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California Pregnancy-Associated Mortality Review (CA-PAMR)

MO-07-0132 CA-PAMR

The California Pregnancy-Associated Mortality Review (CA-PAMR) is a project of the California Department of Public Health (CDPH), Maternal, Child and Adolescent Health (MCAH) Program in collaboration with the California Maternal Quality Care Collaborative (CMQCC), the University of California, San Francisco (UCSF) Institute for Health and Aging (IHA), and the Public Health Institute (PHI). CDPH/MCAH and the CA-PAMR project are fortunate to have the voluntary service of the CA-PAMR Committee, a statewide, multidisciplinary Committee comprised of leading clinical experts in maternal and perinatal health and public health. The CA-PAMR Committee serves to determine the causes of maternal mortality and to make recommendations concerning quality improvement opportunities in maternity care and public health strategies to prevent maternal deaths in California. Funding for CA-PAMR is provided by the Federal Title V Maternal and Child Health (MCH) Block Grant Funds.

  • We are pleased to present findings from the first three years of CA-PAMR review in: The California Pregnancy-Associated Mortality Review (CA-PAMR): Update from 2002-2004 Maternal Death Reviews (PDF, 4pp, 1.1 MB)Opens a new browser window.New
  • CA-PAMR Public Use Slide Set: 2002-2004 (PDF)Opens a new browser window.New
  • Previous findings from the first two years of CA-PAMR review: The California Pregnancy-Associated Mortality Review, Report from 2002 and 2003 Maternal Death Reviews (PDF, 1.1 MB)Opens a new browser window.
  • CA-PAMR Report Public Use Slide Set: 2002-2003 (PDF)Opens a new browser window.
  • Goals

    • CA-PAMR seeks to determine the causes of maternal mortality in California and to identify public health and clinical interventions to reduce maternal mortality and associated racial/ethnic disparities.
    • The goal of CA-PAMR is to identify women who died within one year of having a live birth or fetal death and to determine whether the death was pregnancy-related and the cause of death.
    • CA-PAMR strengthens California’s surveillance of maternal mortality and findings will be translated into public health prevention activities and improvements to clinical care designed to improve maternal outcomes.

    Problem

    Program Activities

    • California Pregnancy-Associated Mortality Review (CA-PAMR) is the first statewide maternal mortality review in California.
    • CA-PAMR was established in 2006 and review of maternal deaths in 2002 formed the basis for the first year of case review (the most recent data available at that time).
    • CA-PAMR consists of four components:
      1. Enhanced surveillance of pregnancy-associated deaths by MCAH through the linkage of birth certificates with maternal and fetal death certificates and hospital discharge data;
      2. Collection and abstraction of medical records by the Public Health Institute for deaths that are likely or known to be pregnancy-related;
      3. Case review by the multidisciplinary CA-PAMR Committee (PDF)Opens a new browser window. to determine whether deaths are pregnancy-related, causation, factors that contributed to the deaths and recommendations for improvements in maternity care;
      4. Translation of findings into maternal health quality improvement initiatives by the California Maternal Quality Care Collaborative targeted to obstetric care providers, maternity units, and local health departments that provide direct care to pregnant and postpartum women.
    • Findings from the first two years of review are now available in the CA-PAMR Report from 2002 and 2003 Maternal Death Reviews. 

    Who Benefits

    • All women of childbearing age and their families, but especially pregnant and postpartum women. 

    Funding

    • Federal Title V MCH Block Grant Funds.  CDPH MCAH Program administers CA-PAMR.

    Data 

  • Maternal Mortality: Definition, Trends, and Race and Age Stratifications, 1999-2010 (PDF)Opens a new browser window.
  • Maternal Mortality Rates for U.S. and CA, 1999-2010 (PDF)Opens a new browser window.
  • Reports and Publications

  • The California Pregnancy-Associated Mortality Review (CA-PAMR), Update  from 2002 - 2004 Maternal Death Reviews (PDF, 1.1 MB)Opens a new browser window.New
  • CA-PAMR Public Use Slide Set: 2002-2004 (PDF)Opens a new browser window.New
  • The California Pregnancy-Associated Mortality Review, Report from 2002 and 2003 Maternal Death Reviews (PDF, 1.1 MB)Opens a new browser window.
  • CA-PAMR Report Public Use Slide Set: 2002-2003 (PDF)Opens a new browser window.New
  • Pregnancy-Related Mortality in the U.S.1998-2005 (Berg 2010) (PDF)Opens a new browser window.
  • The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom - 2006-2008 (PDF, 1.8 MB)Opens a new browser window.
  • World Health Organization. Trends in maternal mortality: 1990 to 2008 estimates developed by WHO, UNICEF, UNFPA and The World Bank, World Health Organization; 2010. (PDF, 2.3 MB)Opens a new browser window.
  • Maternal Mortality in Los Angeles County 1994-1996 (PDF)Opens a new browser window.
  • Resources

  • Contact Us

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    Last modified on: 8/21/2013 1:09 PM