The review of all maternal deaths was added to the Child Death Review Team's scope in 2013 and reviews began in 2014. The reviews of deaths that occurred in 2014-2016 were conducted under contract by the Nebraska Medical Association. In 2018, the Child and Maternal Death Review Team (CMDRT) approved and supported the reorganization of how maternal death reviews were conducted, resulting in a sub-committee of the CMDRT: the Maternal Mortality Review Committee (MMRC). Reviews utlizing methodology aligned with CDC, CDC Foundation, and AMCHP best practices began in 2019. Nebraska MMRC is comprised of approximately 17 members, meets quarterly, and reviews all pregnancy-associated cases. In 2018, our state had 25,495 births and 9 pregnancy-associated deaths. Between 2014-2018, Nebraska had 49 pregnancy-associated, and 18 pregnancy-related maternal deaths.