Abstract
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.
SUMMARY OF RECOMMENDATIONS AND CONCLUSIONS
- Standardized measurements of severe maternal morbidity should be tracked in clinical settings to ensure systematic monitoring, patient safety, and identification of quality-improvement opportunities.
- Cases of severe maternal morbidity should be reviewed by multidisciplinary teams to identify system, health care professional, and patient factors that could be improved.
- Clinical case review committees and processes should be integrated into a hospital’s or facility’s overarching quality and safety infrastructure so that opportunities identified through severe maternal morbidity case reviews can be directed to the most appropriate oversight body for development of corrective measures.
- In instances of severe maternal morbidity, patients, families, and health care team members should receive support and active interventions throughout an adverse event, during hospitalization, and after discharge to minimize the harm of traumatic events and to optimize recovery and healing.