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

Frontiers in Global Women's Health

Global Women's Health

Nikki Thomas¹  Shannon Gillespie²  Alicia Bunger³  Naleef Fareed⁴  Bethany Panchal⁵  Kristen L. Benninger⁶  Seuli Bose Brill⁷  Shengyi Mao⁷  Paola Flores⁷  Christiane Voisin⁷  Rachel D’Amico Gordon⁷  William Grobman⁸  Lisa A. Juckett⁹  Allison Lorenz^1,10 

[1] Center for the Advancement of Team Science, Analytics, and Systems Thinking, The Ohio State University, Columbus, OH, United States;College of Nursing, The Ohio State University, Columbus, OH, United States;College of Social Work, The Ohio State University, Columbus, OH, United States;Department of Biomedical Informatics, The Ohio State University, Columbus, OH, United States;Department of Family and Community Medicine, The Ohio State University College of Medicine, Columbus, OH, United States;Department of Neonatology, Nationwide Children’s Hospital, Columbus, OH, United States;Division of General Internal Medicine, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, OH, United States;Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH, United States;Division of Occupational Therapy, School of Health and Rehabitiation Sciences, The Ohio State University College of Medicine, Columbus, OH, United States;Ohio Colleges of Medicine Government Resource Center, The Ohio State University, Columbus, OH, United States;

关键词: maternal health;    primary care;    transition of care;    implementation;    preventive care;    infrastructure;    postpartum;   

DOI  :  10.3389/fgwh.2023.1232662

 received in 2023-06-07, accepted in 2023-09-11,  发布年份 2023

来源: Frontiers

【 摘 要 】

Progress in maternal child health has been hampered by poor rates of outpatient follow up for postpartum individuals. Primary care after delivery can effectively detect and treat several pregnancy-related complications and comorbidities, but postpartum linkage to primary care remains low. In this manuscript, we share the experience of implementing a novel mother-infant dyad program, the Multimodal Maternal Infant Perinatal Outpatient Delivery System (MOMI PODS), to improve primary care linkage and community resource access postpartum via integration into pediatric care structures. With a focus on providing care for people who are publicly insured, we designed a program to mitigate maternal morbidity risk factors in postpartum individuals with chronic disease or pregnancy complications. We discuss the systematic process of designing, executing, and evaluating a collaborative clinical program with involvement of internal medicine/pediatric, family medicine, and obstetric clinicians via establishing stakeholders, identifying best practices, drawing from the evidence base, designing training and promotional materials, training partners and providers, and evaluating clinic enrollment. We share the challenges encountered such as in achieving sufficient provider capacity, consistent provision of care, scheduling, and data tracking, as well as mitigation strategies to overcome these barriers. Overall, MOMI PODS is an innovative approach that integrates outpatient postpartum care into traditional pediatric structures to increase access, showing significant promise to improve healthcare utilization and promote postpartum health.

【 授权许可】

Unknown   
© 2023 Bose Brill, Juckett, D'Amico Gordon, Thomas, Bunger, Fareed, Voisin, Flores, Mao, Benninger, Grobman, Panchal, Gillespie and Lorenz.