The Virginia Maternal Mortality Review Team (MMRT) is proud to present the 2022 Triennial Report as mandated by Code of Virginia, § 32.1-283.8. This report provides a three-year overview of the patterns and trends in pregnancy-associated deaths in the state of Virginia from 2018 to 2020. Data for 20192020 is preliminary.1 Pregnancy-associated death is defined as “the death of a woman while pregnant or within one year of pregnancy regardless of the outcome of the pregnancy or the cause of death.”2 The MMRT is dedicated to understanding the circumstances surrounding each of these deaths so that strategies can be developed to reduce maternal mortality across the Commonwealth. The MMRT is an ongoing collaborative effort led by the Virginia Department of Health’s Office of Family Health Services and Office of the Chief Medical Examiner.