{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T03:53:50Z","timestamp":1773028430537,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Given the prevalence and consequences of unmet social needs in perinatal populations, there is a critical demand for perinatal care that addresses social needs. To better support health systems in providing comprehensive social and perinatal care services, this quality improvement initiative uses the Donabedian model for care quality to describe the structure, process, and outcomes of embedding an innovative perinatal care program with integrated social care into an established primary care center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Process<\/jats:title>\n                    <jats:p>The Improving Maternal Outcomes Now! (IMON) program was designed to address the clinical and health\u2010related social needs of patients at highest risk of maternal health disparities. The IMON program offers holistic prenatal and postpartum care through the provision of midwifery services, obstetrician support, intensive social needs support, and around\u2010the\u2010clock virtual care. Program implementation began in June 2023 at a federally qualified health center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>During the first 18 months of implementation, 102 pregnant patients received prenatal care. Forty\u2010four percent of patients identified as Hispanic, with more than half (54%) reporting Spanish as their preferred language. Patients were highly engaged with program services. Nearly two\u2010thirds of IMON patients (65%) initiated prenatal care in their first trimester, and most (91%) were assisted with social needs during or after pregnancy. A majority (88%) enrolled to receive adjunctive virtual care services. Among the 61 patients who gave birth, 77% did so vaginally, whereas the remaining 23% did so via cesarean birth. On average, patients gave birth at 39 weeks\u2019 gestation, with only 5% giving birth preterm and 3% having a newborn that was small for gestational age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Preliminary findings suggest that IMON can be implemented within a safety\u2010net setting, with high patient engagement and social needs support. Early outcomes show promising maternal and neonatal health indicators.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jmwh.70042","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T18:50:55Z","timestamp":1761763855000},"page":"135-142","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Strengthening Perinatal Services Through Social Care: Outcomes of a Quality Improvement Initiative for a Health Center\u2010Based Perinatal Care Program"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9541-6791","authenticated-orcid":false,"given":"Rebecca L.","family":"Emery Tavernier","sequence":"first","affiliation":[{"name":"Weitzman Institute Moses Weitzman Health System  Washington District of Columbia"},{"name":"University of Minnesota Medical School, Duluth Campus  Duluth 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