{"id":2022,"date":"2025-10-06T08:27:53","date_gmt":"2025-10-06T12:27:53","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/data\/?page_id=2022"},"modified":"2025-11-18T07:43:04","modified_gmt":"2025-11-18T12:43:04","slug":"smm","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/data\/maternal-child-health\/smm\/","title":{"rendered":"Severe Maternal Morbidity"},"content":{"rendered":"<div id=\"pl-2022\"  class=\"panel-layout\" ><div id=\"pg-2022-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2022-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2022-0-0-0\" class=\"so-panel widget widget_nav_menu panel-first-child\" data-index=\"0\" ><div class=\"cd-navigation-menu panel-widget-style panel-widget-style-for-2022-0-0-0\" ><h3 class=\"widget-title\">Dashboard Navigation Menu<\/h3><div class=\"menu-mch-dashboards-container\"><ul id=\"menu-mch-dashboards\" class=\"menu\"><li id=\"menu-item-1906\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page first-menu-item menu-item-1906\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/maternal-child-health\/\"><i class=\"fa fa-home\" title=\"Home\" aria-label=\"home\"><\/i> Home<\/a><\/li>\n<li id=\"menu-item-1903\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page menu-item-1903\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/maternal-child-health\/mch-indicators\/\">MCH Measures<\/a><\/li>\n<li id=\"menu-item-1902\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page menu-item-1902\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/maternal-child-health\/maternal-mortality\/\">Maternal Mortality<\/a><\/li>\n<li id=\"menu-item-1904\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page menu-item-1904\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/maternal-child-health\/pregnancy-associated-deaths\/\">Pregnancy-Associated Deaths<\/a><\/li>\n<li id=\"menu-item-2253\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page menu-item-2253\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/maternal-child-health\/smm\/\">Severe Maternal Morbidity<\/a><\/li>\n<li id=\"menu-item-1954\" class=\"dashboards-menu-item menu-item menu-item-type-custom menu-item-object-custom menu-item-1954\"><a href=\"https:\/\/www.vdh.virginia.gov\/prams\/data-dashboards\/\">PRAMS Dashboards<\/a><\/li>\n<li id=\"menu-item-2010\" class=\"dashboards-menu-item menu-item menu-item-type-custom menu-item-object-custom last-menu-item menu-item-2010\"><a href=\"https:\/\/www.vdh.virginia.gov\/drug-overdose-data\/neonatal-abstinence-syndrome-nas\/\">Neonatal Abstinence Syndrome<\/a><\/li>\n<\/ul><\/div><\/div><\/div><div id=\"panel-2022-0-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p data-block-id=\"50451d81-b674-4b28-89c2-6b806ac4b437\" data-pm-slice=\"1 1 []\">Severe maternal morbidity (SMM) includes 21 unexpected outcomes of labor and delivery. These conditions have been increasing in recent years. SMM can affect the health for both the mother and baby, and can increase risk of death. Also, they may increase medical costs and time spent in hospital. It is important to review SMM trends to help improve the quality of maternal care.<\/p>\n<p data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Data in the below dashboard show in-hospital deliveries from hospital discharge data. SMM conditions are grouped into the following:<\/p>\n<ul>\n<li data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Heart complications<\/li>\n<li data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Bleeding complications<\/li>\n<li data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Breathing complications<\/li>\n<li data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Kidney complications<\/li>\n<li data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Sepsis (severe infection)<\/li>\n<li data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Other obstetric conditions<\/li>\n<li data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Other medical conditions<\/li>\n<\/ul>\n<p data-block-id=\"bdba12f8-3bfc-4d66-9904-5b2af283af4d\">Refer to '<strong>About the Data<\/strong>' below the dashboard for more information and definitions. Use the dashboard filters to see data by year, SMM type, geography, and race\/ethnicity.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2022-0-0-2\" class=\"widget_text so-panel widget widget_custom_html\" data-index=\"2\" ><div class=\"textwidget custom-html-widget\"><div class='tableauPlaceholder' id='viz1762544859230' style='position: relative'><noscript><a href='#'><img alt='SMM Dashboard ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;SM&#47;SMMDashboard_17625354486930&#47;SMMDashboard&#47;1_rss.png' style='border: none' \/><\/a><\/noscript><object class='tableauViz'  style='display:none;'><param name='host_url' value='https%3A%2F%2Fpublic.tableau.com%2F' \/> <param name='embed_code_version' value='3' \/> <param name='site_root' value='' \/><param name='name' value='SMMDashboard_17625354486930&#47;SMMDashboard' \/><param name='tabs' value='no' \/><param name='toolbar' value='yes' \/><param name='static_image' value='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;SM&#47;SMMDashboard_17625354486930&#47;SMMDashboard&#47;1.png' \/> <param name='animate_transition' value='yes' \/><param name='display_static_image' value='yes' \/><param name='display_spinner' value='yes' \/><param name='display_overlay' value='yes' \/><param name='display_count' value='yes' \/><param name='language' value='en-US' \/><\/object><\/div>                <script type='text\/javascript'>                    var divElement = document.getElementById('viz1762544859230');                    var vizElement = divElement.getElementsByTagName('object')[0];                    if ( divElement.offsetWidth > 800 ) { vizElement.style.width='1000px';vizElement.style.height='2227px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.width='1000px';vizElement.style.height='2227px';} else { vizElement.style.width='100%';vizElement.style.height='2577px';}                     var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/div><\/div><div id=\"panel-2022-0-0-3\" class=\"so-panel widget widget_sow-features panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-features so-widget-sow-features-default-bba6880a3b59-2022\"\n\t\t\t\n\t\t><ul\n\tclass=\"sow-features-list\n\tsow-features-responsive\">\n\n\t\t\t<li\n\t\t\tclass=\"sow-features-feature sow-icon-container-position-top\"\n\t\t\tstyle=\"display: flex; flex-direction: column; width: calc(50% - 25px);\"\n\t\t>\n\t\t\t\n\t\t\t\t\t\t<a\t\t\t\tclass=\"sow-icon-container sow-container-sticker\"\n\t\t\t\tstyle=\"color: #1e73be; \"\n\t\t\t\ttitle=\"Feedback Survey\"\n\t\t\t\t\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=3KMNHAEHRCTAN747\"\n\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t>\n\t\t\t\t<span class=\"sow-icon-fontawesome sow-far\" data-sow-icon=\"&#xf044;\"\n\t\tstyle=\"font-size: 24px; color: #fff\" \n\t\taria-hidden=\"true\"><\/span>\t\t\t<\/a>\n\n\t\t\t<div class=\"textwidget\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h5 class=\"sow-features-feature-title\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a\n\t\t\t\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=3KMNHAEHRCTAN747\"\n\t\t\t\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\tFeedback Survey\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/li>\n\n\t\t\t<li\n\t\t\tclass=\"sow-features-feature sow-icon-container-position-top\"\n\t\t\tstyle=\"display: flex; flex-direction: column; width: calc(50% - 25px);\"\n\t\t>\n\t\t\t\n\t\t\t\t\t\t<a\t\t\t\tclass=\"sow-icon-container sow-container-sticker\"\n\t\t\t\tstyle=\"color: #1e73be; \"\n\t\t\t\ttitle=\"Request Data\"\n\t\t\t\t\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=4PP8XDLR3D\"\n\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t>\n\t\t\t\t<span class=\"sow-icon-materialicons sowm-round\" data-sow-icon=\"&#xe26a\"\n\t\tstyle=\"font-size: 24px; color: #fff\" \n\t\taria-hidden=\"true\"><\/span>\t\t\t<\/a>\n\n\t\t\t<div class=\"textwidget\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h5 class=\"sow-features-feature-title\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a\n\t\t\t\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=4PP8XDLR3D\"\n\t\t\t\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\tRequest Data\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/li>\n\n\t<\/ul>\n<\/div><\/div><\/div><\/div><div id=\"pg-2022-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2022-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2022-1-0-0\" class=\"so-panel widget widget_sow-accordion panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-37a5456e788c-2022\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t sow-accordion-panel-open\t\t\t\"\n\t\t\t\tdata-anchor-id=\"about-the-data\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-about-the-data\" aria-controls=\"accordion-content-about-the-data\" aria-expanded=\"true\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tAbout the Data\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-about-the-data\"\n\t\t\t\tid=\"accordion-content-about-the-data\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<h3>Hospitalization Data<\/h3>\n<p><strong>Data Source:<\/strong> Inpatient hospitalization data are received from the Virginia Health Information (VHI) and maintained by the Virginia Department of Health (VDH). Data represent Virginia residents hospitalized during their delivery within Virginia. Virginia residents hospitalized out of state are not included. Patients discharged from an inpatient hospitalization more than once with the same diagnoses\/conditions would be counted more than once in these statistics.<\/p>\n<p><strong>Severe Maternal Morbidity Definitions (numerator):<\/strong><\/p>\n<p>International Classification of Diseases, Tenth Revision (ICD-10) codes are used to identify SMM indicators. Definitions are based on the standardized definitions as published by <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23090519\/\">Callaghan et al<\/a>. Patients hospitalized with a SMM for any reason found in a diagnosis list of up to 20 available diagnoses are included. Blood transfusions were excluded as it may be underreported and may not reflect severe morbidity in the absence of other indicators. More information can be found on the <a href=\"https:\/\/www.cdc.gov\/maternal-infant-health\/php\/severe-maternal-morbidity\/icd.html\">CDC website<\/a>.<\/p>\n<p><strong>Severe Morbidity Groupings:<\/strong><\/p>\n<ul>\n<li><strong>Heart Complications:<\/strong> Includes conditions such as acute myocardial infarction (heart attack), aneurysm, cardiac arrest, heart failure\/arrest during surgery, acute heart failure, pulmonary edema, and procedures such as <a href=\"https:\/\/medlineplus.gov\/ency\/article\/007110.htm\">conversion of cardiac rhythm<\/a>.<\/li>\n<li><strong>Bleeding Complications:<\/strong> Includes conditions such as <a href=\"https:\/\/medlineplus.gov\/ency\/article\/000573.htm\">disseminated intravascular coagulation<\/a> (blood clotting disorder), <a href=\"https:\/\/medlineplus.gov\/ency\/article\/000039.htm\">shock<\/a>, hysterectomy<\/li>\n<li><strong>Kidney Complications:<\/strong> Includes acute renal failure<\/li>\n<li><strong>Breathing Complications:<\/strong> Includes conditions such as acute respiratory distress syndrome, and procedures such as temporary <a href=\"https:\/\/medlineplus.gov\/ency\/article\/002955.htm\">tracheostomy<\/a> or ventilation<\/li>\n<li><strong>Sepsis:<\/strong> Includes <a href=\"https:\/\/medlineplus.gov\/ency\/article\/000666.htm\">sepsis<\/a> (severe infection)<\/li>\n<li><strong>Other Medical Complications:<\/strong> Includes conditions such as puerperal cerebrovascular disorders (e.g., stroke), sickle cell disease with crisis<\/li>\n<li><strong>Other Obstetric Complications:<\/strong> Includes conditions such as amniotic fluid embolism, eclampsia, severe anesthesia complications, air and thrombotic embolism<\/li>\n<\/ul>\n<p><strong>Delivery Hospitalization Definitions (denominator): <\/strong>International Classification of Diseases, Tenth Revision (ICD-10) diagnosis codes (Z37, O80, O82, O75.82), procedure codes (10D00Z0-10D00Z2, 10D07Z3-0D07Z8, 10E0XZZ), and diagnosis-related group codes (765-768, 774-775, 783-788, 796-798, 805-807) are used to identify delivery hospitalizations. Diagnosis and procedure codes for abortive, <a href=\"https:\/\/medlineplus.gov\/ectopicpregnancy.html\">ectopic<\/a>, and <a href=\"https:\/\/medlineplus.gov\/ency\/article\/000909.htm\">hydatidiform mole<\/a> outcomes were excluded.<\/p>\n<p><strong>Ethnicity and Race:<\/strong> Only two ethnic classes are recognized in the data, Hispanic and Non-Hispanic, where the term Hispanic refers to persons who can trace their ancestry in some degree to the peoples of the Iberian Peninsula and the nations of Portugal and Spain. The term Latino is also used for Hispanic. Thus, a Hispanic person may be of any race. Presented race categories are limited to categories collected in the data. The race is reported as race of the hospitalized patient.<\/p>\n<p><strong>Other:<\/strong>\u00a0Data are produced and processed from sources believed to be reliable and accurate at that point of time. No warranty expressed or implied is made regarding accuracy, adequacy, completeness, legality, reliability or usefulness of any information. Additionally, not all data elements are reported at the source. Please see Virginia Code\u00a0<a href=\"https:\/\/law.lis.virginia.gov\/vacodefull\/title32.1\/\">\u00a732.1<\/a>\u00a0for information on data mandated to be conveyed by the patient and\/or facility. This disclaimer applies to both isolated and aggregate uses of the data. Unknown\/Unreported variables were removed from the tables. Counts lower than 20 and their associated rates should be interpreted with caution.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Severe maternal morbidity (SMM) includes 21 unexpected outcomes of labor and delivery. These conditions have been increasing in recent years. SMM can affect the health for both the mother and baby, and can increase risk of death. Also, they may increase medical costs and time spent in hospital. It is important to review SMM trends [&hellip;]<\/p>\n","protected":false},"author":627,"featured_media":0,"parent":97,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"tags":[],"class_list":["post-2022","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Severe Maternal Morbidity - Data<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/data\/maternal-child-health\/smm\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Severe Maternal Morbidity - Data\" \/>\n<meta property=\"og:description\" content=\"Severe maternal morbidity (SMM) includes 21 unexpected outcomes of labor and delivery. 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These conditions have been increasing in recent years. SMM can affect the health for both the mother and baby, and can increase risk of death. Also, they may increase medical costs and time spent in hospital. 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