Measurement and Improvement Strategies for Reduction of Severe Maternal Morbidity

Rates of severe maternal morbidity (SMM) have risen over the past two decades, yet accurately identifying and measuring maternal health complications has become increasingly complex. These challenges stem in part from the lack of a standardized definition or consistent measurement approach for SMM, resulting in variability in reported rates and tracking methods. Quality-improvement methodologies such as multidisciplinary case review, data collection and monitoring by race and ethnicity, and implementing a culture of safety are critical to responding effectively when SMM occurs. In instances when SMM occurs, it is essential to implement strategies that support patients, families, and health care staff during and after the event to help reduce trauma and promote recovery.