifying pregnancy-associated deaths, for determining which cases are selected for MMRC review, and for supporting the state MMRCs. It also details the data from maternal mortality surveillance and review in Illinois, which particular focus on disparities, causes of death, relationship to pregnancy, and preventability. The major themes from maternal mortality review are synthesized, and specific recommendations for preventing maternal deaths are detailed.
document icon
Illinois Maternal Morbidity and Mortality Report (published Oct 2018)
Illinois Department of Public Health
2018
This report describes severe maternal morbidity and maternal mortality for Illinois women. It includes a description of the state's process for identifying pregnancy-associated deaths, for determining which cases are selected for MMRC review, and for supporting the state MMRCs. It also details the data from maternal mortality surveillance and review in Illinois, which particular focus on disparities, causes of death, relationship to pregnancy, and preventability. The major themes from maternal mortality review are synthesized, and specific recommendations for preventing maternal deaths are detailed.
document icon
Illinois Committee Decisions Form Updates
Illinois Department of Public Health
2021
These slides were presented to the Illinois Maternal Mortality Review Committee following updates to the committee decisions form and include Illinois’ approach to incorporating updates into the review process. Updates included format changes, including a table to list contributing factors and recommendations side-by-side, and new additions to the form. Additions included a checkbox for whether discrimination contributed to the death as well as three new contributing factors and definitions: discrimination, interpersonal racism, and structural racism.
document icon
Illinois Administrative Code
Illinois Department of Public Health
2021
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 icon
Higher Risk of Homicide Among Pregnant and Postpartum Females Aged 10-29 Years in Illinois, 2002-2011
Koch et al. Illinois Department of Public Health Maternal Mortality Review Committee Working Group
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.
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Maternal Cardiovascular Mortality in Illinois, 2002-2011
Briller, et. al., for the Illinois Department of Public Health Maternal Mortality Review Committee Working Group
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).
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