Maternal Mortality and Morbidity Review Committee


The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) is a 23-member multidisciplinary committee. Chapter 34, Texas Health and Safety Code, Section 34.002, directs the MMMRC to study and review:  

  • Cases of pregnancy-related deaths;  
  • Trends, rates, or disparities in pregnancy-related deaths and severe maternal morbidity;  
  • Health conditions and factors that disproportionately affect the most at-risk populations; and  
  • Best practices and programs operating in other states that have reduced rates of deaths related to pregnancy.  

The MMMRC uses standard methods to review identified pregnancy-associated death cases to determine cause of death and pregnancy-relatedness. For deaths determined to be pregnancy-related, the MMMRC builds consensus to determine potential preventability, contributing factors, and actionable recommendations. The MMMRC also studies state trends in maternal morbidity and mortality rates and disparities to aid recommendation development. 

Through this process, the MMMRC develops recommendations to help reduce the incidence of preventable pregnancy-related deaths and severe maternal morbidity in the state. 

A committee member must regularly participate in case review calls and committee meetings. Committee meetings are held in Austin or virtually at least quarterly or at the call of the DSHS Commissioner. In-person meeting participation is strongly encouraged. The MMMRC may also ask members to participate in subcommittee meetings, projects, and presentations. Committee members do not receive reimbursement for travel expenses to participate on the committee. If a member misses three consecutive meetings within a one-year period, with or without notice, the member may be removed from the committee. 

Upcoming Meetings


DSHS posts future and past Texas Maternal Mortality and Morbidity Review Committee (MMMRC) meeting materials and information.

Below are the future public meeting dates, venue, and agenda. DSHS posts meeting agendas when they become available.

Date*Venue*Agenda
Thursday, September 11, 2025Texas Department of State Health Services (DSHS)
Robert Moreton Building
Room M-100, First Floor
1100 West 49th Street
Austin, Texas 78756
 
Friday, December 5, 2025Texas Department of State Health Services (DSHS)
Robert Moreton Building
Room M-100, First Floor
1100 West 49th Street
Austin, Texas 78756
 

*Dates and venue are subject to change.

Past Meetings and Materials


Below are the Texas Maternal Mortality and Morbidity Review Committee (MMMRC) approved minutes and webcast links for past meetings. The first public meeting of the MMMRC was held on Friday, Sept. 29, 2017.

DateMeeting Minutes Webcast Recording
Friday, June 13, 2025In ProcessWebcast-13June2025
Friday, March 7, 2025Minutes-7Mar2025Webcast-7Mar2025
Friday, December 6, 2024Minutes-6Dec2024Webcast-6Dec2024
Friday, September 27, 2024Minutes-27Sept2024Webcast-27Sept2024
Tuesday, June 18, 2024Minutes-18June2024Webcast-18June2024
Friday, March 22, 2024Minutes-22Mar2024Webcast-22Mar2024
Friday, December 8, 2023Minutes-8Dec2023Webcast-8Dec2023
Thursday, September 7, 2023Minutes-7Sept2023Webcast-7Sept2023
Friday, June 2, 2023Minutes-2June2023Webcast-2June2023
Friday, March 3, 2023Minutes-3Mar2023Webcast-3Mar2023
Friday, December 9, 2022Minutes-9Dec2022Webcast-9Dec2022
Friday, September 2, 2022Minutes-2Sept2022Webcast-2Sept2022
Friday, June 3, 2022Minutes-3Jun2022Webcast-3June2022
Friday, March 4, 2022Minutes-4Mar2022Webcast-4March2022

 

Committee Roster

NameCityMembership CategoryTerm Expiration DatePublic Health Region
Amy Raines-Milenkov, DrPHFort WorthResearcher- Pregnancy-related Deaths20252/3
Angeline D. Opina Gonzalez, MDHoustonPhysician - Cardiology20316/5 South
Avi Ruderman, MDDallas Physician - Emergency Care20312/3
Barbara Orlando, MD, Ph.D.HoustonPhysician - Anesthesiology20316/5 South
Carey Eppes, MD, MPHHoustonPhysician - Maternal Fetal Medicine20252/3
Presiding Officer Carla Ortique, MDHoustonPhysician - Obstetrics20296/5 South
Christina Murphey, Ph.D., RNC-OBCorpus ChristiNurse - Labor and Delivery202511
Diaa Osman, DO, MPHAustinPhysician - Oncology20317
Ingrid Skop, MDSan AntonioCommunity Member - Rural 20318
James hill, MD, COL (ret)San AntonioPhysician - Maternal Fetal Medicine20278
Kelly Fegan-Bohm, MD, MPH, MAAustinDSHS Representative - State EpidemiologistNot AppointedNot Applicable 
Lindsey Vasquez, MD, CPE, FACOGRichmondManaged Care Organization Representative20316/5 South
Manda Hall, MDAustinDSHS Representative - Associate Commissioner Community Health Improvement DivisionNot AppointedNot Applicable
Meenakshi Awasthi, MD, MPP, MSHoustonCommunity member - Urban20316/5 South
Meitra Doty, MDDallasPhysician - Psychiatry20292/3
Morna Gonsoulin, MDRosenbergPhysician - Medical Examiner20306/5 South
Nancy Puig, RN, BSN, RNC-OB, C-EFM, C-ONQSLaredoRegistered Nurse202711
Assistant Presiding Officer Patrick Ramsey, MD, MSPH, FACOGSan AntonioPhysician - Maternal Fetal Medicine20298
Robin Page, Ph.D., APRN, CNM, FACMNCollege StationCertified Nurse - Midwife20277
Sarah Hartman, MDHoustonPhysician - Pathologist20306/5 South
Sherri Onyiego, MD, Ph.D., FAAFPHoustonPhysician - Family Practice20256/5 South
Vacant Social Worker/Social Service Provider  

 

Additional Information and Resources

Committee Contact

Mailing Address

Texas Department of State Health Services
Maternal Health
PO Box 149347, MC 1922
Austin, TX 78714-9347
United States