Maternal mortality is devastating for families and communities worldwide. In Pennsylvania specifically, a large disparity exists between white and African American women for maternal mortality. Unfortunately, mortality is just the tip of the iceberg: for every woman who dies, there are more women who just barely survive. Because of this, Governor Wolf has made maternal and child health a priority for the state of Pennsylvania.
What is Maternal Mortality?
Maternal mortality is a death of a woman during pregnancy, or up to one year following the end of the pregnancy, regardless of the outcome of the pregnancy. Maternal mortality applies in cases of livebirth, stillbirth, abortion and miscarriage. When describing maternal mortality, deaths are divided into the following categories:
Pregnancy-Associated Deaths: the death of a woman during pregnancy, or up to one year following the end of the pregnancy, regardless of the outcome of the pregnancy.
Pregnancy-related death: the death of a woman during pregnancy or within one year of the end of a pregnancy - regardless of the outcome, duration or site of the pregnancy -
due to a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.
Pregnancy-associated, but not related death: the death of a woman during pregnancy or within one year of pregnancy
from a cause that is not related to pregnancy. These are deaths from accidental or incidental causes, such as a death due to a natural disaster.
While we have some data about maternal mortality there is a lot that we do not know. To better understand maternal mortality and how to prevent these deaths, Pennsylvania established the Pennsylvania Maternal Mortality Review Committee (PA MMRC) to review all pregnancy associated deaths in the commonwealth.
What is a Maternal Mortality Review Committee (MMRC)?
MMRC is a group of professionals and partners who serve pregnant and postpartum women, and who collectively review these deaths and examine factors that led to the death. The goal of a MMRC is to determine if the death is related to the pregnancy and if it could have been prevented. The committee then provides recommendations that could prevent future deaths and protect the health and well-being of women during and after pregnancy.
Pennsylvania Maternal Mortality Review Committee
In 2018, the PA MMRC was established by Act 24 to confidentially conduct a multidisciplinary review of maternal mortality in Pennsylvania. Under the act, the Department of Health has authority to appoint members to the committee and maintain a minimum committee representation. It also allows the committee to consult with relevant experts or stakeholders.
The PA MMRC reviews de-identified summaries of all pregnancy-associated deaths in the commonwealth, regardless of cause of death and including drug-related deaths, homicides, and suicides. The committee determines if the death was related to the pregnancy, identifies contributing factors, determines if the death could have been prevented, and makes recommendations to prevent future deaths. A death is considered preventable if the committee determines that there was at least some chance of the death being avoided by one or more reasonable changes to patient, family, provider, facility, system and/or community factors.
The PA MMRC works closely with the Philadelphia MMRC, which reviews deaths of Philadelphia mothers. The Philadelphia MMRC is housed within the Philadelphia Department of Public Health, Division of Maternal, Child and Family Health. The Philadelphia MMRC began in 2010 and is made up of representatives from every labor and delivery hospital in Philadelphia, as well as diverse disciplines.