How the Safe Baby Safe Moms program transforms maternal and child health

In a recent interview with Contemporary OB/GYN, Angela D. Thomas, DrPH, MPH, MBA, vice president of health care delivery research at MedStar Health discussed the Safe Baby Safe Moms program.

Initiated in April 2020 with funding from the A. James and Alice B. Clark Foundation, the program aims to improve maternal and child health outcomes, particularly in the District of Columbia. It focuses on families receiving care at MedStar Washington Hospital Center, collaborating with interdisciplinary teams and community partners such as Community of Hope and Mamatoto Village.

The initiative addresses maternal and child health through 5 key time points: pre-conception, prenatal care, childbirth, postpartum, and early childhood, defined as 0 to 3 years. Across these stages, screenings for social determinants of health, behavioral health needs, and tailored care coordination are implemented. Examples include addressing pre-conception health risks such as hypertension, prenatal clinical bundles for conditions such as gestational diabetes, immediate postpartum practices such as skin-to-skin contact, and comprehensive follow-ups during early childhood.

With over 70 interventions, the program integrates innovative approaches such as medical-legal partnerships to resolve health-related legal issues. For example, it helps families address unsafe housing conditions, such as mold, that exacerbate asthma or ensures workplace protections for pregnant individuals facing discrimination.

The program also prioritizes reducing disparities in maternal and child health outcomes, especially for Black birthing individuals. Research and data analysis are integral to this effort. MedStar's implementation scientists and health equity researchers analyze over 50 extensive process metrics such as screening rates for social and behavioral health needs. Year 4 results showed improved outcomes for those receiving Safe Baby Safe Moms care, including reduced rates of low birth weight, preterm birth, cesarean sections, and postpartum readmissions. Notably, Black birthing individuals experienced better outcomes compared to those outside the program and even White individuals not enrolled.

Now nearing the end of its initial 5-year period, the program plans for sustainability, continuing its mission to enhance maternal and child health equity.

This video is part 1 of a 2-part series. Check back tomorrow for part 2.