Pregnancy-Associated Deaths

The data presented in this dashboard below provide information on pregnancy-associated deaths, defined as the death of a woman within 365 days of the end of a pregnancy, regardless of the cause of death or the outcome of the pregnancy. Data come from the Virginia Pregnancy-Associated Mortality Surveillance System (PAMSS). Virginia’s PAMSS collects information on all pregnancy-associated deaths among Virginia residents. This surveillance system helps to identify and monitor patterns and trends related to pregnancy-associated deaths in Virginia, provides a snapshot of maternal mortality, and helps inform policy decisions of public health importance. Data from PAMSS include not only surveillance data, but also data collected from the Maternal Mortality Review Team (MMRT) process. Please refer to the 'About the Data' and 'Definitions' below the dashboard for more information.

Virginia’s MMRT is one of the longest continuously functioning multidisciplinary review teams in the United States. The MMRT was established in March 2002 as a partnership between the Offices of Family Health Services (OFHS) and the Chief Medical Examiner (OCME). The team was codified, §32.1-283.8, by the 2019 General Assembly, with the OCME continuing to provide coordination for the team. The MMRT is dedicated to the identification of all pregnancy-associated deaths in the Commonwealth and the development of recommendations for interventions to reduce preventable deaths. The team collects records including:

  • Hospital records where the birth or pregnancy-related issue, concern, or termination occurred and where the death occurred
  • Birth attendant’s records
  • Autopsy records
  • Medical Examiner case investigation records.
  • Records from other health care providers and specialists, social service agencies, and mental health facilities

Reviewing these records helps to make sure that there is an in-depth understanding of the woman’s life, health, and healthcare utilization in the five years before the death. Through the review process, the team determines the community-related, patient-related, healthcare facility-related, and/or healthcare provider-related factors that contributed to the woman’s death. Consensus decision-making is used to determine whether the death was preventable and/or related to the pregnancy. The MMRT also recommends needed changes in the care received that may have led to better outcomes in that specific case. The MMRT releases an annual report of its findings. The most recent report can be found here.

Definitions

Maternal death
The death of a woman while pregnant or within 42 days of termination of pregnancy, regardless of the duration and the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes. This definition is used by the National Center for Health Statistics (NCHS) and the World Health Organization (WHO).

Pregnancy-associated death
A death during or within one year of pregnancy, regardless of the cause or the outcome of the pregnancy. These deaths make up the universe of maternal mortality; within that universe are pregnancy-related deaths and pregnancy-associated, but not related deaths.

Pregnancy-related death
A death during or within one year of pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.

Pregnancy-associated, but not related death
A death during or within one year of pregnancy, from a cause that is not related to pregnancy.

Maternal Mortality
Maternal mortality refers to deaths while pregnant or within 42 days of termination of pregnancy. The MMRT program may use the term maternal mortality or pregnancy-associated mortality to encompass the topic of deaths during pregnancy, childbirth, and the postpartum period up to 365 days from the end of pregnancy.

 

Source: Eugene Declercq and Laurie Zephyrin, Maternal Mortality in the United States: A Primer (Commonwealth Fund, Dec. 2020).

Last Updated: April 22, 2025