DefinitionMaternal mortality for the state of Utah is defined as the number of women who have died within 12 months of completion of a pregnancy whose cause of death is due to pregnancy or pregnancy-related causes per 100,000 live births.
NumeratorNumber of women of childbearing age who died within 12 months of completion of a pregnancy due to pregnancy or pregnancy-related causes.
DenominatorNumber of live births.
Data Interpretation IssuesThe Maternal and Infant Health Program of the Utah Department of Health (UDOH) uses the ACOG/CDC Maternal Mortality Study Group definition for maternal mortality and expands the review of deaths to one year after the termination of pregnancy. This definition differs from definitions used by the World Health Organization (WHO), the Centers for Disease Control/National Center for Health Statistics (CDC/NCHS) and UDOH Vital Records, and must be kept in mind when comparing rates. Pregnancy-related cause is defined as a death that resulted from complications of the pregnancy, a chain of events that was initiated by the pregnancy, or the aggravation of an unrelated condition by the physiologic effects of the pregnancy or its management.
Why Is This Important?Each year in the United States, one woman dies from a pregnancy complication for every 10,000 births. Every death prevented is meaningful. Surveillance of maternal mortality identifies ways to improve the health, health behaviors, and health care of women before and during pregnancy. Surveillance also identifies gaps in the health care system and social services, health care access, and the quality of prenatal and postnatal care.
Healthy People Objective MICH-5:Reduce the rate of maternal mortality
U.S. Target: 11.4 maternal deaths per 100,000 live births
State Target: 11.4 maternal deaths per 100,000 live births
How Are We Doing?Utah's maternal mortality has decreased from 36 deaths per year in 1940 to a range of 2-11 deaths per year between 1999 and 2014. Utah's rate of maternal mortality in 2014 was 15.6, a increase from the 2013 rate of 9.8 maternal deaths per 100,000 births.
How Do We Compare With the U.S.?Utah's maternal mortality rate, although it has larger fluctuations, is trending along with the U.S. rate (see graph).
The U.S. maternal mortality rate has doubled in the past twenty years. Some of the increase is related to improved data collection, but whether the actual risk of a woman dying from a pregnancy-related condition has increased is unclear. Some of the increase is believed to be associated with the increasing number of Cesarean deliveries, now one-third of all births in the United States. There is now greater maternal mortality associated with heart disease and heart conditions than in previous years. Other chronic conditions such as hypertension and diabetes may put a pregnant woman at higher risk of poor outcomes, and many studies show that an increasing number of women in the U.S. have these conditions.
What Is Being Done?Activities conducted by the Division of Family Health and Preparedness include, among others, ongoing maternal and infant mortality surveillance through the Perinatal Mortality Review Program. The Division offers public education about the importance of planning for pregnancy, preconception and interconception health, and recognition and treatment of maternal depression. Members of the Perinatal Mortality Review Committee have participated in a CDC-sponsored Maternal Mortality Initiative this past year, to discuss and disseminate information among other states about various ways to review and improve the review of maternal mortality. The Division is also participating in the formation of a statewide perinatal quality improvement learning collaborative, which will address issues of quality improvement in maternal and infant health care.
Evidence-based PracticesImplementation of maternal safety bundles on maternity care units have demonstrated improved medical response to obstetrical emergencies. Safety bundles topics span the leading causes of maternal mortality and are designed to reduce maternal deaths related to obstetrical complications.