{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T06:34:26Z","timestamp":1793342066387,"version":"4.5.0"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Equity"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Pregnant and postpartum individuals in the United States experience high rates of adverse pregnancy outcomes, despite multiple obstetric initiatives to address this public health crisis. Perinatal care that meaningfully addresses long-term factors that impact pregnancy outcomes, such as chronic mental and physical conditions, adverse social and environmental factors, structural racism, birth-related morbidity and trauma, and transitions to parenting, must go beyond obstetric care sites to include health care providers who deliver care across the lifespan. Veteran\u2019s Health Administration (VHA), the nation\u2019s largest integrated health care system, has reimagined the integration of individualized pregnancy-related care coordination within a health care system that does not directly provide obstetric care. The VHA Maternity Care Coordinator Program provides a feasible, effective, and replicable model that is relevant to other integrated health care systems.<\/jats:p>","DOI":"10.1177\/24731242261455183","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T09:21:36Z","timestamp":1781688096000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Expanding Perinatal Care Beyond Obstetrics: The National Veterans Affairs Maternity Care Coordinator Program"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3163-9467","authenticated-orcid":false,"given":"Joan","family":"Combellick","sequence":"first","affiliation":[{"name":"Office of Women\u2019s Health, Veterans Health Administration, Washington, District of Columbia, USA."},{"name":"Yale University School of Nursing, Orange, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Johnson","sequence":"additional","affiliation":[{"name":"Office of Women\u2019s Health, Veterans Health Administration, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Hill-Smith","sequence":"additional","affiliation":[{"name":"Office of Women\u2019s Health, Veterans Health Administration, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamison","family":"Dorsey","sequence":"additional","affiliation":[{"name":"Yale University School of Nursing, Orange, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth W.","family":"Patton","sequence":"additional","affiliation":[{"name":"Office of Women\u2019s Health, Veterans Health Administration, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Gunja MZ Gumas ED Relebohile M et al. Insights into the U.S. maternal mortality crisis: An international comparison. Commonwealth Fund. 2024. Available from: https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2024\/jun\/insights-us-maternal-mortality-crisis-international-comparison [Last accessed: February27 2025]."},{"key":"e_1_3_3_3_2","unstructured":"Alliance for Innovation on Maternal Health (AIM). Patient Safety Bundles. 2025. Available from: https:\/\/saferbirth.org\/patient-safety-bundles\/ [Last accessed: October25 2025]."},{"key":"e_1_3_3_4_2","unstructured":"Centers for Disease Control and Prevention. Hear her campaign. 2025. Available from: https:\/\/www.cdc.gov\/hearher\/index.html [Last accessed: October25 2025]."},{"key":"e_1_3_3_5_2","unstructured":"Brigance C Lucas R Jones E et al. Nowhere to go: Maternity care deserts across the U.S. (report No.3). March of Dimes. 2022. Available from: https:\/\/www. marchofdimes.org\/research\/maternity-care-deserts-report.aspx. [Last accessed: January1 2023]."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8882"},{"key":"e_1_3_3_7_2","volume-title":"Addressing the maternal health crisis in the United States: An Update from the U.S","year":"2024","unstructured":"Office of the Assistant Secretary for Planning and Evaluation (ASPE). Addressing the maternal health crisis in the United States: An Update from the U.S. Department of Health and Human Services. 2024."},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-med-042921"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2021.01.002"},{"key":"e_1_3_3_10_2","article-title":"Sourcebook: Women veterans in the Veterans Health Administration, Volume 4, Longitudinal trends in sociodemographics, utilization, health profile, and geographic distribution","author":"Frayne SM","year":"2018","unstructured":"Frayne SM, , Phibbs CS, , Saechao F, et al. Sourcebook: Women veterans in the Veterans Health Administration, Volume 4, Longitudinal trends in sociodemographics, utilization, health profile, and geographic distribution. Women\u2019s Health Evaluation Initiative, Women\u2019s Health Services, Veterans Health Administration, Department of Veterans Affairs, 2018.","journal-title":"Women\u2019s Health Evaluation Initiative, Women\u2019s Health Services, Veterans Health Administration, Department of Veterans Affairs"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-023-01372-7"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000542"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12349"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2013.4681"},{"key":"e_1_3_3_15_2","unstructured":"US Department of Veterans Affairs. Women Veterans healthcare: Maternity care. 2026. Available from: https:\/\/www.womenshealth.va.gov\/topics\/maternity-care.asp [Last accessed: January25 2026]."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21010037"},{"key":"e_1_3_3_17_2","volume-title":"Preconception Counseling","author":"Fowler JR","year":"2025","unstructured":"Fowler JR, , Jenkins SM, , Jac BW. Preconception Counseling. StatPearls Publishing; 2025."},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","unstructured":"Cordasco KM Katzburg JR Katon JG et al. Care coordination for pregnant veterans: VA\u2019s maternity care coordinator telephone care program. Transl Behav Med. 2018. 8(3):419\u2013428. doi:10.1093\/tbm\/ibx081","DOI":"10.1093\/tbm\/ibx081"},{"key":"e_1_3_3_19_2","unstructured":"VA Benefits. VA homeless programs. 2026. https:\/\/www.va.gov\/homeless\/landlords.asp#:\u223c:text=Accepting%20Housing%20Vouchers%20from%20Veterans&text=Housing%20and%20Urban%20Development%2DVeterans. you%20can%20start%20receiving%20referrals[January 20 2026]"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usae408"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibae052"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0250947"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2018.08.006"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2025.08.001"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/children9030394"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.01.002"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.04.001"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.08.009"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.02.036"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0282048"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.00017"},{"key":"e_1_3_3_32_2","unstructured":"Kaiser Family Foundation. Medicaid Postpartum Coverage Extension Tracker. 2025. Available from: https:\/\/www.kff.org\/medicaid\/medicaid-postpartum-coverage-extension-tracker\/#:\u223c:text=The%20Medicaid%20program%20finances%20about or%20by%20using%20state%20funds [Last accessed: January20 2026]."},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2024.00230"}],"container-title":["Health Equity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24731242261455183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24731242261455183","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24731242261455183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:46:15Z","timestamp":1781851575000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24731242261455183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":32,"alternative-id":["10.1177\/24731242261455183"],"URL":"https:\/\/doi.org\/10.1177\/24731242261455183","relation":{},"ISSN":["2473-1242","2473-1242"],"issn-type":[{"value":"2473-1242","type":"print"},{"value":"2473-1242","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"24731242261455183"}}