100 weeks – Better Postpartum Care by 2030 postpartum care, usofcare, united states of care, maternal heatlh, black maternal health

Better Postpartum Care by 2030

We can improve maternal health in this country.

By 2030, women will have access to the postpartum coverage and benefits that they need for a full year following their pregnancy. This targeted change is possible, yet to realize our vision we need your help.

The 100 Weeks Project

Maternal health transcends the traditional 40-week marker.

It doesn’t capture the conscious choice to have a baby. Nor the pain of trying, but not being able to conceive. It can’t possibly recognize the anxiety that creeps up knowing the mortality rates for mothers of color and the fear of bringing a child into this world. Forty weeks doesn’t consider the doubts and questions – is her doctor giving her the highest level of care she needs, or ignoring her pain? And after the baby is born, forty weeks doesn’t capture the nearly endless streams of worries and questions in the weeks and months that follow: Should I be feeling this way? Is it okay for me to reach out to my doctor with these questions or is their job done? How much will that cost?

Forty weeks doesn’t capture the time before getting pregnant, the experiences during pregnancy, labor and delivery, nor the time after giving birth.

The Goal

What Happens to a New Mom After Giving Birth?

Our health care system isn’t set up to support postpartum care: health care coverage is fragmented and there is no systematic effort underway to ensure women are getting the care they need after pregnancy. Through our work, we aim to create solutions that ensure every pregnant woman has access to and coverage of postpartum care services regardless of health care coverage.

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The 100 Weeks Project is United States of Care's groundbreaking initiative dedicated to revolutionizing postpartum care over the next five years. This ambitious program aims to ensure every new mother receives the essential care and support she needs during the critical postpartum period (Up to one year after pregnancy).

takes into account a mother’s entire pregnancy journey, inclusive of the postpartum period, so that we can begin to see movement on this country’s dismal maternal mortality rates.

The 100 Weeks Project

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Access to Postpartum Information

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Number of women aged 15-49* - 1,143,118 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1140 Doula counts (by state)2 - 17 Number of certified lactation consultant (by state)3 - 179 Total number of Perinatal health workers - 1336 Number of Perinatal health workers per 10,000 women age 15-49 - 12

Alabama

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Diagnosed w/PPD illness1 - 18.7%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Alabama

United States of Care

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - 90.7%PPD screening postpartum visit3 - 94.2%

Alaska

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Arizona

Diagnosed w/PPD illness1 - 19.7%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Arkansas

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

California

Diagnosed w/PPD illness1 - 11.4%PPD screening at prenatal visit2 - 82.5%PPD screening postpartum visit3 - 93%

Colorado

Diagnosed w/PPD illness1 - 11.9%PPD screening at prenatal visit2 - 73.5%PPD screening postpartum visit3 - 89.8%

Connecticut

Diagnosed w/PPD illness1 - 9.7%PPD screening at prenatal visit2 - 85.1%PPD screening postpartum visit3 - 88.7%

Delaware

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Florida

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

North Carolina

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

South Carolina

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Indiana

Diagnosed w/PPD illness - N/APPD screening at prenatal visit - N/APPD screening postpartum visit - N/A

Ohio

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Maryland

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

New Hampshire

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - 83.9%PPD screening postpartum visit3 - 91.8%

Rhode Island

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Idaho

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Nevada

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Texas

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Iowa

Diagnosed w/PPD illness1 - 10.5%PPD screening at prenatal visit2 - 79.1%PPD screening postpartum visit3 - 85.8%

Georgia

Diagnosed w/PPD illness1 - 14.4%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Hawaii

Diagnosed w/PPD illness1 - 11.9%PPD screening at prenatal visit2 - 82.2%PPD screening postpartum visit3 - 91.7%

Illinois

Diagnosed w/PPD illness1 - 15.1%PPD screening at prenatal visit2 - 77.9%PPD screening postpartum visit3 - 85.2%

Kansas

Diagnosed w/PPD illness1 - N/APPD screening at prenatal visit2 - 69.7%PPD screening postpartum visit3 - 85.4%

Kentucky

Diagnosed w/PPD illness1 - 12.1%PPD screening at prenatal visit2 - 70.8%PPD screening postpartum visit3 - 75%

Louisiana

Diagnosed w/PPD illness1 - 12.3%PPD screening at prenatal visit2 - 90.5%PPD screening postpartum visit3 - 95.5%

Maine

Diagnosed w/PPD illness1 - 10.4%PPD screening at prenatal visit2 - 82.7%PPD screening postpartum visit3 - 93.3%

Massachusetts

Diagnosed w/PPD illness1 - 16.5%PPD screening at prenatal visit2 - 83.4%PPD screening postpartum visit3 - 88.6%

Michigan

Diagnosed w/PPD illness1 - 11.3%PPD screening at prenatal visit2 - 90.6%PPD screening postpartum visit3 - 95.9%

Minnesota

Diagnosed w/PPD illness1 - 20.8%PPD screening at prenatal visit2 - 69.4%PPD screening postpartum visit3 - 76.9%

Mississippi

Diagnosed w/PPD illness1 - 11.9%PPD screening at prenatal visit2 - 77.9%PPD screening postpartum visit3 - 85.2%

Missouri

Diagnosed w/PPD illness1 - 13.2%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Montana

Diagnosed w/PPD illness1 - 12%PPD screening at prenatal visit2 - 86.3%PPD screening postpartum visit3 - 89.8%

Nebraska

Diagnosed w/PPD illness1 - 10.6%PPD screening at prenatal visit2 - 71.6%PPD screening postpartum visit3 - 84.8%

New Jersey

Diagnosed w/PPD illness1 - 12.4%PPD screening at prenatal visit2 - 89.1%PPD screening postpartum visit3 - 93.7%

New Mexico

Diagnosed w/PPD illness1 - 11.6%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - 84.2%

New York

Diagnosed w/PPD illness1 - 13.2%PPD screening at prenatal visit2 - 89.6%PPD screening postpartum visit3 - 94.1%

North Dakota

Diagnosed w/PPD illness - 16.1%PPD screening at prenatal visit - N/APPD screening postpartum visit - N/A

Oklahoma

Diagnosed w/PPD illness1 - 12.5%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Oregon

Diagnosed w/PPD illness1 - 11.6%PPD screening at prenatal visit2 - 81.4%PPD screening postpartum visit3 - 90.7%

Pennsylvania

Diagnosed w/PPD illness1 - 11.1%PPD screening at prenatal visit2 - 87.1%PPD screening postpartum visit3 - 95%

South Dakota

Diagnosed w/PPD illness1 - 13%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Tennessee

Diagnosed w/PPD illness1 - 16.5%PPD screening at prenatal visit2 - 69.5%PPD screening postpartum visit3 - 87.3%

Utah

Diagnosed w/PPD illness1 - 8.7%PPD screening at prenatal visit2 - 89.6%PPD screening postpartum visit3 - 96.2%

Vermont

Diagnosed w/PPD illness1 - 11.4%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Virginia

Diagnosed w/PPD illness1 - 11.6%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Washington

Diagnosed w/PPD illness1 - 11.5%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

West Virginia

Diagnosed w/PPD illness1 - 12%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Wisconsin

Diagnosed w/PPD illness1 - 17.4%PPD screening at prenatal visit2 - N/APPD screening postpartum visit3 - N/A

Wyoming

Number of women aged 15-49* - 163,121 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 272 Doula counts (by state)2 - 3 Number of certified lactation consultant (by state)3 - 95 Total number of Perinatal health workers - 370 Number of Perinatal health workers per 10,000 women age 15-49 - 23

Alaska

Number of women aged 15-49* - 1,637,098 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1795 Doula counts (by state)2 - 36 Number of certified lactation consultant (by state)3 - 346 Total number of Perinatal health workers - 2177 Number of Perinatal health workers per 10,000 women age 15-49 - 13

Arizona

Number of women aged 15-49* - 677,271 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 613 Doula counts (by state)2 - 6 Number of certified lactation consultant (by state)3 - 104 Total number of Perinatal health workers - 723 Number of Perinatal health workers per 10,000 women age 15-49 - 11

Arkansas

Number of women aged 15-49* - 9,124,204 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 11568 Doula counts (by state)2 - 361 Number of certified lactation consultant (by state)3 - 2497 Total number of Perinatal health workers - 14426 Number of Perinatal health workers per 10,000 women age 15-49 - 16

California

Number of women aged 15-49* - 1,380,866 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1951 Doula counts (by state)2 - 36 Number of certified lactation consultant (by state)3 - 400 Total number of Perinatal health workers - 2387 Number of Perinatal health workers per 10,000 women age 15-49 - 17

Colorado

Number of women aged 15-49* - 804,136 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1657 Doula counts (by state)2 - 43 Number of certified lactation consultant (by state)3 - 220 Total number of Perinatal health workers - 1920 Number of Perinatal health workers per 10,000 women age 15-49 - 24

Connecticut

Number of women aged 15-49* - 216,513 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 297 Doula counts (by state)2 - 7 Number of certified lactation consultant (by state)3 - 64 Total number of Perinatal health workers - 368 Number of Perinatal health workers per 10,000 women age 15-49 - 17

Delaware

Number of women aged 15-49* - 4,695,524 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 5853 Doula counts (by state)2 - 80 Number of certified lactation consultant (by state)3 - 674 Total number of Perinatal health workers - 6607 Number of Perinatal health workers per 10,000 women age 15-49 - 14

Florida

Number of women aged 15-49* - 2,599,616 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 3341 Doula counts (by state)2 - 49 Number of certified lactation consultant (by state)3 - 439 Total number of Perinatal health workers - 3829 Number of Perinatal health workers per 10,000 women age 15-49 - 15

Georgia

Number of women aged 15-49* - 302,734 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 547 Doula counts (by state)2 - 6 Number of certified lactation consultant (by state)3 - 90 Total number of Perinatal health workers - 643 Number of Perinatal health workers per 10,000 women age 15-49 - 21

Hawaii

Number of women aged 15-49* - 436,965 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 369 Doula counts (by state)2 - 22 Number of certified lactation consultant (by state)3 - 114 Total number of Perinatal health workers - 505 Number of Perinatal health workers per 10,000 women age 15-49 - 12

Idaho

Number of women aged 15-49* - 2,852,991 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 4203 Doula counts (by state)2 - 79 Number of certified lactation consultant (by state)3 - 615 Total number of Perinatal health workers - 4897 Number of Perinatal health workers per 10,000 women age 15-49 - 17

Illinois

Number of women aged 15-49* - 1,530,011 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1697 Doula counts (by state)2 - 29 Number of certified lactation consultant (by state)3 - 428 Total number of Perinatal health workers - 2154 Number of Perinatal health workers per 10,000 women age 15-49 - 14

Indiana

Number of women aged 15-49* - 693,875 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 654 Doula counts (by state)2 - 13 Number of certified lactation consultant (by state)3 - 147 Total number of Perinatal health workers - 814 Number of Perinatal health workers per 10,000 women age 15-49 - 12

Iowa

Number of women aged 15-49* - 649,589 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 709 Doula counts (by state)2 - 13 Number of certified lactation consultant (by state)3 - 202 Total number of Perinatal health workers - 924 Number of Perinatal health workers per 10,000 women age 15-49 - 14

Kansas

Number of women aged 15-49* - 988,972 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1141 Doula counts (by state)2 - 10 Number of certified lactation consultant (by state)3 - 162 Total number of Perinatal health workers - 1313 Number of Perinatal health workers per 10,000 women age 15-49 - 13

Kentucky

Number of women aged 15-49* - 1,043,544 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1558 Doula counts (by state)2 - 6 Number of certified lactation consultant (by state)3 - 186 Total number of Perinatal health workers - 1750 Number of Perinatal health workers per 10,000 women age 15-49 - 17

Louisiana

Number of women aged 15-49* - 282,427 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 430 Doula counts (by state)2 - 18 Number of certified lactation consultant (by state)3 - 104 Total number of Perinatal health workers - 552 Number of Perinatal health workers per 10,000 women age 15-49 - 20

Maine

Number of women aged 15-49* - 1,395,676 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 2442 Doula counts (by state)2 - 74 Number of certified lactation consultant (by state)3 - 414 Total number of Perinatal health workers - 2930 Number of Perinatal health workers per 10,000 women age 15-49 - 21

Maryland

Number of women aged 15-49* - 1,610,759 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 2714 Doula counts (by state)2 - 84 Number of certified lactation consultant (by state)3 - 430 Total number of Perinatal health workers - 3228 Number of Perinatal health workers per 10,000 women age 15-49 - 20

Massachusetts

Number of women aged 15-49* - 2,176,561 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 3177 Doula counts (by state)2 - 38 Number of certified lactation consultant (by state)3 - 452 Total number of Perinatal health workers - 3667 Number of Perinatal health workers per 10,000 women age 15-49 - 17

Michigan

Number of women aged 15-49* - 1,255,719 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1799 Doula counts (by state)2 - 44 Number of certified lactation consultant (by state)3 - 380 Total number of Perinatal health workers - 2223 Number of Perinatal health workers per 10,000 women age 15-49 - 18

Minnesota

Number of women aged 15-49* - 669,121 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 690 Doula counts (by state)2 - 3 Number of certified lactation consultant (by state)3 - 85 Total number of Perinatal health workers - 778 Number of Perinatal health workers per 10,000 women age 15-49 - 12

Mississippi

Number of women aged 15-49* - 1,368,368 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1715 Doula counts (by state)2 - 31 Number of certified lactation consultant (by state)3 - 333 Total number of Perinatal health workers - 2079 Number of Perinatal health workers per 10,000 women age 15-49 - 15

Missouri

Number of women aged 15-49* - 239,382 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 287 Doula counts (by state)2 - 3 Number of certified lactation consultant (by state)3 - 59 Total number of Perinatal health workers - 349 Number of Perinatal health workers per 10,000 women age 15-49 - 15

Montana

Number of women aged 15-49* - 435,512 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 513 Doula counts (by state)2 - 7 Number of certified lactation consultant (by state)3 - 146 Total number of Perinatal health workers - 666 Number of Perinatal health workers per 10,000 women age 15-49 - 15

Nebraska

Number of women aged 15-49* - 719,713 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 687 Doula counts (by state)2 - 9 Number of certified lactation consultant (by state)3 - 83 Total number of Perinatal health workers - 779 Number of Perinatal health workers per 10,000 women age 15-49 - 11

Nevada

Number of women aged 15-49* - 2,039,450 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 3110 Doula counts (by state)2 - 91 Number of certified lactation consultant (by state)3 - 448 Total number of Perinatal health workers - 3649 Number of Perinatal health workers per 10,000 women age 15-49 - 18

New Jersey

Number of women aged 15-49* - 290,658 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 483 Doula counts (by state)2 - 21 Number of certified lactation consultant (by state)3 - 92 Total number of Perinatal health workers - 596 Number of Perinatal health workers per 10,000 women age 15-49 - 21

New Hampshire

Number of women aged 15-49* - 464,654 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 640 Doula counts (by state)2 - 4 Number of certified lactation consultant (by state)3 - 123 Total number of Perinatal health workers - 767 Number of Perinatal health workers per 10,000 women age 15-49 - 17

New Mexico

Number of women aged 15-49* - 4,457,006 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 7795 Doula counts (by state)2 - 201 Number of certified lactation consultant (by state)3 - 973 Total number of Perinatal health workers - 8969 Number of Perinatal health workers per 10,000 women age 15-49 - 20

New York

Number of women aged 15-49* - 2,483,121 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 3210 Doula counts (by state)2 - 96 Number of certified lactation consultant (by state)3 - 685 Total number of Perinatal health workers - 3991 Number of Perinatal health workers per 10,000 women age 15-49 - 16

North Carolina

Number of women aged 15-49* - 172,587 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 196 Doula counts (by state)2 - 1 Number of certified lactation consultant (by state)3 - 28 Total number of Perinatal health workers - 225 Number of Perinatal health workers per 10,000 women age 15-49 - 13

North Dakota

Number of women aged 15-49* - 2,567,828 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 3500 Doula counts (by state)2 - 71 Number of certified lactation consultant (by state)3 - 614 Total number of Perinatal health workers - 4185 Number of Perinatal health workers per 10,000 women age 15-49 - 16

Ohio

Number of women aged 15-49* - 911,644 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 804 Doula counts (by state)2 - 8 Number of certified lactation consultant (by state)3 - 204 Total number of Perinatal health workers - 1016 Number of Perinatal health workers per 10,000 women age 15-49 - 11

Oklahoma

Number of women aged 15-49* - 960,141 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1505 Doula counts (by state)2 - 85 Number of certified lactation consultant (by state)3 - 452 Total number of Perinatal health workers - 2024 Number of Perinatal health workers per 10,000 women age 15-49 - 21

Oregon

Number of women aged 15-49* - 2,804,185 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 4057 Doula counts (by state)2 - 94 Number of certified lactation consultant (by state)3 - 613 Total number of Perinatal health workers - 4764 Number of Perinatal health workers per 10,000 women age 15-49 - 17

Pennsylvania

Number of women aged 15-49* - 246,284 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 458 Doula counts (by state)2 - 18 Number of certified lactation consultant (by state)3 - 50 Total number of Perinatal health workers - 526 Number of Perinatal health workers per 10,000 women age 15-49 - 21

Rhode Island

Number of women aged 15-49* - 1,169,623 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1396 Doula counts (by state)2 - 29 Number of certified lactation consultant (by state)3 - 220 Total number of Perinatal health workers - 1645 Number of Perinatal health workers per 10,000 women age 15-49 - 14

South Carolina

Number of women aged 15-49* - 191,168 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 224 Doula counts (by state)2 - 1 Number of certified lactation consultant (by state)3 - 38 Total number of Perinatal health workers - 263 Number of Perinatal health workers per 10,000 women age 15-49 - 14

South Dakota

Number of women aged 15-49* - 1,598,739 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 2032 Doula counts (by state)2 - 25 Number of certified lactation consultant (by state)3 - 262 Total number of Perinatal health workers - 2319 Number of Perinatal health workers per 10,000 women age 15-49 - 15

Tennessee

Number of women aged 15-49* - 7,214,941 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 7774 Doula counts (by state)2 - 119 Number of certified lactation consultant (by state)3 - 1242 Total number of Perinatal health workers - 9135 Number of Perinatal health workers per 10,000 women age 15-49 - 13

Texas

Number of women aged 15-49* - 842,091 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 846 Doula counts (by state)2 - 19 Number of certified lactation consultant (by state)3 - 132 Total number of Perinatal health workers - 997 Number of Perinatal health workers per 10,000 women age 15-49 - 12

Utah

Number of women aged 15-49* - 137,539 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 285 Doula counts (by state)2 - 6 Number of certified lactation consultant (by state)3 - 84 Total number of Perinatal health workers - 375 Number of Perinatal health workers per 10,000 women age 15-49 - 27

Vermont

Number of women aged 15-49* - 1,978,978 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 2651 Doula counts (by state)2 - 100 Number of certified lactation consultant (by state)3 - 656 Total number of Perinatal health workers - 3407 Number of Perinatal health workers per 10,000 women age 15-49 - 17

Virginia

Number of women aged 15-49* - 1,786,627 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 2039 Doula counts (by state)2 - 286 Number of certified lactation consultant (by state)3 - 608 Total number of Perinatal health workers - 2933 Number of Perinatal health workers per 10,000 women age 15-49 - 16

Washington

Number of women aged 15-49* - 365,994 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 440 Doula counts (by state)2 - 4 Number of certified lactation consultant (by state)3 - 62 Total number of Perinatal health workers - 506 Number of Perinatal health workers per 10,000 women age 15-49 - 14

West Virginia

Number of women aged 15-49* - 1,269,086 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 1540 Doula counts (by state)2 - 31 Number of certified lactation consultant (by state)3 - 343 Total number of Perinatal health workers - 1914 Number of Perinatal health workers per 10,000 women age 15-49 - 15

Wisconsin

Number of women aged 15-49* - 124,653 OBGYNs, nurses & midwives specializing in obstetrics or neonatal care (demographic data by state)1 - 134 Doula counts (by state)2 - 3 Number of certified lactation consultant (by state)3 - 23 Total number of Perinatal health workers - 160 Number of Perinatal health workers per 10,000 women age 15-49 - 13

Wyoming

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Arizona

Alaska

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Alabama

Coverage of Postpartum Services and Benefits

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 In Process Insurance coverage benefits - Medicaid coverage for home visits7 Covered as DRG/Global Fee Component

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 In Process Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 Covered as DRG/Global Fee Component

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 In Process Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Covered as DRG/Global Fee Component States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 Covered as DRG/Global Fee Component

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 In Process Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Covered as DRG/Global Fee Component States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 In Process Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 In Process Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 In Process Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 In Process Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Not Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 In Process Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) No Coverage States expanding private coverage of doula care.4 In Process Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 Covered as DRG/Global Fee Component

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 Considering Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Covered as DRG/Global Fee Component Outpatient (OP) Separate States expanding private coverage of doula care.4 Considering Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 In Process Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 Covered Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 In Process Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) No Coverage States expanding private coverage of doula care.4 Covered Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 In Process Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) No Coverage Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Not Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 In Process Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Covered Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 In Proceess Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 #N/A Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 #N/A Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Limited Coverage Extention8 Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 Taking Adjacent Efforts Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) Separate Payment States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

Medicaid expansion status1 Not Adopted Medicaid Postpartum Coverage Extension to 12 months2 Adopted Insurance coverage benefits - postpartum doula coverage reimbursement under Medicaid (by Medicaid insurance payer per state)3 No Action Insurance coverage benefits - lactation consultant reimbursement under Medicaid (by Medicaid insurance payer per state)5,6 Inpatient (IP) Separate Payment Outpatient (OP) No Coverage States expanding private coverage of doula care.4 No Action Insurance coverage benefits - Medicaid coverage for home visits7 No Coverage

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Wyoming

Wisconsin

West Virginia

Washington

Virginia

Vermont

Utah

Texas

Tennessee

South Dakota

South Carolina

Rhode Island

Pennsylvania

Oregon

Oklahoma

Ohio

North Dakota

North Carolina

New York

New Mexico

New Jersey

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Nevada

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Montana

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Arizona

Alaska

Alabama

Let Stage Pregnancy Loss

Stillbirth Rates* (averages by state, number per 1,000 live births) - 8.4

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.7

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.9

Stillbirth Rates* (averages by state, number per 1,000 live births) - 8.9

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.2

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.3

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.4

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.5

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.9

Stillbirth Rates* (averages by state, number per 1,000 live births) - 8.2

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.5

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.4

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.6

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.0

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.6

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.7

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.3

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.6

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.4

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.8

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.2

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.9

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.4

Stillbirth Rates* (averages by state, number per 1,000 live births) - 10.6

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.2

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.1

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.3

Stillbirth Rates* (averages by state, number per 1,000 live births) - 7.7

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.6

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.7

Stillbirth Rates* (averages by state, number per 1,000 live births) - 3.5

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.4

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.8

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.0

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.7

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.3

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.1

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.2

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.5

Stillbirth Rates* (averages by state, number per 1,000 live births) - Missing Data

Stillbirth Rates* (averages by state, number per 1,000 live births) - 6.6

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.0

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.1

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.2

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.9

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.4

Stillbirth Rates* (averages by state, number per 1,000 live births) - 4.6

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.2

Stillbirth Rates* (averages by state, number per 1,000 live births) - 5.0

Sources 1 Postpartum depression (PPD) illness (self reported) Data from PRAMS survey 2021, N = 35877 (for the question), Data type - Self-reported PPD symptoms (The births in the 50 jurisdictions that participate in PRAMS surveillance are 81% of all live births in the United States) 2 The data contains percentage of women who were asked about depression by their HCPs during Prenatal visitData from PRAMS survey 2018, N = 32,619 3 The data contains percentage of women who were asked about depression by their HCPs during Postpartum visitData from PRAMS survey 2018, N = 29,187

* CDC Wonder, 2022 Population defined as women of all races and ethnicities between 15-49. Disclaimer: materials Developed by CDC ATSDR and/or HHS and the use of these data including any links to the materials on the CDC, ATSDR or HHS websites, does not imply endorsement by CDC, ATSDR, HHS or the United States Government of you, your company, product, facility, service or enterprise. Material is otherwise available on the agency website for no charge. 1 Area Health Resources Files 2022-2023, Data type- No. of HCPs across specialities, per state;Data was calculated by the Sum of number of HCPs (including M.D.s specializing in Obstetrics and Gynecology, Nurses and Nurse Midwives with National Provider Identifier (NPI),Physicians practicing in Obstetrics and Gynecology and Physicians) specializing in Neonatal-Perinatal Medicine 2 DoulaMatch.net; data was compiled from the reported number of Postpartum doulas for each state 3 International Board of Lactation Consultant Examiners (IBLCE 2019); data was compiled from the reported number of Internationally Board certified Lactation Consultants in the U.S. & Territories

Sources

Darkest States that have the most coverage for postpartum services Next darkest states that have partial coverage for postpartum services Next lightest states that have minimal coverage for postpartum services Definitions *DRG/Global Fee Component = Diagnostic Related Grouping (DRG) is a payment model which categorizes hospitalizations and calculates insurance reimbursement based on diagnosis and patient circumstances. Global Fee Component is a payment model which gives providers a fixed payment to cover patient costs for a specified time. Definitions adapted from the Center for Medicare & Medicaid Services Classifications. Separate Payment = This category describes states which do not include the listed service in their global maternity fees or as part of office visits, but rather bill / reimburse them as separate services. Definition produced from information provided by KFF Medicaid Coverage of Pregnancy-Related Services 2021. In Process = This category describes states which have passed Medicaid reimbursement legislation, but the legislation has not yet been implemented. Definition produced from information provided by The National Health Law Program as of January 2024. Taking Adjacent Efforts = “Adjacent Efforts” are not a singular phenomenon, but rather a series of actions that are considered similar to Medicaid reimbursement benefits. These actions range from initiating doula pilot programs, forming perinatal health worker alliances / registries, and increasing advocacy efforts. Definition produced from information provided by The National Health Law Program as of January 2024. No action = This category describes states which have not enacted any legislation/ efforts toward Medicaid reimbursement nor expressed any intention to draft legislation based on information provided by The National Health Law Program as of January 2024. Sources 1 KFF Status of State Medicaid Expansion decisions; data compiled from the reported current scenario of states implementing/ not implementing Medicaid expansion to cover individuals with incomes up to 138% of the Federal Poverty Level as of May 8, 2024. 2 KFF Medicaid Postpartum Coverage Extension Tracker; data compiled from the reported current scenario of states considering/ implementing Section 1115 waivers to extend Medicaid Postpartum care coverage to 12 months as of August 1, 2024. 3 National Health Law Program 2024; data compiled from the reported Current scenario of postpartum doula coverage reimbursement under Medicaid as of map publication date. 4 National Health Law Program 2024; data compiled from the reported Current scenario of states considering expansion of private coverage of doula care as of map publication date. 5 KFF Medicaid Coverage of Pregnancy-Related Services 2021; data compiled from the reported Current scenario of coverage for Lactation Consultation Inpatient. 6 KFF Medicaid Coverage of Pregnancy-Related Services 2021; data compiled directly from the reported Current scenario of coverage for Lactation Consultation Outpatient. 7 KFF Medicaid Coverage of Pregnancy-Related Services 2021; data compiled directly from the Current scenario of coverage for Lactation Consultation Home Visit through Medicaid. 8 Wisconsin’s BadgerCare Plus program has expanded maternal Medicaid eligibility from 138% to 306% of the Federal Poverty Level (giving it the highest eligibility threshold in the US). However, Wisconsin has not adopted the Section 11152 waiver to postpartum care coverage from 60 days to 12 months. Winson’s proposed Senate Bill 110 would adopt the Section 11152 waiver but is currently awaiting further review.

*Source National Vital Statistics Reports 2020, data compiled from the reported Fetal Mortality rate at 20 weeks of gestation or more (number of fetal deaths per 1000 live births)

Key Contributors: ZS AssociatesVenice Haynes, PhDMariah Bridges VarnerAnnie YuCaitlin WestersonKristin Wikelius

Vision for Postpartum Care

The 100 Weeks Project

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Wyoming

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Wisconsin

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West Virginia

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Washington

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Virginia

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Vermont

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Utah

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Texas

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Tennessee

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South Dakota

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South Carolina

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Rhode Island

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Pennsylvania

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Oregon

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Oklahoma

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Ohio

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North Dakota

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North Carolina

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New York

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New Mexico

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New Jersey

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New Hampshire

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Nevada

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Nebraska

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Montana

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Missouri

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Mississippi

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Minnesota

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Michigan

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Massachusetts

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Maryland

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Maine

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Louisiana

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Kentucky

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Kansas

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Iowa

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Indiana

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Illinois

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Idaho

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Hawaii

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Georgia

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Florida

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Delaware

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Connecticut

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Colorado

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California

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Arkansas

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Arizona

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Alaska

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Alabama

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Home

home

Journey Map

Journey map

State of Postpartum care

Employer impact Collaborative

employer impact Collaborative

resources

Resources

Home

home

Journey Map

Journey map

State of Postpartum care

Vision for Postpartum Care

resources

Resources

We envision a health care system where postpartum women receive personalized care, comprehensive care, and understandable care that empowers them to have a joyful postpartum experience.

Our vision, informed by listening sessions with women, research, and expert discussions, outlines the essential components of postpartum care that every woman should receive, regardless of her insurance coverage. This vision is ambitious, yet it focuses on actionable changes within the health care system, providing a clear path to improved outcomes for postpartum women nationwide.

The Current Challenges

Despite the availability of services like doulas and home visits, many women struggle to access them due to cost, coverage gaps, and lack of awareness. Our comprehensive vision focuses on providing personalized, whole-person care to address physical, mental, and social needs during the postpartum period.

Download the Vision for Postpartum Care

executive summary

Checklist

Ongoing Provider Visits

Interdisciplinary Care Team

Postpartum Data Collection

Social Determinants of Health

Comprehensive Screenings Linked to Provider Referrals

Bring Care Home to Meet Women Where They Are

Full Range Contraceptive Resources

Oral Health

Programs Fostering Community

Breastfeeding Support

Postpartum Care Plans

By offering a clear, actionable roadmap, we aim to improve outcomes and experiences for postpartum women nationwide.

United States of Care

ISSUE BRIEF

Postpartum Care Insights, Experiences, and Bright Spots

The postpartum period is a critical chapter in the maternal health journey, impacting a woman’s1 health, well-being, and overall experience.

ISSUE BRIEF

Highlighting “Bright Spots” to Address Gaps in Maternal Health

Throughout 2023, USofCare engaged in conversations with Black women and other women of color to gather insights into the challenges they faced during their pregnancy journey, as well as what their ideal journey looked like.

ISSUE BRIEF

Trends in Maternal Health “Bright Spots”

Increased awareness of racial disparities has prompted many states and organizations to implement programs to improve maternal health outcomes for Black women.

ISSUE BRIEF

Birthing Bias: What We’ve Learned from Women of Color About Giving Birth in the U.S.

With the Black maternal mortality crisis continuing and health outcomes for women of color throughout the birthing experience still lagging behind those of white women, we leaned in on this issue and listened to the maternal health experiences of women of color across the nation.

ISSUE BRIEF

USofCare’s Listening Work on Maternal Health: Understanding the Pregnancy Experience of Women of Color

As we search for solutions to the maternal health crisis, we must center the voices of people affected most. By engaging in conversations with women of color about their maternal health experiences, we uncovered crucial insights into challenges within our current maternal health care system, and how we might make it right

ISSUE BRIEF

Black Maternal Health: The Disparity in Outcomes, Insights From Our Listening Work, and How We Can Find Solutions

With a bipartisan majority of Americans supporting improvements in maternal and newborn care and a robust advocacy network highlighting the impact this inequity has on our communities, the question remains — why has our health care system failed Black women so severely?

The 100 Weeks Project

ISSUE BRIEF

Maternal and Child Health Medicaid Policy Landscape & State Trends

USofCare presents our research on maternal health policy within Medicaid programs across all 50 states and DC; we focused specifically on Medicaid because it covers 45% of all births in the U.S.–playing such an important role in providing care to pregnant people.

ISSUE BRIEF

100 Weeks of Care for Black Maternal Health Key Overarching Insights

Uncover the current Black maternity journey in the United States to better understand gaps and inequities in maternity health care across the full 100- week journey span.

USofCare is proud to share resources based on our listening work and research that uncover how we can ensure everyone has a joyous birthing experience and a joyful, safe, and supported pregnancy.

TOOLKIT

USofCare's Black postpartum social media toolkit.

The purpose of this document is to supply our partners with impactful social media copy. The copy in this toolkit can be used verbatim if desired.

Home

home

Journey Map

Journey map

State of Postpartum care

Employer impact Collaborative

employer impact Collaborative

resources

Resources

POLICY SCAN

A Roadmap: Building a Path to Better Postpartum Care

Improving postpartum care requires a unified approach. We mapped 17 key national organizations to identify gaps, opportunities, and alignments, ensuring a more cohesive effort to enhance maternal health care.

PRESS RELEASE

United States of Care Launches Initiative to Expand Employer-based Coverage of Postpartum Care at Clinton Global Initiative

As part of the organization’s 100 Weeks Campaign, employers are called to commit to the “Vision for Postpartum Care” in order to better support women and strengthen the workforce.

REPORT

Our Vision establishes a comprehensive framework for the postpartum care that every women, regardless of her insurance coverage, should have access after pregnancy.

USofCare's Vision for Postpartum Care

Resources

BRIEF

The Role of U.S. Employers in the Postpartum Experience

Comprehensive benefits such as robust health care coverage, extended paid parental leave, lactation support, and child care assistance can alleviate many stressors faced by postpartum women, resulting in healthier families and more productive workplaces.

Home

home

Journey Map

Journey map

State of Postpartum care

Vision for Postpartum Care

resources

Resources

REPORT

Exploring Partners' Views on the Postpartum Period

Including partners’ perspectives is essential to fully understanding the maternal health landscape, especially post-childbirth. Expanding support and services for non-birthing partners will create a more holistic postpartum experience for all.

United States of Care

ISSUE BRIEF

Federal and State Coverage Requirements for Postpartum Care

This issue brief analyzes federal and state requirements for postpartum care coverage and finds significant gaps and inconsistencies. Aligning federal and state policies to establish a comprehensive and consistent standard of postpartum care can improve access to essential postpartum care services.