Maternal Mental Health: Strategies to Address Societal and Structural Challenges

Issue: Mental health disorders among pregnant and postpartum women are on the rise, yet many women do not seek or receive treatment due to numerous barriers. Those receiving care often get an inconsistent message about preventative measures or whether to continue psychiatric medications during pregnancy. Untreated mental illness among mothers can have profound consequences for…

Maternal Mortality Review Committees: State Laws and Policies

Last Updated September 2023 Some states first established maternal mortality review committees (MMRCs) to investigate deaths related to pregnancy in the early 20th century, when rates were the highest on record. These jurisdictions reviewed deaths in an effort to understand why many women died in childbirth and to respond to poor medical practices and inadequate care…

State Medicaid Approaches to Doula Service Benefits

Maternal mortality rates continue to increase in the United States, with significant racial, ethnic, and socioeconomic disparities in birth outcomes. States are using a variety of approaches to provide doula services within their Medicaid programs to address inequities. Doulas provide continuous physical, emotional, and information support to people before, during, and shortly after childbirth. Current evidence suggests that pregnant…

Pregnancy, Parenting, And Prison: The Dire Need For Reform In The Post-Dobbs Era

In the past 40 years, the number of women in prisons and jails in the United States has skyrocketed. Between 1980 and 2021, the percentage of incarcerated women increased by more than 525 percent, outpacing rates of incarcerated men during this time period. The most recent data from the Bureau of Justice Statistics shows yet another increase, with…

Perinatal Cannabis Use in the Era of Increasing Legalization: Considerations for State MCH Programs

Approximately one in 20 people report using cannabis while pregnant, making it the most used federally illicit substance by pregnant people in the U.S., according to SAMSHA. The potential harms of perinatal cannabis use to maternal, fetal, and newborn health are well-documented. This publication is intended as a resource for state MCH professionals in designing…

Case Studies: How Tennessee and California Medicaid Programs Promote Access to Postpartum Long-Acting Reversible Contraception

Increasing women’s access to postpartum birth control has the potential to increase the health and well-being of women and their families, and immediate postpartum birth control can lead to a decrease in unplanned pregnancies, increased intervals between pregnancies, and a reduction in neonatal abstinence syndrome births (from drug exposure in the womb). Tennessee and California…