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Pregnancy-Associated Mortality Review (PAMR) Initiatives


Obstetric Emergency Simulation Project

Ohio was one of six states selected to participate in the Every Mother Initiative (EMI), an action learning collaborative funded by Merck for Mothers and operated by the Association of Maternal Child Health Programs (AMCHP).


Birthing Simulator MapBirthing Simulator

In 2014, ODH and The Ohio State University (OSU) partnered together to launch PAMR’s first initiative. Staff primarily from labor and delivery and postpartum units in three rural Ohio communities gained hands-on experiences in obstetric emergency situations using the high-tech mannequin SimMom.

SimMom is a highly advanced full body birthing simulator with accurate anatomy and functionality. Participants were able to check SimMom’s vitals and administer medications, as well as treat her for the following obstetric emergencies:

  • Postpartum Hemorrhage

  • Cardiomyopathy

  • Preeclampsia

Training Results

A total of 122 health care professionals across 14 Ohio hospitals participated in the training. Participants improved knowledge of obstetric complications and confidence in managing obstetric emergencies. A more in-depth training for OB clinical and nurse educators was held at the Ohio State University in October 2015 with funding from the Maternal and Child Health Block Grant through ODH.


Maternal Mortality Module

ODH’s Office of Vital Statistics has created a stand-alone maternal mortality module within Ohio’s Public Health Information (“Data”) Warehouse. This database compiles selected information gathered from PAMR’s committee review, birth certificates and death certificates into a convenient and accessible format to help generate useful statistics related to maternal mortality in Ohio.

Last Updated: 11/25/15