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Maternal mortality in New York--Looking back, looking forward.
Cynthia Chazotte1, Mary E D'Alton2
1Department of Obstetrics and Gynecology, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY.
Seminars in Perinatology
|January 26, 2016
Summary
New York
Area of Science:
- Public Health
- Maternal Health
- Healthcare Disparities
Background:
- New York State has a long history of addressing maternal mortality and racial disparities since the 1950s.
- The initial Safe Motherhood Initiative (SMI) in New York aimed to review maternal deaths in hospitals.
Observation:
- Review teams identified that many maternal deaths could have been prevented with timely recognition and intervention.
- The original SMI program was defunded, interrupting these critical reviews.
Findings:
- The SMI was revitalized in 2013, implementing three safety bundles for obstetric hemorrhage, severe hypertension, and venous thromboembolism prevention in 118 hospitals.
- These bundles focus on timely recognition and treatment of critical obstetric conditions.
Implications:
- Coordinated, multidisciplinary reviews of all maternal deaths in New York are essential for improving women's healthcare.
- Continued efforts are needed to modify and improve clinical care based on timely feedback from death reviews.
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