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It can be incorporated into a vaginal surgery curriculum to augment resident surgical education. To use a data-fusion approach to improve ascertainment of maternal deaths not detected with standard surveillance strategies. We conducted a retrospective cohort study from the electronic health records of a tertiary medical center from 2011 to 2018. Cases of maternal death were identified in two ways 1) using a standard medical informatics service query of hospital data and 2) using the TriNetX discovery tool as patients with a vital status