Louisiana Pregnancy-Associated Mortality Review (LA-PAMR)

Maternal mortality is a crucial indicator of healthcare quality and gender equity, nationally and internationally. Studying maternal mortality can help reveal health and social challenges that women of reproductive age experience, and systemic responsiveness to these challenges. In recent years, maternal mortality in the United States, has been rising, with significant variation by race and ethnicity.

The Louisiana Pregnancy-Associated Mortality Review (LA-PAMR) works to quantify and understand maternal mortality by analyzing pregnancy-associated deaths.

"Pregnancy-associated death" include three categories:

  • Pregnancy-related deaths: The death of a woman during pregnancy or within one year of the end of pregnancy from a pregnancy complication, a chain of events initiated by the pregnancy, or the aggravation of an unrelated condition by
    the physiologic effects of pregnancy (example cause of death: preeclampsia or eclampsia, i.e. uncontrolled and extreme
    high blood pressure during pregnancy leading to serious health complications, including possible organ damage).
  • Pregnancy-associated, but not related deaths: The death of a woman during pregnancy or within one year of the end of pregnancy from a cause that is not related to pregnancy (example cause of death: car crash).
  • Pregnancy-associated, but unable to determine relatedness deaths: A pregnancy-associated death where the cause of death is unable to be determined as “pregnancy-related” or “pregnancy-associated, but not related” (example cause of death: suicide).

LA-PAMR seeks to establish a strong, reliable, and timely maternal mortality surveillance system. This is accomplished through epidemiological surveillance and multidisciplinary case review. This comprehensive framework of surveillance and individual case review allows Louisiana to have a more complete understanding of why women die during pregnancy, during or shortly after labor and delivery, or within a year of giving birth. This allows the PAMR committee to develop evidence-informed and actionable recommendations for preventing future deaths and improving maternal health. 

Reports

Louisiana PAMR Reports: 

Louisiana Maternal Mortality Review (MMR) Report: