Maternal Health

Substance Use Disorder Hurts Moms & Babies

The Problem: Health care and support for pregnant people with substance use disorder are inaccessible and inequitable, and instead they are shamed, stigmatized, and punished.

Improving Our Maternity Care Now

These four models of care share characteristics that distinguish them from the typical maternal care currently available in the United States.

Improving Our Maternity Care Now – Recommendations

Congress can play a pivotal role in addressing the maternal health crisis and supporting evidence-based models that improve the health of mothers and infants — particularly in communities that are suffering from deep structural inequities.

Spotlight on Success: The Strong Start for Mothers and Newborns Initiative

The Strong Start for Mothers and Newborns Initiative was a federal five-year, multi-site project to test and evaluate enhanced prenatal care interventions for women enrolled in Medicaid or the Children’s Health Insurance Program (CHIP) who were at risk for having a preterm birth. One of the first Center for Medicare and Medicaid Innovation initiatives, it launched in 2012 to test three models of enhanced prenatal care among Medicaid beneficiaries: birth centers, group prenatal care, and maternity care homes. Midwifery-led care in birth centers generated stellar results, whereas results of the other two care models were underwhelming.

Spotlight on Success: Commonsense Childbirth

Commonsense Childbirth is a midwifery-led practice in Orlando, Fla., that provides a range of clinical and support services to any pregnant person seeking care.

Hormonal Physiology of Childbearing

By routinely intervening in labor and delivery in ways that interfere with innate biological processes, the country’s maternity care system is missing opportunities to provide better care and use resources more wisely.

Blueprint for Advancing High-Value Maternity Care Through Physiologic Childbearing

The Blueprint for Advancing High-Value Maternity Care Through Physiologic Childbearing aims to chart an efficient pathway to a maternity care system that reliably enables all women and newborns to experience healthy physiologic processes around the time of birth, to the extent possible given their health needs and informed preferences.