Case Study

Spotlight on Success: Tewa Women United

The community-centered Yiya Vi Kagingdi Doula Project was created in response to a survey of women in the six Tewa-speaking pueblos and as one approach to mitigate violence against women, children, and Mother Earth. The program supports birthing people and their families with about three prenatal home visits, continuous support while giving birth, about three postpartum home visits, and lactation support, as well as remote support, all within a birth equity framework.

Spotlight on Success: Mercy Birthing Center

The Mercy Birthing Center illustrates the potential of a nourishing midwifery-led unit within a hospital. The center is a separate unit operated by CNMs within Mercy Hospital St. Louis. It was established in response to women’s growing interests in receiving support for physiologic childbearing.

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.

Lead Poisoning in Flint, Michigan

The water poisoning in Flint caused undeniable harm to residents’ reproductive health. Analyzing health records from 2008 to 2015, researchers found that fertility rates in Flint dropped by 12 percent and fetal deaths rose by 58 percent