Developing a multimodal maternal infant perinatal outpatient delivery system: the MOMI PODS program

Area of Science:

• Maternal Child Health
• Primary Care
• Public Health

Background:

• Postpartum follow-up is critical for managing pregnancy complications but remains low.
• Poor linkage to primary care post-delivery hinders maternal morbidity risk mitigation.
• Existing healthcare structures often lack integrated postpartum support.

Purpose of the Study:

• To implement and evaluate the Multimodal Maternal Infant Perinatal Outpatient Delivery System (MOMI PODS).
• To improve primary care linkage and community resource access for postpartum individuals.
• To mitigate maternal morbidity risk factors in postpartum individuals with chronic disease or pregnancy complications, focusing on publicly insured populations.

Main Methods:

• Designed a collaborative clinical program integrating internal medicine/pediatric, family medicine, and obstetric clinicians.
• Established stakeholders, identified best practices, and developed training materials.
• Implemented and evaluated clinic enrollment, provider capacity, care consistency, scheduling, and data tracking.

Main Results:

• The MOMI PODS program demonstrates an innovative approach to integrating outpatient postpartum care.
• Challenges included provider capacity, consistent care, scheduling, and data tracking, with mitigation strategies developed.
• The program shows significant promise for improving healthcare utilization and promoting postpartum health.

Conclusions:

• MOMI PODS effectively integrates outpatient postpartum care into pediatric structures, increasing access.
• This novel approach shows potential to improve maternal healthcare utilization and outcomes.
• Addressing implementation challenges is key to the program's sustained success and scalability.