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Consequently, globally maternal\u2013newborn dyad care and outcomes are highly variable, leading to approximately 800 maternal deaths daily with a 100\u2010fold difference among high\u2010 and low\u2010resource countries. Irrespective of where care is received, maternal safety and wellbeing should be preserved. Despite ongoing efforts, however, this is not the case. Large gaps exist between spending and clinical outcomes. Segmented health care, coupled with poor planning and inadequate resource distribution, results in failure to provide essential life\u2010saving treatment. The proposed solution is a regional integrated care model from midwife to advanced level III\/IV care and the newborn unit, achieved through effective coordination by site, staff, and clinicians. This model has been successfully implemented in high\u2010 to low\u2010resource countries in the past 20\u00a0years. In the large diverse population of the United States, constructive steps have been implemented to reduce high maternal mortality in black and rural communities. The COVID\u201019 pandemic demonstrates the feasibility of rapid resources coordination to provide effective advanced care. The proposed integration of resources will have a major positive impact on the maternal\u2013newborn dyad.<\/jats:p>","DOI":"10.1002\/ijgo.13551","type":"journal-article","created":{"date-parts":[[2020,12,20]],"date-time":"2020-12-20T10:45:48Z","timestamp":1608461148000},"page":"155-164","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["From fragmented levels of care to integrated health care: Framework toward improved maternal and newborn health"],"prefix":"10.1002","volume":"152","author":[{"given":"Eytan R.","family":"Barnea","sequence":"first","affiliation":[{"name":"The Society for the Investigation of Early Pregnancy New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanda","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of North Carolina Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Theron","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Stellenbosch University Stellenbosch South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Ramasauskaite","sequence":"additional","affiliation":[{"name":"Center of Obstetrics and Gynecology Vilnius University Medical Faculty Vilnius Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Stark","sequence":"additional","affiliation":[{"name":"The New European Surgical Academy The Charite University Hospital Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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