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TDH SMM report shows hemorrhage leading indicator; committee discusses prevention and QI projects
Summary
Tennessee’s SMM report (2018–2022) found hemorrhagic diagnoses and procedures were the most frequent SMM group and that SMM rates were higher among non‑Hispanic Black women, older mothers, and those with higher BMI and preexisting chronic conditions.
Emily Lumley, Maternal Health Epidemiologist at the Tennessee Department of Health, presented statewide severe maternal morbidity (SMM) data for 2018–2022 and engaged the Perinatal Advisory Committee on prevention and quality‑improvement strategies.
Key findings presented by Lumley included: 2,795 deliveries had one or more SMM indicators in that period, with 3,786 SMM indicators recorded overall (some deliveries contained multiple indicators). TDH grouped 20 indicators into clinical categories and excluded blood transfusion‑only events from the analytic definition used for this report. Hemorrhagic diagnoses and procedures were the largest group (34 percent), led by disseminated intravascular coagulation (DIC), followed by hysterectomy and shock. Hemorrhage indicators…
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