Putting the "M" back in maternal-fetal medicine

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine

Background:

• Maternal death rates in the US have stagnated for 30 years.
• Severe maternal morbidity is increasing, impacting many pregnant individuals.
• Contributing factors include rising maternal age, obesity, cesarean deliveries, and pre-existing medical conditions.

Purpose of the Study:

• To outline recommendations for maternal-fetal medicine (MFM) subspecialists to address rising maternal mortality and morbidity.
• To re-emphasize the critical role of MFM specialists in managing complex obstetrical cases.
• To propose strategies for enhancing MFM education, standardizing care, and filling research gaps.

Main Methods:

• This article presents initial recommendations based on expert consensus.
• Focuses on educational enhancement, national standard development, and research gap identification.
• Proposes a leadership role for MFM subspecialists in national maternal health initiatives.

Main Results:

• The article outlines a strategic approach for MFM subspecialists to lead efforts in reducing maternal mortality and morbidity.
• Identifies key areas for improvement in MFM education and training.
• Highlights the need for national standards in maternal care and management.

Conclusions:

• MFM subspecialists are uniquely positioned to lead a national initiative to decrease maternal mortality and morbidity.
• Enhancing MFM education, establishing national standards, and addressing research gaps are crucial steps.
• A coordinated effort is essential to improve complex obstetrical care and outcomes for pregnant individuals.