TY - JOUR
T1 - Putting the “M” back in maternal-fetal medicine
T2 - A 5-year report card on a collaborative effort to address maternal morbidity and mortality in the United States
AU - D'Alton, Mary E.
AU - Friedman, Alexander M.
AU - Bernstein, Peter S.
AU - Brown, Haywood L.
AU - Callaghan, William M.
AU - Clark, Steven L.
AU - Grobman, William A.
AU - Kilpatrick, Sarah J.
AU - O'Keeffe, Daniel F.
AU - Montgomery, Douglas M.
AU - Srinivas, Sindhu K.
AU - Wendel, George D.
AU - Wenstrom, Katharine D.
AU - Foley, Michael R.
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/10
Y1 - 2019/10
N2 - The Centers for Disease Control and Prevention have demonstrated continuous increased risk for maternal mortality and severe morbidity with racial disparities among non-Hispanic black women an important contributing factor. More than 50,000 women experienced severe maternal morbidity in 2014, with a mortality rate of 18.0 per 100,000, higher than in many other developed countries. In 2012, the first “Putting the ‘M’ back in Maternal-Fetal Medicine” session was held at the Society for Maternal-Fetal Medicine's (SMFM) Annual Meeting. With the realization that rising risk for severe maternal morbidity and mortality required action, the “M in MFM” meeting identified the following urgent needs: (i) to enhance education and training in maternal care for maternal-fetal medicine (MFM) fellows; (ii) to improve the medical care and management of pregnant women across the country; and (iii) to address critical research gaps in maternal medicine. Since that first meeting, a broad collaborative effort has made a number of major steps forward, including the proliferation of maternal mortality review committees, advances in research, increasing educational focus on maternal critical care, and development of comprehensive clinical strategies to reduce maternal risk. Five years later, the 2017 M in MFM meeting served as a “report card” looking back at progress made but also looking forward to what needs to be done over the next 5 years, given that too many mothers still experience preventable harm and adverse outcomes.
AB - The Centers for Disease Control and Prevention have demonstrated continuous increased risk for maternal mortality and severe morbidity with racial disparities among non-Hispanic black women an important contributing factor. More than 50,000 women experienced severe maternal morbidity in 2014, with a mortality rate of 18.0 per 100,000, higher than in many other developed countries. In 2012, the first “Putting the ‘M’ back in Maternal-Fetal Medicine” session was held at the Society for Maternal-Fetal Medicine's (SMFM) Annual Meeting. With the realization that rising risk for severe maternal morbidity and mortality required action, the “M in MFM” meeting identified the following urgent needs: (i) to enhance education and training in maternal care for maternal-fetal medicine (MFM) fellows; (ii) to improve the medical care and management of pregnant women across the country; and (iii) to address critical research gaps in maternal medicine. Since that first meeting, a broad collaborative effort has made a number of major steps forward, including the proliferation of maternal mortality review committees, advances in research, increasing educational focus on maternal critical care, and development of comprehensive clinical strategies to reduce maternal risk. Five years later, the 2017 M in MFM meeting served as a “report card” looking back at progress made but also looking forward to what needs to be done over the next 5 years, given that too many mothers still experience preventable harm and adverse outcomes.
KW - advanced cardiac life support
KW - amniotic fluid embolism bundles
KW - certification
KW - clinical guidelines
KW - intensive care unit
KW - levels of maternal care
KW - maternal hypertension
KW - maternal safety
KW - national surveillance program
KW - postpartum hemorrhage
KW - research
KW - simulation
KW - training
KW - venous thromboembolism
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UR - http://www.scopus.com/inward/citedby.url?scp=85064276232&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2019.02.055
DO - 10.1016/j.ajog.2019.02.055
M3 - Article
C2 - 30849353
AN - SCOPUS:85064276232
SN - 0002-9378
VL - 221
SP - 311-317.e1
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 4
ER -