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PNQIN Massachusetts AIM Initiative

Severe Hypertension Safety Bundle

Please feel free to email Kali Vitek at with any questions!


On behalf of the Perinatal-Neonatal Quality Improvement Network of Massachusetts (PNQIN)’s MA AIM Initiative to improve maternal outcomes, we are thrilled to begin implementation of the AIM Severe Hypertension Bundle in January 2022. PNQIN launched the Massachusetts AIM Initiative (Alliance for Innovation on Maternal Health) in 2019 to answer the national call to action to prioritize and improve maternal health and safety for all.​

For every pregnant person who dies, many more suffer life-threatening complications resulting from or aggravated by pregnancy (SMM – severe maternal morbidity).  SMM rates are also highest among Black birthing people, even in Massachusetts, and these rates and inequities continue to rise. This initiative aims to improve birth outcomes for women and families across Massachusetts, and addresses ways in which systemic racism and implicit bias influence hemorrhage outcomes for Black and Indigenous birthing people.

Toward this goal, we are offering educational webinars, a resource webpage, and the varied expertise of a distinguished  advisory group to support all birthing hospitals in Massachusetts in addressing severe hypertension. We encourage everyone to participate, collaborate, learn, and implement the best practices and tools for reducing harm from hemorrhage, and hope you will join PNQIN in our central mission to achieve health equity in the Commonwealth.


Thank you for your support and participation.


Sincerely, ​

The PNQIN Severe HTN Bundle Advisory Group​

This page is currently under construction.


Rising maternal morbidity and mortality rates and the stark, persistent racial and ethnic disparities among birthing populations are alarming. In 2021, the National Center for Health Statistics reported the maternal mortality rate for 2019 as 20.1 deaths per 100,000 live births. Inequities persist as well: Black and Indigenous people remain three to four times more likely than others to die from pregnancy-related causes. A rate of 44.0 is reported for non-Hispanic Black birthing people; a 2.5 to 3.5 times higher than non-Hispanic White (17.9) and Hispanic birthing people (12.6). Maternal death is a tragic and key sentinel event, and although total numbers are small, there is no acceptable number. Investigators estimate that more than 60% of all maternal deaths are preventable.  Eliminating preventable deaths and the Black-White gap in mortality is a public health priority.  ​

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