Major Milestones
- CDC, in partnership with HHS Office of Minority Health and CDC Foundation, with support from Merck for Mothers, released a new segment of the Hear Her campaign featuring culturally appropriate resources for American Indian and Alaska Native communities.
- Launched the Data Roadmap for Racial Equity Advancement in Maternal & Child Health Learning Community (DREAM-LC). The DREAM-LCprovides best practices for health equity within MCH programs through data collection, analysis, interpretation and dissemination.
- Saw continued programmatic growth in the Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) Program, supporting 39 jurisdictions; and also had a major expansion of the PQC program supporting 27 statewide Perinatal Quality Collaboratives, covering 74% of US births and the National Network of Perinatal Quality Collaboratives.
- State Strategies for Preventing Pregnancy-Related Deaths: A Guide for Moving Maternal Mortality Review Committee Data to Action was published to help facilitate implementation of data-informed strategies to prevent pregnancy-related deaths.
- PRAMS launched Social Determinants of Health supplement for 2022 births in 22 sites, 19 of which were funded.
- Released the 2nd edition of the Data To Action monograph available now in e-book and for download.
- DRH collaborated on a report on the safety of mRNA COVID-19 vaccines administered during pregnancy and a report on receipt of mRNA COVID-19 vaccines and risk of spontaneous abortion that led to CDC’s strengthened recommendation for pregnant people to get a COVID-19 vaccination.
- The first publication using geocoded PMSS data. Urban-rural differences in pregnancy-related deaths, United States, 2011-2016 in AJOG.
- Expansion of the Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM), supporting 6 new jurisdictions, bringing the total to 30 ERASE MM funding recipients.
- Update to U.S. Selected Practice Recommendations for Contraceptive Use: Self-Administration of Subcutaneous Depot Medroxyprogesterone Acetate | MMWR (cdc.gov) was published, indicating that this is a safe and effective user-controlled contraceptive option.
- New PRAMS NOFO funds 46 states, District of Columbia, New York City, Northern Mariana Islands, and Puerto Rico, representing approximately 81% of all U.S. live births.
- PRAMS launched the COVID-19 vaccine supplement [PDF - 53 KB] during the 2021 survey year in 25 sites.
- Launched the Women’s Health Needs Study (WHNS). It is the first U.S. multi-site study to document women’s experience of Female Genital Mutilation/Cutting in the context of reproductive health.
- Led the analysis of the first MMWR report that identified pregnancy as a risk factor for severe COVID-19 illness.
- 10th Anniversary of the U.S. Medical Eligibility Criteria for Contraceptive Use (U.S. MEC) recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions.
- Vital Signs MMWR report on Opioid use during pregnancy using PRAMS data.
- All Maternal Mortality Review Committees (MMRCs) hosting Maternal Mortality Review Information Application (MMRIA, or “Maria”) data at CDC for analytic use within their own jurisdiction and for aggregate national reporting by CDC.
- Concluded the evaluation of Bloomberg Philanthropy’s Reducing Maternal Mortality in Tanzania Program in Kigoma, Tanzania documenting a 43% decline in maternal mortality and 45% decline in perinatal mortality between 2013‒2018.
- Launch of Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) Program.
- Created and launched the IVF Success Estimator—a tool to estimate the chance of having a live birth using in vitro fertilization (IVF).
- Published AJPH series on Pregnancy Risk Assessment Monitoring System (PRAMS), which celebrated its 30th year of tracking perinatal health in 2018.
- Promoted the importance of safe sleep through a Vital Signs and Grand Rounds on Safe Sleep for Infants.
- Established Emergency Preparedness and Response Team to increase the capacity of the public health system and workforce to address the special needs of women of reproductive age (especially pregnant women, post-partum women) and infants in public health emergencies.
- Concluded the five-year Saving Mothers, Giving Life Initiative, which documented a 44% reduction in maternal mortality in four Uganda districts where the program was implemented and 41% reduction in four Zambia districts.
- DRH celebrates 50 years of improving the health of mothers and babies in the U.S. and around the world.
- Grand Rounds on Maternal Mortality: Meeting the Challenges of Measuring and Preventing Maternal Mortality in the United States.
- Published journal supplement on Implementation of the Community-Wide Teen Pregnancy Prevention Initiatives.
- Published MMWR article on Measures Taken to Prevent Zika Virus Infection During Pregnancy – Puerto Rico, 2016.
- CDC expanded support for perinatal quality collaboratives from six to 13 states. CDC also awarded the National Institute for Children’s Health Quality to serve as the coordinating center for the Network of Perinatal Quality Collaboratives.
- Published MMWR on Neonatal Abstinence Syndrome in 28 States, 1999–2013.
- DRH develops and offers the Emergency Preparedness and Response: Online Training Course.
- DRH responds to Zika.
- Published MMWR update on United States Medical Eligibility Criteria for Contraceptive Use, 2016 (US MEC).
- Published MMWR update on United States Selected Practice Recommendations for Contraceptive Use, 2016 (US SP).
- Published MMWR on Reduced Disparities in Birth Rates among Teens Aged 15–19 Years in the United States.
- Completed a 5-year cooperative agreement, Teenage Pregnancy Prevention: Integrating Services, Programs, and Strategies through Community-Wide Initiatives. Preliminary data from the community-wide initiatives suggest the importance of this approach for reducing teen births.
- The Vital Signs report on teen pregnancy examined trends in use of Long-Acting Reversible Contraception (LARC) among females aged 15–19 years seeking contraceptive services. Source: MMWR April 10, 2015 / No. 13 Vital Signs: Trends in Use of Long-Acting Reversible Contraception Among Teens Aged 15–19 Years Seeking Contraceptive Services — United States, 2005–2013
- DRH published the first national report of gestational weight gain surveillance in pregnant women noting the percent meeting gestational weight gain recommendations.
- CDC and the U.S. Office of Population Affairs jointly release Providing Quality Family Planning Services (QFP) recommendations.
- A National Public Health Action Plan for the Detection, Prevention, and Management of Infertility is released.
- Established the Field Services Branch; provided new home for global work in reproductive health and the Maternal and Child Health Epidemiology Program.
- Launched PRAMS Integrated Data System (PIDS), a centralized Web-based data collection system that provides for real-time data collection monitoring.
- Published the United States Guidelines on Medical Eligibility Criteria for Contraceptive Use.
- DRH completed an 8-year project to improve maternal and infant health services and reduce maternal and neonatal mortality and morbidity at Rabia Balkhi Women’s Hospital in Kabul, Afghanistan.
- Seven states successfully conclude the Sudden Unexpected Infant Death Case Registry pilot program. The project will continue.
- DRH and USAID completed a 37-year agreement to provide technical and scientific assistance for global reproductive health.
- PRAMS (Pregnancy Risk Assessment Monitoring System) expands to 41 sites representing 78% of all U.S. live births.
- CDC’s Vital Signs released first featured report on preventing teen pregnancy.
- PRAMS expands to now include 37 states, New York City, and South Dakota (Yankton Sioux Tribe).
- DRH, in collaboration with the Division of Adolescent and School Health (DASH) and university partners, publishes a special supplement on importance of Positive Youth Development (PYD) for adolescent reproductive health outcomes.
- First United States Guidelines on Medical Eligibility Criteria for Contraceptive Use are published.
- Global Health Initiative leads to expansion of global activities related to global maternal mortality reduction.
- A CDC-wide working group is convened to examine the issue of infertility in the United States.
- Special journal issue for US-Mexico Border demonstration project published.
- Expert panel consultation: Youth development as a strategy to promote adolescent reproductive health.
- PRAMS expands representing 75% of all U.S. births.
- Official release of the new Sudden, Unexplained Infant Death Investigation (SUIDI) Reporting Form, and development of a comprehensive training curriculum and materials for use in infant death scene investigations.
- Promoting Science-Based Approaches to Prevent Teen Pregnancy, HIV and STDs 5- year program initiative is launched.
- Partnership on the first international effort to eliminate obstetric fistula.
- Organization of the Sudden Infant Death Scene Investigation Initiative.
- American Indian and Alaska Native forum is convened to address maternal, infant, and child health research issues.
- Online Interactive Atlas of Reproductive Health is launched.
- DRH begins working in Afghanistan to reduce maternal and neonatal morbidity and mortality.
- Initiated a national strategy to examine and prevent prematurity in the United States.
- The Women’s CARE study concludes that oral contraceptive use is not associated with a significantly increased risk of breast cancer.
- First National Summit on Safe Motherhood is held.
- Children’s Health Act of 2000, which established Safe Motherhood.
- Reproductive Health for Refugees initiative.
- CDC releases the first annual report of pregnancy success rates for fertility clinics in the United States.
- Surveillance of teenage pregnancy is initiated.
- Guidelines for Death Scene Investigation of Sudden, Unexplained Infant Deaths (SUID) is published.
- Teenage Pregnancy Prevention initiative.
- First United States-based reproductive health survey of immigrant population is conducted.
- Monograph—From Data to Action: CDC’s Public Health Surveillance for Women, Infants and Children is published.
- Fertility Clinic Success Rates and Certification Act of 1992 passed.
- SIDS case control studies launched.
- Project CARES (Comprehensive AIDS and Reproductive Health Education Study) is implemented.
- Infant health initiative preterm delivery research program is established.
- Initiated ongoing assistance to American Indians/Alaska Natives with first BRFSS/MCH surveys of American Indian populations.
- Pregnancy Risk Assessment Monitoring System (PRAMS) is developed.
- The Cancer and Steroid Hormones Study concludes that the birth control pill does not cause cancer and actually decreases the risk for certain kinds of cancer.
- Surveillance of maternal mortality is initiated.
- Initiated a national strategy to examine and prevent prematurity in the United States.
- Maternal and Child Health Epidemiology (MCH EPI) is established.
- Surveillance of infant mortality.
- Family Planning Methods and Practice: Africa is published.
- DRH investigates the relationship between cancer and the use of oral contraceptives.
- World Health Organization (WHO) designates DRH as a Collaborating Center in Perinatal Mortality and in Family Planning.
- Global survey of sterilization deaths.
- The Family Planning Evaluation Division was renamed the Division of Reproductive Health.
- The Collaborative Review of Sterilization (CREST) begins; the Division of Reproductive Health (DRH) investigates the safety and efficacy of sterilization procedures in the United States.
- First international contraceptive prevalence survey.
- Intrauterine device morbidity and mortality study.
- First international forecasting and logistics assistance.
- First abortion surveillance report is published.
- Computerized patient records system for family planning evaluation is developed.
- First domestic household-based family planning survey of reproductive aged women (Atlanta, Georgia).