The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) was legislatively established in 2013 and convened in 2014. The 17-member multidisciplinary review committee meets quarterly and reviews all pregnancy-associated deaths occuring in a calendar year among Texas residents with an indication of pregnancy within up to one year of the end of pregnancy except for motor vehicle crashes not involving vehicular homicide or suicide. In 2013, Texas had 387,110 live births and 175 confirmed pregnancy-associated deaths subject to review. Texas Health and Safety Code Chapter 34 directs the MMMRC to study and review: cases of pregnancy-related deaths; trends, rates or disparities in pregnancy-related deaths and severe maternal morbidity; health conditions and factors that disproportionately affect the most at-risk populations; and best practices and programs operating in other states that have reduced rates of pregnancy-related deaths. Through this process, the MMMRC develops recommendations to help reduce the incidence of preventable pregnancy-related deaths and severe maternal morbidity.
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Healthy Start Agencies
Professional Assoc. State Chapters
State Medical Society
State Title V Program
Maternal Fetal Medicine/Perinatology
Obstetrics and Gynecology
Critical Care Medicine
Mental Health Provider
Incorporating a Health Equity Framework
The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) established a Subcommittee on Maternal Health Disparities (Subcommittee) following release of the Maternal Mortality and Morbidity Task Force and Department of State Health Services Joint Biennial Report, September 2018 to support application of a health equity framework to MMMRC case review.
The Subcommittee’s work reflects the MMMRC’s commitment to comprehensive case review. The Committee is developing, testing, and refining the Discrimination Assessment and Social Determinants of Health Facilitated Discussion Tool (DASH Tool) to facilitate a standardized process for the MMMRC to consider non-clinical drivers of maternal mortality during case review.
Policymakers, researchers, stakeholders, and the public have focused considerable attention toward the issues of maternal mortality and severe maternal morbidity (MM/SMM) in Texas. The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) and Texas Department of State Health Services (DSHS) are committed to improving maternal health and preventing MMM in Texas.
The Maternal Mortality and Morbidity Task Force and Department of State Health Services Joint Biennial Report, September 2018, included findings and recommendations to reduce MM/SMM. These findings and recommendations informed several actions of the 86th Texas Legislature, Regular Session, 2019 and is reflective of the Texas MMMRC’s success in moving recommendations into action.
Maternal Health and Safety Initiatives
The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) proposed several recommendations to increase maternal health and safety in the Maternal Mortality and Morbidity Task Force and Department of State Health Services Joint Biennial Report, September 2018 . Recognizing the importance of addressing the recommendations of the MMMRC, the Texas legislature appropriated funding to support the work of the Texas Department of State Health Services (DSHS), Healthy Texas Mothers and Babies (HTMB) Branch and collaborative partnerships, to implement data-supported and recommendation-driven maternal health and safety initiatives.
For more information on these initiatives: Maternal Health & Safety Initiatives Legislative Report (PDF).