LAUSR

lowest PRMR since 1999. Although not significant, there was a trend towards a reduced PRMR from 2009 through 2016. For the period 2007-2016, five causes of death accounted for 68% of PRDs: hemorrhage (21%), infection (15%), hypertensive disorders (14%), cardiomyopathy (9%), and thrombotic embolism (8%). Risk factors associated with PRD were class III obesity (RR 5.7), cesarean delivery (RR 4.2), age 35 or older (RR 3.0), no prenatal care (RR 2.7), nonHispanic black (RR 2.7), and high school or less education (RR 1.4). PRDs due to ectopic pregnancy and flu-like infections increased between 2009 and 2013. CONCLUSION: Conclusion: Contrary to an increasing national trend, Florida’s PRMR trend declined between 2009 and 2016. Hemorrhage and infection were leading causes of PRDs. Obesity and cesarean delivery were leading risk factors. This may reflect combined Florida activities including Florida PAMR efforts, grass roots efforts of the Florida Perinatal Quality Collaborative, and efforts from other professional and community organizations. Florida PAMR should continue focusing on developing Urgent Maternal Mortality Messages, other educational efforts and promote needed women’s health policies and actions. The Florida Perinatal Quality Collaborative should continue to promote quality efforts that contribute to understanding leading causes, risk factors and disparities around maternal mortality.