Ohio’s Pregnancy Associated Mortality Review Board


The last decades have seen a significant increase in maternal deaths in the United States. In 2009, the pregnancy-related mortality rate was 17.8 deaths per 100,000 live births, compared to an all-time low of 7.2 per 100,000 live births in 1987. Ohio’s preliminary pregnancy-related mortality rates are at least comparable to the national rates and are likely higher. Causes of this increase in mortality are not completely understood. Factors which play a role include an increase in underlying chronic diseases along with maternal age in the obstetric population.

Ohio re-established a Pregnancy Associated Mortality Review (PAMR) system in 2010 to ensure that all maternal deaths are identified and preventive actions developed. A review had not been done in Ohio since the 1980’s. The Ohio PAMR was developed with funding from the Agency for Healthcare Research and Quality and is now supported with funding from the Title V Maternal and Child Health block grant. It has completed four years of review. The fifth is underway.

The follow graph consists of Ohio data derived from the review process for 2008 – 2011:

PAMR slide

For more information contact Andrea.Filio@odh.ohio.gov