“California decided it was tired of women bleeding to death in childbirth”
“The organization, which runs as a collective and is mainly funded by the California Healthcare Foundation, California Department of Public Health, and the Centers for Disease Control and Prevention, was imagined in a Los Angeles airport hotel meeting room in 2006, a time when the state’s maternal mortality rates had recently doubled.
A group of concerned doctors, nurses, midwives, and hospital administrators, including CMQCC medical director Elliott Main, started a maternal mortality review board to pore over each death in detail and identify its root causes. Pretty quickly, hemorrhage and preeclampsia (pregnancy-induced severe high blood pressure) floated to the top of the list as the two most common — and preventable — causes of death.
It’s difficult to overstate how revolutionary this simple first step was in the arena of maternal health. About half of US states still don’t formally review the causes of maternal death on a regular basis to find out which deaths are preventable and how to stop future similar deaths from occurring. The US National Center for Health Statistics hasn’t even published an official maternal mortality rate since 2007 — that’s how low-priority this issue is.”
