Advancing Perinatal Health Care Integration

The United States now has the highest maternal mortality rate among developed countries despite advancements in medical technology, including care for high-risk pregnancies and premature babies. Along with disproportionately high maternal mortality, mental health and substance use challenges among people in the perinatal period (defined in this paper as pregnancy through the postpartum period) in the U.S. also continue to rise. 

This paper explores the many dynamics that drive these data. Workforce shortages of all types, maternity deserts (counties with limited-to-no obstetric care), inequality in care and social drivers of health all contribute to these negative outcomes for pregnant people. The complex relationship between, and effects of, social and structural factors, including experiences of racism, discrimination and trauma, impact perinatal outcomes. The solution, or at least part of the solution, is perinatal care that is delivered in a comprehensive, holistic manner that is culturally responsive, trauma informed, and family focused.

This report was supported by the National Council for Mental Wellbeing’s Center of Excellence for Integrated Health Solutions and funded by a grant award from the Substance Abuse and Mental Health Services Administration and managed by the National Council for Mental Wellbeing. The views, opinions and content expressed in this presentation do not necessarily reflect the views, opinions or policies of the Center for Mental Health Services, the Substance Abuse and Mental Health Services Administration or the U.S. Department of Health and Human Services.