How ACOG is Combating Maternal Mortality

Learn about ACOG’s four main initiatives to eliminate preventable maternal mortality, and the advocacy work we're doing to support legislation that addresses prevention and systems improvement and resources to improve maternal safety.

Alliance for Innovation on Maternal Health (AIM)

Changing Hospital Systems and Culture

ACOG is a core partner of the Alliance for Innovation on Maternal Health (AIM), a national initiative that reduces preventable maternal deaths at the state level by bringing together health departments, perinatal quality collaboratives, hospitals, and health care providers to implement lifesaving AIM-endorsed best practices to treat common pregnancy-related conditions such as hemorrhage and hypertension.

The program assists states and hospital systems in collecting data on outcomes to help improve quality and patient safety, creating a new culture where providers are prepared to respond in emergency situations. Additionally, AIM works with community partners to address significant and widening health disparities and lack of access to care.


Optimizing Postpartum Care

Providing Holistic Care After Childbirth

More maternal deaths occur in the weeks and months following childbirth than during pregnancy or delivery. The postpartum period, also known as the fourth trimester, is a critical period for optimizing the health of women and infants.

During this time, women can be at increased risk for heart disease, postpartum depression, worsening chronic conditions such as diabetes and hypertension, and substance use disorders.

ACOG’s guidance creates a new paradigm where postpartum care is not defined as a single encounter with an ob-gyn but as ongoing, coordinated care from multiple providers that extends well beyond birth, setting the stage for long-term health and well-being.


Levels of Maternal Care

Improving Access to Care

Ensuring that women receive risk-appropriate maternal care is a key strategy to decreasing maternal mortality and severe maternal morbidity.

The Levels of Maternal Care guidance proposes uniform designations for levels of maternal care related to a facility’s capabilities and resources, to promote collaboration among facilities and health care providers within a region, so that pregnant women can receive care at a facility that best meets their needs.  


The Birth Registry

Standardizing National Data

Currently, there is no centralized location for the collection of nationwide clinical data on labor and delivery or maternal health outcomes.

ACOG’s Birth Registry will address these areas by introducing a national outcomes registry for maternity care that is centered around labor and delivery. It will provide a unique opportunity for care providers and hospitals to better understand the overall quality of care they provide by standardizing data collection and making improvements based on national benchmarks.

This program will be piloted in 2019 at 10 participant sites.

Improving Maternal Health

Advocating for Federal and State Legislation

ACOG supports multidisciplinary, confidential, non-punitive, systematic review of maternal deaths to improve processes, systems and knowledge and give us actionable, data-driven recommendations to eliminate preventable maternal deaths and near-misses.

ACOG works to pass evidence-based, actionable legislation to eliminate preventable maternal mortality, reduce racial health disparities and improve maternal health outcomes. 


American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998