Extensive bibliography of resources aimed at supporting work improving perinatal outcomes in Massachusetts.

Maternal Mortality and Morbidity Bibliography 2023



October 2023

Maternal Mortality and Morbidity



Agostino, MR, Wilson B and Byfield R, Identifying Potentially Preventable Elements in Severe Adverse Maternal Events, JOGNN, Vol. 45, Issue 6, 2016, pp. 865-869.


Alliance for Improving Maternal Outcomes, AIM, Obstetric Emergency Readiness Community of Learning: Simulations, https://birth.org/aim-resources/aim-cornerstones/simulations/, April, 2023.


Albright CM, Mehta ND, Rouse DJ, Hughes BL ,Sepsis in Pregnancy, Identification and Management, 

Journal of Perinatal and Neonatal Nursing, Vol. 30, No. 2, April-June 2016, pp. 95-105.


Allers KS, Ending the Doom and Gloom:  Shifting Narrative About Black Maternal Health, Women’s Enews, April 12, 2018, https://womensenews.org/2018/04/ending-the-gloom-and-doom-shifing the narrative-about-black-maternal-health


American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine,

Severe Maternal Morbidity:  Screening and Review, American Journal of Obstetrics and Gynecology, 215 (3), B 17-22, 2016.


American College of Obstetricians and Gynecologists, Committee Opinion, Committee on Obstetric Practice, Hospital-Based Triage of Obstetric Patients, July 2016.


Angelini D and Howard E, Obstetric Triage: A Systematic Review of the Past Fifteen Years 1998-2013,

The American Joirnal of Maternal Child Nursing, September/October 2014, pp. 284-297.


AWHONN, Hospitals Partner with AWHONN To Prevent Maternal Deaths, AWHONN NEWS and VIEWS,



AWHONN, Maternal-Fetal Triage Index (MFTI), August 2017.


Bateman BT, Mhyre JM, Hernandez-Diaz S, Huybrechts KF, Fischer MA, Creanga AA, Callaghan WM, and Gagne JJ, Development of a Co-Morbidity Index for use in Obstetric Patients, Obstetrics and Gynecology, Vol. 122, No. 5, November 2013, pp. 957-965.


Bateman B, Editorial, The Virginia Apgar Collection Part II: Maternal Safety and Abstract Reasoning,

Anesthesia and Analgesia, March 2017, Vol. 124, No. 3, pp. 724-725.


Beck CT and Gable RK, A Mixed Methods Study of Secondary Traumatic Stress in Labor and Delivery Nurses, JOGNN, Vol. 00, Issue 00, 2012, pp. 1-12.


Belfort MA, Clark SL, Saade GR, Kleja K, Dildy GA, VanVeen TR, Akhigbe E, Frye D, Meyers JA Kofford S,

Hospital Readmission After Delivery:  Evidence for an Increased Incidence of Non-urogenital infection in the Immediate Postpartum Period, American Journal of Obstetrics and Gynecology, January 2010, pp. 35-37.


Berg CJ, Callaghan, WM, Syverson C and Henderson Z, Pregnancy-Related Mortality in the United States, 1998-2005, Obstetrics and Gynecology, Vol. 116, No. 6, December 2010, pp. 1302-1309.


Bernstein PS, Martin JN, Barton JR, Shields LE, Druzin ML, Scavone BM, Frost J, Morton CH, Ruhl C, Slager J, Tsigas EZ, Jaffer S and Menard MK, Consensus Bundle on Severe Hypertension During Pregnancy and the Postpartum Period, JOGNN, Vol. 6, Issue 5, 2017, pp. 776-787.


Bingham D, Scheich B , Byfield R, Wilson B and Bateman B, Postpartum Hemorrhage Preparedness Elements Vary Among Hospitals in New Jersey and Georgia,  JOGNN, 45, 227-238, 2016.


Bingham D and Cornell A, Expert Panel to Track Nurses’ Effect on Maternal Morbidity and Mortality, JOGNN, Vol. 45, Issue 6, 2016, pp. 861-864.


Boston Public Health Commission and Riley L, Moms of Color Dying in Childbirth at Rates 4x Higher Than White Counterparts, April 25, 2018, https://www.fox25boston.com/news/moms-of-color-dying-in-childbirth-at -rates-4x-higher-than-white-counterparts/738436662


Briller J, Koch AR and Geller SE, Maternal Cardiovascular Mortality in Illinois, 2002-2011, Obstetrics and Gynecology, Vol., No. 0, 2017, pp. 1-8.


Buczowski L and Kilpatrick S, Severe Maternal Morbidity, Identifying Cases, Conducting Reviews and Improving Outcomes, Safety in Action Series, , Council on Patient Safety in Women’s Health Care, Webinar, September 23, 2016.  http://safehealthcareforeverywoman.org


Centers for Disease Control, Maternal Mortality and Morbidity



Committee on Obstetric Practice,  Intrapartum Management of Intra-amniotic Infection, ACOG Committee Opinion, No. 712, August 2017, pp. 1-7.


Creanga AA, Berg CJ, Syverson C, Seed K, Bruce FC and Callaghan WM, Pregnancy-Related Mortality in the United States, 2006-2010, Obstetrics and Gynecology, Vol. 125, No. 1, January 2015, pp. 5-12.


Diop H and Glass B, Maternal Morbidity in Massachusetts, Massachusetts Perinatal Quality Collaborative, Powerpoint Podium Presentation, March 29, 2016.


Diop H, Declercq E, Liu CL, Cabral HJ, CUI X, Amutah-Onukagha N, Meadows A, Trends and Inequities in Severe Maternal Morbidity in Massachusetts: A Closer Look at the Last Two Decades, PLoS 17(12):e0279161, December 20, 1922, https://doi.org/10.1371/journal.pone.0279161


Diop, Hafsatou and Lewis, Elaine Fitzgerald, The Evolution of the Massachusetts Perinatal Quality Improvement Network, Massachusetts Department of Public Health, November 10., 2022.


D’Oria R, Myers J and Logsdon CM, Strategies to Reduce Maternal Mortality During the First Year After Birth, JOGNN, November/December 2016, pp. 885-893.


Doyle J, Newhouse L, Flora R and Burkett A, Planning Collaborative Conference to Provide Interdisciplinary Education with a Focus on Patient Safety in Obstetrics, Nursing for Women’s Health,

April/May, 2014, pp. 130-136.


Drummond S and Yeomans ER, Amniotic Fluid Embolism, Chapter 22, High Risk and Critical Care Obstetrics, 4th ed, Wolters Kluwer, AWHONN, 2019, pp. 320-330.


Ecker JL, Solt K, Fitzsimons M and MacGillivray TE, Case 40-2012: A 43-Year-Old Woman with Cardiorespiratory Arrest after a Cesarean Section, Case Records of the Massachusetts General Hospital, New England Journal of Medicine, December 27, 2012, pp. 2528-2536.


Ecker JL, Death in Pregnancy- An American Tragedy, The New England Journal of Medicine, March 6, 2014, pp. 889-891.


Friedman A and Montgomery D, Prevention of Maternal Venous Thromboembolism, The Council on Patient Safety in Women’s Health Care, Safety in Action Series, Webinar, December 3, 2015.


Giurgescu C, Social Determinants of Maternal Health and Birth Outcomes, editorial, American Journal of Maternal Child Nursing, January/February 2017, p. 7.


Glass B, Maternal Hemorrhage Clinical Improvement Initiative Update, Powerpoint presentation for the Massachusetts Perinatal Quality Collaborative, March 2016.


Glass B, When Things Go Wrong: Maternal Life-Threatening Condition Case Study, Amniotic Fluid Embolism,   Presentation and Simulation Drills for CRICO at BID Plymouth, April 2019.


Goldstein E and Brown R, The Influence of Maternal Adverse Childhood Experiences on Birth Outcomes in American Indian and Non-Hispanic White Women, The American Journal of Maternal Child Nursing, September/October 2023, pp. 258=265.


Greenawalt JA and Zernell D, Autologous Blood Transfusion for Postpartum Hemorrhage, Maternal Child Nursing, September/October 2017, pp. 269-275.


Grigoriadis S, Wilton AS, Kurdyak PA, Rhodes AE, Vonderporten EH, Levitt A, Cheung A and Vigod SN,

Perinatal Suicide in Ontario, Canada:  a 15-year Population-Based Study, CMAJ, August 28, 2017,189 (34) E 1085-1092.


Hunt S, Defining Severe Maternal Morbidity, Nursing for Women’s Health,  April/May 2014, pp. 169-172.


Ibrahim BB and Kozhimannil KB, Racial Disparitied in Respectful Maternity Care During Pregnancy and Birth After Cesarean in Rural United States, JOGNN, January 2023, pp. 36-49.


Kilpatrick S, Berg C, Bernstein P, Bingham D, Delgado A, Callaghan WM, Harris K, Lanni S, Mahoney J, Main E, Nacht A, Schellpfeffer M, Westover T and Harper M, Standardized Severe Maternal Morbidity Review:  Rationale and Process, JOGNN, July 2014, pp. 403-408.


Kowalczyk L, Deaths in Childbirth Lead to State Probe, Boston Globe, June 30, 2017, pp. 1 and 14-15.


Larusso L, Intimate Partner Violence During Pregnancy,  Nursing for Women’s Health, June/July 2016, pp. 239.


Lennox C and McIlvain K, Alliance for Improvement in Maternal Health (AIM), Patient Safety Bundles, https://saferbirth.org/patient-safety-bundles/ , AIM data support @ACOG.org, 9/20/23.


Macdorman MF, Declercq E, Cabral H and Morton C, Recent Increases in the U>S> Maternal Mortality Rate:  Disentangling Trends from Measurement Issues, Obstetrics and Gynecology, Vol. 128, No. 3, September 2016, pp. 447-455.


MacDorman MF, Declercq E, The Failure of the United States Maternal Mortality Reporting and Its Impact on Women’s Lives, Birth, 2018; 00: 1-4.


Mann S, McKay K and Brown H, Rural Health Care, The Maternal Health Compact, The New England Journal of Medicine, April 6, 2017, pp. 1304-1305.


Martin N and Fields R, Here’s One Issue Blue and Red States Agree On: Preventing Deaths of Expectant and New Mothers, Pro Publica, March 26, 2018.


Martin N, Declercq E and Main E, America’s High Maternal Mortality and What Can Be Done, Webinar,

University of Southern California Annenberg Center for Health Journalism, October 4, 2017.  (archived)


Martin N and Montagne R, The Last Person You Would Expect to Die in Childbirth, ProPublica and

National Public Radio, May 12, 2017.


Martin N, Cillikens E and Freitas A, Lost Mothers, ProPublica, July 17, 2017.


Martin N and Montagne R, Many Nurses Lack Knowledge of Health Risks to Mothers After Childbirth,

ProPublica and National Public Radio, WBUR, Morning Edition, August 17, 2017.


Massachusetts Department of Public Health, Maternal Mental Health and Pregnancy-Associated Deaths,

September 2017.


Massachusetts Department of Public Health, Substance Use Among Pregnancy-Associated Deaths —

Massachusetts, 2005-2014, Spring 2018.


Massachusetts Perinatal Quality Collaborative, Maternal Hemorrhage Bibliography, 2016.



Maternal Mortality Review Information Application (MMRIA), Building U.S. Capacity to Review and Prevent Maternal Deaths: Report from Nine Maternal Mortality Review Committees, 2018,

http://reviewtoaction.org/Report from Nine MMRCs


McCarter-Spaulding D and Shea S, Effectiveness of Discharge Education on Postpartum Depression, The American Journal of Maternal Child Nursing, May/June 2016, pp. 168-172.


Merriam AA, Wright JD, Siddiq Z, D’Alton ME, Friedman AM, Ananth CV and Bateman BT, Risk for Postpartum Hemorrhage, Morbidity at Low, Moderate and High Volume Hospitals, Journal of Maternal, Fetal, Neonatal Medicine, 2017; :1-10 (ISSN: 1476-4954).


Mhyre JM, D’Oria R, Hameed AB, Lappen JR, Holley SL, Hunter SK, Jones RL, King JC, D’Alton ME,

The Maternal Early Warning Criteria:   Proposal from the National Partnership for Maternal Safety, JOGNN, Vol. 43, Issue 6, 2014, pp. 771-779.


Mcgolrick, A, Spoiler Alert! We’re Trending in the Wrong Direction, US Morbidity and Mortality, Perigen Advanced Perinatal Systems, Webinar, ID: 961-681-939,  marcom@perigen.com, January 18, 2023.


Molina RL and Pace LE, A Renewed Focus on Maternal Health in the United States, The New England Journal of Medicine, November 2, 2017, pp. 1705-1707.


Oberg AS, Hernandez-Diaz s, Palmsten K, Almqvist C and Bateman,B, Patterns of Recurrence of Postpartum Hemorrhage in a Large Population-Based Cohort, American Journal of Obstetrics and Gynecology, March 2014, pp. 229.e1-8.


Pacheco LD, Hankins GDV, Saad AF, Costantine MM, Chiossi G and Saade, GR, Tranexamic Acid for the Management of Obstetric Hemorrhage, Obstetrics and Gynecology, Vol. 130, No. 4, October 2017, pp. 765-769.


Parfit SE, Bogat ML, Hering SL and  Roth C, Sepsis in Obstetrics: Pathophysiology and Diagnostic Definitions, and Sepsis in Obstetrics:  Treatment, Prognosis and Prevention, American Journal of Maternal Child Nursing, Vol. 42, No. 4, July/August 2017, pp. 194-204 and pp. 206-209.


Pfeifer GM, Postpartum Risks Exist Up To One Year After Childbirth, American Journal of Nursing,

September 2023, p. 15.


Rabin RC, COVID Worsened a Health Crisis Among Pregnant Women, The New York Times, 3/16/23,



Rainer J, Speaking Up: Factors and Issues in Nurses Advocating for Patients When Patients Are in Jeopardy, Journal of Nursing Care Quality, Vol. 30, No. 1, 2015, pp. 53-62.


Razzano L, Venous Thromboembolism (VTE): Safety Recommendations Targeting Maternal Patients, Massachusetts AWHONN Conference, November 3, 2015.


Renbarger KM, Place JM, Twibell R, Trainor K and McIntire E, Perspectives of Maternal Mortality Among Women Who Live In Indiana, JOGNN, January 2023, pp. 62-71.


Roth C, Sepsis in Obstetrics, Guest Editorial, The American Journal of Maternal Child Nursing, July/August 2017, p. 193.


Sachs BP, A 38 Year Old Woman With Fetal Loss and Hysterectomy, Journal of the American Medical Association, 2005, 294: 833-840.


Scavone BM and Sullivan, JT, Tranexamic Acid in Obstetric Hemorrhage, Anesthesia Patient Safety Foundation, October 2017, pp. 34-35.


Seacrist MJ and Noell D, Development of a Tool to Measure Nurse Clinical Judgment During Maternal Mortality Case Review, JOGNN, Vol. 45, Issue 6, 2016, pp. 870877.


Silver RM and Branch DW, Placenta Accreta Spectrum,  The New England Journal of Medicine, April 19, 2019,  pp. 1529 – 1536.


Simpson KR, Failure to Rescue:  Implications for Evaluating Quality of Care During Labor and Birth, Journal of Perinatal and Neonatal Nursing, Vol. 19, No. 1, 2005, pp. 24-34.


Simpson KR, Maternal Mortality in the United States, We Must Do Better, The American Journal of Maternal Child Nursing, Vol. 42, No. 1, January/February 2017, p. 64.


Simpson KR, Perinatal Patient Safety: Minimizing Unnecessary Interventions During Labor and Birth, The American Journal of Maternal/Child Nursing, July/August 2017, pp. 240.


Sparkman L and Aamar R, Accountability and Early Intervention:  Addressing Social and Behavioral Health Risks in Maternal Mortality,  RELIAS Webinar, May 25, 2023.


Stevenson E, Newnam K, Barker B and Brewer T., Implementing a Statewide Speakers Bureau to Address Maternal Morbidity and Mortality, Nursing for Women’s Health, AWHONN, June 2022, pp. 194-203.


Sundin CS and Mazac LB, Amniotic Fluid Embolism, The American Journal of Maternal Child Nursing, January/February 2017, pp. 29-35.


Suplee PD, Bingham D, Kleppel L, Nurses’ Knowledge and Teaching of Possible Postpartum Complications, Maternal Child Nursing, November-December 2017, pp. 338-344.


Suplee PD, D’Oria R, Larson K, Kilday D, Eymold E and Onokpise, An Initiative to Improve PostPartum Discharge Education, Nursing for Women’s Health, August 2023, pp. 270-282.


Suplee PD, Kleppel L and Bingham D, Discharge Education on Maternal Morbidity and Mortality Provided by Nurses to Women in the Postpartum Period, JOGNN, Vol. 45, Issue 6, 2016, pp. 894-904.


Suplee PD, Kleppel L, Santa-Donato A, Bingham D, Improving Post=Partum Education About Warning Signs of Maternal Morbidity and Mortality, Nursing for Women’s Health, December 2016/January 2017,

  1. 552-567.


Todd B, New Study: Poverty is the Leading Cause of Death in the United States, American Journal of Nursing, August 2023, p. 15.


Thung SF and Norwitz E, Postpartum Care:  We Can and Should Do Better, The American Journals of Obstetrics and Gynecology, January 2010, pp. 1-4.


Vesel J and Nickasch B, An Evidence Review and Model for Prevention and Treatment of Postpartum Posttraumatic Stress  Disorder, Nursing for Women’s Health, Vol. 19, Issue No 6, December 2015/January 2016, pp. 504-525.


Villorosas L, Why America’s Black Mothers and Babies Are In A Life-or-Death Crisis, The New York Times,

April 11, 2018  https://www.nytimes.com/2018/04/11/magazine/black-mothers-babies-death-maternal-mortality.html?action=click&module=Well&pgtype=Homepage


Wald And Main E, Pregnancy-Related Mortality in the US Still Has Preventable Causes, Obstetrics and Gynecology, April 2015.


WOMAN Trial Collaborative Group, Effect of early tranexamic acid administration on mortality, hysterectomy and other morbidities in women with postpartum haemorrhage:  an international, randomized, double-blind, placebo-controlled trial, The Lancet, April 26, 2017, pp. 1-12.


Authors Bonnie Glass, RN, MN
This is the default image

More from Resources