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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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PAMR

Contact the Maternal and Child Health Section

  •  850-245-4465
  •  

    Fax

    850-245-4047
  •  

    Mailing Address

    Maternal and Child Health Section 

    4052 Bald Cypress Way, Bin A13 

    Tallahassee, FL 32399-1721 

Pregnancy-Associated Mortality Review (PAMR) 

History

In 1996, the Florida Department of Health initiated the Pregnancy-Associated Mortality Review (PAMR) to improve surveillance and analysis of pregnancy-related deaths in Florida.  This case review program seeks to elucidate gaps in care, identify systemic service delivery issues, and make recommendations to facilitate improvements in the overall systems of care.

Process 

The process begins by identifying all pregnancy -associated deaths within a specified period.  A pregnancy -associated death is defined as "a death to a woman from any cause, while she is pregnant or within 1 year of termination of the pregnancy, regardless of duration and site of the pregnancy."  A pregnancy-associated death is identified utilizing linked data files from four sources associated with the mother:

Death certificates identified by the assigned cause of death being in the category of Pregnancy, Childbirth and the Puerperium (pregnancy related)

  • Healthy Start screen
  • Birth Certificate
  • Fetal death certificate

Once the pregnancy-associated deaths are identified, they are sorted by a physician/nurse subcommittee and initially deemed pregnancy-related, possibly pregnancy-related or not pregnancy-related.  The focus of PAMR is to assure that all deaths identified as pregnancy-related deaths are reviewed.

Definitions 

A pregnancy-related death is defined as “a pregnancy-associated death resulting from 1) complications of the pregnancy itself, 2) the chain of events initiated by the pregnancy that led to death or 3) aggravation of an unrelated condition by the physiologic or pharmacologic effects of the pregnancy that subsequently caused the death. "

It is important to note that Maternal Mortality Rates (MMR) reported by the Office of Vital Statistics are based on deaths identified by the assigned cause of death being in a pregnancy related category and in recent years by the addition of a pregnancy check box on the death certificate.  Vital Statistics defines maternal mortality as "the death to a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by pregnancy or its management but not from accidental or incidental causes.”

Through the utilization of a broader definition, as well as the increased sources of linked data, The Pregnancy-Associated Mortality Review is able to assess more accurately the pregnancy-related deaths in Florida.

Urgent Maternal Mortality Message to Providers 

To view the urgent maternal mortality message to providers you can click on the two links below.

Reports and Updates 

Florida's Pregnancy-Associated Mortality Review 2017 Update

Florida's Pregnancy-Associated Mortality Review 2016 Update

Assessing Prenatal Risk Screening and Severe Maternal Morbidity in Florida 2010-2014

Pregnancy-Related Deaths Due to Venous Thromboembolism, 2007-2016

Pregnancy-Related Deaths Due to Hemorrhage, 2003-2015

Assessing Prenatal Risk Screening and Severe Maternal Morbidity in Florida, 2010-2014

Florida Maternal Substance Use Deaths, 2005-2016

Florida's Pregnancy-Associated Mortality Review 2015 Update 

Pregnancy-Related Deaths Due to Cardiomyopathy, 2005-2014 Brief

Pregnancy-Related Deaths Due to Infection, 2005-2014 Brief 

Pregnancy-Related Deaths Due to Hypertensive Disorders, 1999-2012 Brief

Pregnancy-Related Deaths Due to Hemorrhage, 1999-2012 Brief

Pregnancy-Related Deaths Due to Hemorrhage, 1999-2012 Slides

Florida's Pregnancy-Associated Mortality Review 2014 Update 

Florida's Pregnancy-Associated Mortality Review 2013 Update

Florida's Pregnancy-Associated Mortality Review 2012 Update

Florida's Pregnancy-Associated Mortality Review 2011 Update

Florida's Pregnancy-Associated Mortality Review 2010 Update

Florida's Pregnancy-Associated Mortality Review 2009 Update

Florida's Pregnancy-Associated Mortality Review 2008 Update

Florida's Pregnancy-Associated Mortality Review, 2007 Update

Pregnany-Related Deaths during the Postpartum Period 1999-2011

Pregnancy-Related Deaths during the Postpartum Period 1999-2010

1999-2008 Florida Pregnancy-Related Mortality Report