In 2004, the California Department of Public Health; Maternal, Child and Adolescent Health Division started the California Pregnancy-Associated Mortality Review (CA-PAMR) project to investigate the rise in maternal deaths. CA-PAMR identifies maternal deaths using enhanced surveillance methodology and conducts in-depth review of the medical records by an expert panel of maternity care and public health professionals. The major goals of the project are to identify pregnancy-related deaths, causation and associated risks, and then recommend improvements in the quality of maternity care. These improvements will subsequently inform prevention strategies to reverse the alarming trend in maternal mortality.
Hospital quality improvement strategies have been developed in partnership with Stanford University’s California Maternal Quality Care Collaborative (CMQCC) with funding from the California Department of Public Health’s Maternal, Child and Adolescent Health Division.