Maternal Mortality Review Committee Decisions Form

At a glance

One of the Maternal Mortality Review Information Application (MMRIA or "Maria") forms for maternal mortality review committees (MMRCs) is the Committee Decisions Form. The form linked below has been adapted for MMRC use during case reviews. MMRCs may distribute the form with case review materials to facilitate discussion.

Check boxes on a form.

MMRC decisions form

  • Year of publication: 2024
  • Latest version: MMRC Committee Decisions Form v.24
  • Contact name: Julie Zaharatos
  • Contact email:

Six key decisions

There are six key decisions that MMRCs make for each death reviewed:

  1. Was the death pregnancy-related?
  2. What was the cause of death?
  3. Was the death preventable?
  4. What factors contributed to the death?
  5. What are the recommendations to address those contributors?
  6. What is the anticipated impact of those actions if implemented?