Maternal Mortality Review Program

Fact Sheet

 

Approximately 700 women die each year nationally from pregnancy-related complications.  The Centers for Disease Control and Prevention analyzed Pregnancy Mortality Surveillance System (PMSS) data for 2011-2015, and thirteen Maternal Mortality Review Committees (MMRCs) from 2013-2017.
They noted that approximately 60% of pregnancy-related deaths were determined to be preventable.


A
pregnancy-related death is one that occurs during pregnancy or within one year of the end of a pregnancy from a pregnancy complication, a chain of events initiated by the pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.


A pregnancy-associated death is one from any cause during pregnancy or within one year of the end of pregnancy from a cause not related to the pregnancy.


For more definitions related to maternal mortality click here.   

Leading causes of maternal death are:

  • Cardiovascular conditions (i.e. heart disease and stroke)
  • Infection
  • Hemorrhage

What is happening in Connecticut?

The Connecticut Department of Public Health (DPH) administers the CT Maternal Mortality Review Program (MMRP). In June 2018, legislation was passed granting DPH the statutory authority to conduct a comprehensive, multidisciplinary review of maternal deaths for purpose of identifying factors associated with maternal deaths and to make recommendations to reduce risks. The Maternal Mortality Review Committee examines all potential pregnancy-related deaths and identifies whether it was pregnancy-associated, pregnancy-related death, or not related or associated to the pregnancy. 

 

In 2018, Connecticut Public Act No. 18-150 was enacted for the Connecticut Department of Public Health to establish a Maternal Mortality Review Program and Maternal Mortality Review Committee (MMRC) to review maternal deaths, study the incidence of pregnancy complications, and make recommendations to improve maternal outcomes and reduce preventable risk.


Connecticut Maternal Mortality Review Program

The Connecticut Department of Public Health administers the CT Maternal Mortality Review Program and convenes a multi-disciplinary Maternal Mortality Review Committee (MMRC) to review all CT maternal deaths for pregnancy-relatedness and to develop recommendations for prevention at the patient, provider, facility, system or community levels. The chairpersons of the MMRC are the Commissioner of Public Health, or the commissioner's designee, and a representative designated by the CT State Medical Society.


Connecticut Maternal Mortality Review Committee

Identified cases of potential pregnancy-related maternal mortality are reviewed every other month by an inter-disciplinary Maternal Mortality Review Committee comprised of medical and non-medical personnel.

Following the Centers for Disease Control and Prevention guidelines, the MMRC determines the pregnancy-relatedness and makes recommendations to prevent subsequent deaths.

Utilizing the Centers for Disease Control and Prevention Committee Decisions Form, V. 18, the Maternal Mortality Review Committee reviews de-identified case summaries to ensure consistency and uniformity in the case review process.

 Resources for Parents

Resources for Clinicians

CT Media Campaign

The CT Maternal Mortality Program has developed a media campaign to raise awareness of the Maternal Mortality Review Committee throughout Connecticut. The goal is to encourage women to speak up during pregnancy, at birth and during the postpartum year about any concerns, and to encourage providers to listen actively to a women’s concerns.  A woman knows her body best and how she feels.

 

Call to Action - Changing the conversation: applying a health equity framework to maternal mortality reviews

 

The media campaign consists of:

  • Consumer Post Cards
  • Health Care Providers Informational Kit
  • Poster for use at Educational Events, the Legislative Office Building, CT malls
  • Newspaper advertisements in English and Spanish
  • Radio spots in English and Spanish
  • Targeted Digital Banner Ads that will be located on various media platforms and sites
  • Pocket handouts for legislators and policy makers at the Legislative Office Building
  • Internet Radio spots on Pandora and Spotify

CDC's Hear Her Campaign

CDC's Hear Her Campaign seeks to raise awareness of potentially life-threatening warning signs during and after pregnancy and improve communication between patients and their healthcare providers.  It helps increase awareness of serious pregnancy-related complications and their warning signs, empowers women to speak up and raise concerns, encourages women’s support systems to engage in important conversations with her and provides tools for women and providers to better engage in life-saving conversations.

CDC Hear Her Campaign Website

CDC Hear Her Campaign Video Clip English Spanish

 

Contact Information

Donna C. Maselli, RN, MPH 
Public Health Services Manager
Community, Family Health, and Prevention Section
Connecticut State Department of Public Health
410 Capitol Avenue, MS# 11 MAT
Hartford, CT 06134-0308
Phone: (860) 509-7505
E-mail: donna.maselli@ct.gov

Kathryn Britos-Swain, MSN, BS, RN
Nurse Consultant
Maternal Mortality Review Program Director
Community, Family Health, and Prevention Section
Connecticut State Department of Public Health
410 Capitol Avenue
P.O. Box 340308, MS #11 HLS
Hartford, CT  06134-0308
Phone: (860) 509-8180   Fax: (860) 509-7854 
E-mail: Kathryn.britos-swain@ct.gov