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Preventable Deaths: Inside Maternal Mortality Review

With Dr. Sarah Nagle-Yang

Stories to Solutions

Interview Recorded On: August 15th, 2026
Dr. Sarah Nagle-Yang went onto Colorado's Maternal Mortality Review Committee expecting to find that the screening guidelines had never made it into practice. The committee reviews every death in the state of someone pregnant at the time or within the year after, working from medical records, EMS reports, newspaper accounts, and now interviews with the family. Suicide and unintentional overdose are the leading causes. A few years of cases in, what surprised her was that the screening had usually happened. Primary care made that change. What was missing was what came after it, the triage and the follow-up for someone a screen had just flagged as complex. One study looked at perinatal suicide deaths across fifteen states and found every one preventable, pointing to the care, the system, or the fragmentation between them. The stretch where risk peaks runs six to twelve months postpartum, long past the last obstetric visit, when the pediatrician is often the only clinician still seeing the family. She spends her time now on the people already in that room. She sits on a perinatal access line clinicians can call the same day a question comes up, and she co-chairs the national curriculum that trains them.
Interview Recorded on: August 15th, 2026
Dr. Sarah Nagle-Yang went onto Colorado's Maternal Mortality Review Committee expecting to find that the screening guidelines had never made it into practice. The committee reviews every death in the state of someone pregnant at the time or within the year after, working from medical records, EMS reports, newspaper accounts, and now interviews with the family. Suicide and unintentional overdose are the leading causes. A few years of cases in, what surprised her was that the screening had usually happened. Primary care made that change. What was missing was what came after it, the triage and the follow-up for someone a screen had just flagged as complex. One study looked at perinatal suicide deaths across fifteen states and found every one preventable, pointing to the care, the system, or the fragmentation between them. The stretch where risk peaks runs six to twelve months postpartum, long past the last obstetric visit, when the pediatrician is often the only clinician still seeing the family. She spends her time now on the people already in that room. She sits on a perinatal access line clinicians can call the same day a question comes up, and she co-chairs the national curriculum that trains them.
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Meet Our Guest
Dr. Sarah Nagle-Yang
Sarah Nagle-Yang, MD, is a Professor of Psychiatry at the University of Colorado School of Medicine, where she serves as Vice Chair for Quality, Executive Director of Colorado Women's Behavioral Health and Wellness, and co-director of the department's Perinatal, Reproductive, and Early Childhood section. She earned her medical degree at the University of Cincinnati College of Medicine and completed psychiatry residency at Montefiore Medical Center and Albert Einstein College of Medicine, where she was chief resident, followed by fellowships in consultation liaison psychiatry and in public and community psychiatry at University Hospitals in Cleveland. She co-chairs the National Curriculum in Reproductive Psychiatry, which she helped found and which now reaches psychiatry and OBGYN residencies, nurse midwives, and psychiatric nurse practitioners, and she co-chairs Colorado's Maternal Mortality Review Committee. She is a co-editor of the Textbook of Women's Reproductive Mental Health, the first comprehensive text in the field, and a past president of the North American Society for Psychosocial Obstetrics and Gynecology. The Academy of Consult-Liaison Psychiatry recognized her curriculum work with its 2022 Stoudemire Innovations in Education Award. She practices in Aurora, where she leads a clinical program that includes a perinatal intensive outpatient program and serves as a psychiatrist on Colorado's perinatal mental health access line. She is currently helping build the maternal behavioral health track for TNT Primary Care Fellowships.