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Case · 37

Birth Equity (Pregnant & Postpartum SMI/SUD)

Preeclampsia caught early — mother and baby home together

Member

Tanisha

Service line

Birth Equity (Pregnant & Postpartum SMI/SUD)

Location

Contra Costa County, CA

Duration

Prenatal to 12 months postpartum

01 —

The outcome

A 29-year-old Black birthing person with a prior severe preeclampsia history was screened, monitored, and hospitalized at the right moment — delivering a healthy baby at 37 weeks with no ICU stay.

0 ICU days

Headline result for Tanisha.

37 wks

Gestational age at delivery

Full-term vs. 32 weeks in prior pregnancy.

0

NICU days

Down from 21 in prior pregnancy.

0

ICU days for mother

vs. 3-day ICU stay previously.

12 mo

Postpartum retention

Continuous engagement to the 1-year mark.

02 —

Background

Where the member started.

Tanisha entered pregnancy with a history of severe preeclampsia in her prior delivery, which had ended in an emergency C-section at 32 weeks and a 3-week NICU stay for her first child.

In their words —

“Last time I felt like I was fighting the system while I was pregnant. This time the system was fighting for me.”

— Tanisha, Birth Equity Member

03 —

The challenge

What stood in the way.

  1. 01

    3–4× higher maternal mortality risk as a Black birthing person in California.

  2. 02

    Prior severe preeclampsia with early-preterm delivery.

  3. 03

    Long commute to the assigned MFM clinic.

  4. 04

    Perinatal anxiety symptoms elevated at intake.

04 —

Our approach

How we built the plan.

Move 01

Culturally-matched perinatal Lead Care Manager from intake through 12 months postpartum.

Move 02

Home blood-pressure monitoring with weekly readings to her OB and MFM.

Move 03

Behavioral health integrated into every trimester touchpoint.

05 —

The solution

Step by step, what we actually did.

  1. 01

    Trimester 1 — Risk stratification

    Comprehensive assessment, low-dose aspirin initiated per ACOG guideline, and MFM co-management arranged.

  2. 02

    Trimester 2 — Monitoring cadence

    Home BP cuff placed; weekly readings triaged; medically-tailored meal delivery for cardiovascular support.

  3. 03

    Trimester 3 — Early intervention

    Rising BP trend caught at 36 weeks; planned admission at 37 weeks; vaginal delivery without complications.

  4. 04

    Postpartum — 12-month follow

    Home visits at weeks 1, 2, 6, and month 3; PPD screening at every visit; lactation and infant care support.

06 —

Services involved

The full network on this case.

Perinatal Enhanced Care ManagementCommunity Supports — Medically-Tailored MealsPerinatal Behavioral HealthHome Visiting + Lactation Support

Next —

More stories

Other members, other outcomes.

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