Severe Maternal Morbidity

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Severe Maternal Morbidity (SMM) is the presence of a complication during a delivery hospitalization.

Complications during pregnancy or delivery can lead to negative outcomes for the woman and the infant. Monitoring the trend and disparities in severe maternal morbidity allows public health and medical professionals to take steps to improve the health of women and children.

In 2023, Severe Maternal Morbidity in Alachua County was 16.4 compared to Florida at 10.3. The line graph shows change over time when there are at least three years of data.

Alachua County is in the fourth quartile for this measure. This means that relative to other counties in Florida, Severe Maternal Morbidity is less in about three quarters of the counties.

The map illustrates county data by quartile. A quartile map is presented when there are at least 51 counties with data for this measure.

Links: Healthy People 2030 | Other Resource

Select Rate Type

Select Measure Type

Alachua County

County

Year

Count/Rate

Group

Severe Maternal Morbidity, Single Year

Click on county name or “Florida” in the legend to hide or show the county or state.

4/1/2025 4:18:27 PM

Data Note(s)

Data Source: Florida Agency for Health Care Administration (AHCA)

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Quartiles are calculated when data is available for at least 51 counties.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
Denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

Severe Maternal Morbidity is calculated using codes specified by the Healthcare Costs and Utilization Project (HCUP) among delivery hospital inpatient records for females aged 12-55. Severe Maternal Morbidity includes acute myocardial infarction, aneurysm, acute renal failure, adult respiratory distress syndrome, amniotic fluid embolism, cardiac arrest/ventricular fibulation, conversion of cardiac rhythm, disseminated intravascular fibrillation, eclampsia, heart failure/arrest during surgery or procedure, puerperal cerebrovascular disorders, pulmonary edema/acute heart failure, severe anesthesia complications, sepsis, shock, sickle cell disease with crisis, air and thrombotic embolism, hysterectomy, temporary tracheostomy or ventilation.
CHARTS uses the codes specified by the Healthcare Costs and Utilization Project (HCUP) to calculate Severe Maternal Morbidity, but previously used codes specified by the Alliance for Innovation on Maternal Health (AIM) on 6/27/2020. Changes in Severe Maternal Morbidity counts may be due to this change in methodology.
Blank data fields indicate results have been suppressed because counts are between 1 and 4.
This is secondary, quantitative data.

Severe Maternal Morbidity, Rate Per 1,000 Delivery Hospitalizations, Single Year

Severe Maternal Morbidity, Rate Per 1,000 Delivery Hospitalizations, Single Year
	Alachua				Florida

Data Year	Count	Denom	Rate	MOV	Count	Denom	Rate	MOV
2023	41	2,495	16.4^*	5.0	2,198	213,276	10.3	0.4
2022	34	2,646	12.8	4.3	2,202	214,896	10.2	0.4
2021	43	2,537	16.9^*	5.0	2,398	208,570	11.5	0.5
2020	33	2,524	13.1	4.4	1,902	202,457	9.4	0.4
2019	19	2,638	7.2	3.2	1,738	212,549	8.2	0.4
2018	30	2,675	11.2	4.0	1,565	213,801	7.3	0.4
2017	16	2,767	5.8	2.8	1,614	215,710	7.5	0.4
2016	25	2,837	8.8	3.4	1,597	217,147	7.4	0.4
2015	21	2,828	7.4	3.2	1,691	215,209	7.9	0.4
2014	17	2,805	6.1	2.9	1,526	211,218	7.2	0.4
2013	21	2,775	7.6	3.2	1,454	206,211	7.1	0.4
2012	14	2,855	4.9	2.6	1,402	204,483	6.9	0.4
2011	13	2,225	5.8	3.2	1,065	155,818	6.8	0.4

4/1/2025 4:18:28 PM

Data Note(s)

Data Source: Florida Agency for Health Care Administration (AHCA)

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Quartiles are calculated when data is available for at least 51 counties.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
Denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

Severe Maternal Morbidity is calculated using codes specified by the Healthcare Costs and Utilization Project (HCUP) among delivery hospital inpatient records for females aged 12-55. Severe Maternal Morbidity includes acute myocardial infarction, aneurysm, acute renal failure, adult respiratory distress syndrome, amniotic fluid embolism, cardiac arrest/ventricular fibulation, conversion of cardiac rhythm, disseminated intravascular fibrillation, eclampsia, heart failure/arrest during surgery or procedure, puerperal cerebrovascular disorders, pulmonary edema/acute heart failure, severe anesthesia complications, sepsis, shock, sickle cell disease with crisis, air and thrombotic embolism, hysterectomy, temporary tracheostomy or ventilation.
CHARTS uses the codes specified by the Healthcare Costs and Utilization Project (HCUP) to calculate Severe Maternal Morbidity, but previously used codes specified by the Alliance for Innovation on Maternal Health (AIM) on 6/27/2020. Changes in Severe Maternal Morbidity counts may be due to this change in methodology.
Blank data fields indicate results have been suppressed because counts are between 1 and 4.
This is secondary, quantitative data.

Florida

Group

Year

Severe Maternal Morbidity, Rate Per 1,000 Delivery Hospitalizations, 2023

*Mouseover map to see county name and value. * Click a legend category to hide or show that category.

4/1/2025 4:18:30 PM

Data Note(s)

Data Source: Florida Agency for Health Care Administration (AHCA)

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Quartiles are calculated when data is available for at least 51 counties.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
Denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

Severe Maternal Morbidity is calculated using codes specified by the Healthcare Costs and Utilization Project (HCUP) among delivery hospital inpatient records for females aged 12-55. Severe Maternal Morbidity includes acute myocardial infarction, aneurysm, acute renal failure, adult respiratory distress syndrome, amniotic fluid embolism, cardiac arrest/ventricular fibulation, conversion of cardiac rhythm, disseminated intravascular fibrillation, eclampsia, heart failure/arrest during surgery or procedure, puerperal cerebrovascular disorders, pulmonary edema/acute heart failure, severe anesthesia complications, sepsis, shock, sickle cell disease with crisis, air and thrombotic embolism, hysterectomy, temporary tracheostomy or ventilation.
CHARTS uses the codes specified by the Healthcare Costs and Utilization Project (HCUP) to calculate Severe Maternal Morbidity, but previously used codes specified by the Alliance for Innovation on Maternal Health (AIM) on 6/27/2020. Changes in Severe Maternal Morbidity counts may be due to this change in methodology.
Blank data fields indicate results have been suppressed because counts are between 1 and 4.
This is secondary, quantitative data.

Severe Maternal Morbidity, Rate Per 1,000 Delivery Hospitalizations, 2023

MOV

Severe Maternal Morbidity, Rate Per 1,000 Delivery Hospitalizations, 2023
County	Count	Denom	Rate	MOV
Florida	2,198	213,276	10.3	0.4
Alachua	41	2,495	16.4^*	5.0
Baker	4	324	12.3
Bay	19	2,124	8.9	4.0
Bradford	6	285	21.1	16.7
Brevard	59	5,072	11.6	3.0
Broward	152	19,229	7.9^*	1.3
Calhoun	0	97	0.0
Charlotte	5	1,024	4.9^*	4.3
Citrus	15	1,023	14.7	7.4
Clay	16	1,962	8.2	4.0
Collier	20	3,337	6.0^*	2.6
Columbia	8	684	11.7	8.1
Miami-Dade	264	28,595	9.2^*	1.1
DeSoto	3	328	9.1
Dixie	3	152	19.7
Duval	127	11,291	11.2	1.9
Escambia	28	3,473	8.1	3.0
Flagler	6	786	7.6	6.1
Franklin	0	73	0.0
Gadsden	6	436	13.8	10.9
Gilchrist	2	190	10.5
Glades	0	58	0.0
Gulf	1	115	8.7
Hamilton	3	121	24.8
Hardee	7	357	19.6	14.4
Hendry	6	628	9.6	7.6
Hernando	14	1,624	8.6	4.5
Highlands	14	843	16.6	8.6
Hillsborough	194	16,680	11.6	1.6
Holmes	3	162	18.5
Indian River	8	1,153	6.9	4.8
Jackson	2	358	5.6
Jefferson	3	103	29.1
Lafayette	2	70	28.6
Lake	47	3,641	12.9	3.7
Lee	47	7,534	6.2^*	1.8
Leon	27	2,452	11.0	4.1
Levy	7	408	17.2	12.6
Liberty	1	86	11.6
Madison	2	143	14.0
Manatee	32	3,902	8.2	2.8
Marion	47	3,417	13.8	3.9
Martin	8	1,140	7.0	4.8
Monroe	3	660	4.5
Nassau	8	764	10.5	7.2
Okaloosa	23	2,233	10.3	4.2
Okeechobee	6	530	11.3	9.0
Orange	266	16,012	16.6^*	2.0
Osceola	61	4,563	13.4	3.3
Palm Beach	120	14,404	8.3^*	1.5
Pasco	51	5,165	9.9	2.7
Pinellas	58	6,457	9.0	2.3
Polk	73	9,117	8.0^*	1.8
Putnam	14	690	20.3	10.5
St. Johns	23	2,411	9.5	3.9
St. Lucie	46	3,572	12.9	3.7
Santa Rosa	13	1,852	7.0	3.8
Sarasota	10	2,739	3.7^*	2.3
Seminole	51	3,826	13.3	3.6
Sumter	2	539	3.7
Suwannee	2	403	5.0
Taylor	3	179	16.8
Union	3	158	19.0
Volusia	56	4,756	11.8	3.1
Wakulla	5	291	17.2	14.9
Walton	6	811	7.4	5.9
Washington	2	213	9.4

4/1/2025 4:18:31 PM

Data Note(s)

Data Source: Florida Agency for Health Care Administration (AHCA)

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Quartiles are calculated when data is available for at least 51 counties.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
Denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

Severe Maternal Morbidity is calculated using codes specified by the Healthcare Costs and Utilization Project (HCUP) among delivery hospital inpatient records for females aged 12-55. Severe Maternal Morbidity includes acute myocardial infarction, aneurysm, acute renal failure, adult respiratory distress syndrome, amniotic fluid embolism, cardiac arrest/ventricular fibulation, conversion of cardiac rhythm, disseminated intravascular fibrillation, eclampsia, heart failure/arrest during surgery or procedure, puerperal cerebrovascular disorders, pulmonary edema/acute heart failure, severe anesthesia complications, sepsis, shock, sickle cell disease with crisis, air and thrombotic embolism, hysterectomy, temporary tracheostomy or ventilation.
CHARTS uses the codes specified by the Healthcare Costs and Utilization Project (HCUP) to calculate Severe Maternal Morbidity, but previously used codes specified by the Alliance for Innovation on Maternal Health (AIM) on 6/27/2020. Changes in Severe Maternal Morbidity counts may be due to this change in methodology.
Blank data fields indicate results have been suppressed because counts are between 1 and 4.
This is secondary, quantitative data.

4/1/2025 4:18:26 PM

Data Note(s)

Data Source: Florida Agency for Health Care Administration (AHCA)

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Quartiles are calculated when data is available for at least 51 counties.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
Denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

Severe Maternal Morbidity is calculated using codes specified by the Healthcare Costs and Utilization Project (HCUP) among delivery hospital inpatient records for females aged 12-55. Severe Maternal Morbidity includes acute myocardial infarction, aneurysm, acute renal failure, adult respiratory distress syndrome, amniotic fluid embolism, cardiac arrest/ventricular fibulation, conversion of cardiac rhythm, disseminated intravascular fibrillation, eclampsia, heart failure/arrest during surgery or procedure, puerperal cerebrovascular disorders, pulmonary edema/acute heart failure, severe anesthesia complications, sepsis, shock, sickle cell disease with crisis, air and thrombotic embolism, hysterectomy, temporary tracheostomy or ventilation.
CHARTS uses the codes specified by the Healthcare Costs and Utilization Project (HCUP) to calculate Severe Maternal Morbidity, but previously used codes specified by the Alliance for Innovation on Maternal Health (AIM) on 6/27/2020. Changes in Severe Maternal Morbidity counts may be due to this change in methodology.
Blank data fields indicate results have been suppressed because counts are between 1 and 4.
This is secondary, quantitative data.

		Florida Department of Health Bureau of Community Health Assessment Division of Public Health Statistics and Performance Management


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