Mission: The Wisconsin Maternal Mortality Review Team (MMRT) is to collect and review case-level information about all maternal deaths occurring in Wisconsin for the purpose of making recommendations to the Department of Health Services and its partners on changes in systems and practice that may result in the prevention of future Wisconsin maternal deaths.
Background: The Wisconsin MMRT was established by the Wisconsin Division of Public Health and the Wisconsin Section of the American College of Obstetricians and Gynecologists in 1997. Prior to 1997, cases of maternal mortality were reviewed by a committee of the Wisconsin Medical Society. Currently, the MMRT is supported through the Title V Maternal and Child Health (MCH) Block Grant administered by the federal Health Resources and Services Administration.
The MMRT is composed of public health and health care experts who represent professional organizations involved in the delivery of health care to pregnant women in Wisconsin. The MMRT strives to include representation from multiple disciplines, including public health services, perinatal nursing, midwifery, dietetics, psychiatry, and obstetrics.
Review Process: Maternal deaths are identified using the pregnancy status checkbox and the cause of death listed on the death certificate. The State Vital Records Office also cross-references death certificates of women of reproductive age with birth and fetal death certificates in order to identify additional cases. Once relevant maternal death, birth, and fetal death certificate data has been obtained, perinatal medical records, coroner/medical examiner reports (CME), police reports, and social services records are requested. The MMRT meets quarterly to review the information gathered on each case, determine whether or not the death was related to pregnancy, and develop prevention recommendations.
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