Key Decisions

There are six (6) key decisions that maternal mortality review committees make for each death reviewed:

  1. Was the death pregnancy related?
  2. What was the cause of death?
  3. Was the death preventable?
  4. What were the critical contributing factors to the death?
  5. What are the recommendations and actions that address those contributing factors?
  6. What is the anticipated impact of those actions if implemented?

    NOTE: While all six questions are essential, the last four questions highlight the unique and critical role of the review committees: preventability, contributing factors, recommendations for improvement, and measurement of impact.