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CA-Pregnancy-Associated Mortality Review

The California Pregnancy-Associated Mortality Review (CA-PAMR) is a statewide, medical record review of pregnancy-related deaths which aims to identify the cause and timing of death, contributing factors and improvement opportunities in maternity care, with the ultimate goal of reducing preventable deaths and associated health disparities.

Our Impact

See all CA-Pregnancy-Associated Mortality Review Impacts

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  • 70% of deaths in pregnancies due to hemorrhage had a good-to-strong chance of being prevented
  • 60% of deaths in pregnancies due to preeclampsia had a good-to-strong chance of being prevented

Projects

Active Projects

CA-PMSS

The California Pregnancy Mortality Surveillance System is a rapid-review of pregnancy-related deaths with the goal of producing more timely estimates of maternal mortality by cause of death and demographic characteristics. This ongoing high-level surveillance will continue for at least another year, when we expect to be caught up to the most recent data available.

CA-PAMR

Ongoing in-depth medical record and expert committee reviews of maternal deaths most likely to be pregnancy-related. Aims to identify the cause and timing of death, contributing factors and improvement opportunities in maternity care, with the ultimate goal of reducing preventable deaths and associated health disparities. Over the next five years, we will be conducting a regional review (Southern California) as well as cause-of-death-specific reviews.

Completed Projects

Violent Death Analysis

Will be conducting analysis on maternal homicide with aim of describing the rates of pregnancy-associated deaths compared to the general population of reproductive-age women in California. Will describe the demographic characteristics as well as social determinants of health that may have contributed to the deaths.

Maternal Suicide Review

Conducted an in-depth review of suicide among women pregnant or up to one year after delivery or termination of pregnancy. A multi-disciplinary committee reviewed the deaths and identified recommendations for clinical and public health practice. See the report.

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