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Montana

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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.

VISIT THIS MMRC's WEBSITE
Contacts
Primary
Name
Linda Gleason
Credentials
MPH, RN
Title
Program Specialist for Montana Obstetrics and Maternal Support (MOMS)
Affiliation
Montana Public Health & Human Services
MMRC Role
Abstractor
Email
Linda.Gleason@mt.gov
Phone
406-444-2924
Secondary
Name
Amanda Eby
Title
Program Specialist for Montana Obstetrics and Maternal Support (MOMS)
Affiliation
Montana Public Health & Human Services
MMRC Role
Coordinator
Email
amanda.eby@mt.gov
Phone
406-444-7034
Sources of Funding
ERASE MM
Yes
STATE MATERNAL HEALTH INNOVATION
No
TITLE V MCH SERVICES BLOCK GRANT
No
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)
All deaths during pregnancy or within one year of the end of pregnancy from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy, and not intentional or unintentional injury
Individuals, Disciplines, and Organizations Represented on Review
Organizations Core Disciplines Specialty Disciplines
Hospitals/Hospital Association
Tribal Organizations
Family Medicine
Nurse Midwifery
Obstetrics and Gynecology
Perinatal Nursing
Psychiatry
Social Work
Clergy
Emergency Response
Law Enforcement
Mental Health Provider
Public Health Nursing

State Materials
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Pregnancy Associated Deaths in Montana, 2003-2009
Montana Maternal Mortality Workgroup
2011
Pregnancy associated deaths are the most inclusive definition of a maternal deaths. Deaths from motor vehicle accidents were four-times higher and deaths from other unintentional injuries were twice as high among pregnancy-associated deaths as among deaths to women in the same age range who were not and had not recently been pregnant.
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ENHANCING REVIEWS AND SURVEILLANCE
TO ELIMINATE MATERNAL MORTALITY