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J Womens Health (Larchmt). 2018 Jan;27(1):1-5. doi: 10.1089/jwh.2017.6800. Epub 2017 Dec 14.

Building U.S. Capacity to Review and Prevent Maternal Deaths.

Author information

1
1 CDC Foundation , Atlanta, Georgia .
2
2 Association of Maternal and Child Health Programs , Washington, District of Columbia.
3
3 Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention , Atlanta, Georgia .
4
4 Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, Georgia .

Abstract

In the United States, the risk of death during and up to a year after pregnancy from pregnancy-related causes increased from ∼10 deaths per 100,000 live births in the early 1990s to 17 deaths per 100,000 live births in 2013. While vital statistics-based surveillance systems are useful for monitoring trends and disparities, state and local maternal mortality review committees (MMRCs) are best positioned to both comprehensively assess deaths to women during pregnancy and the year after the end of pregnancy, and identify opportunities for prevention. Although the number of committees that exist has increased over the last several years, both newly formed and long-established committees struggle to achieve and sustain progress toward reviewing and preventing deaths. We describe the key elements of a MMRC; review a logic model that represents the general inputs, activities, and outcomes of a fully functional MMRC; and describe Building U.S. Capacity to Review and Prevent Maternal Deaths, a recent multisector initiative working to remove barriers to fully functional MMRCs. Increased standardization of review committee processes allows for better data to understand the multiple factors that contribute to maternal deaths and facilitates the collaboration that is necessary to eliminate preventable maternal deaths in the United States.

KEYWORDS:

committee; deaths; maternal; mortality; review

PMID:
29240525
DOI:
10.1089/jwh.2017.6800
[Indexed for MEDLINE]

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