Rightsizing Prenatal Care: Using Pregnancy Risk Factors to Guide Prenatal Services

prenatal team zoom
A meeting of the Prenatal Team in Fall 2020


Faculty/Clinicians/Staff: Alex Friedman Peahl, Amy Cohn

Students: Samir Agarwala, Claire Dawson, Dipra Debnath, Joshua Fink, Stephanie Ganzi, Leena Ghrayeb, Jordan Goodman, Suraj Harjani, Hannah Heberle-Rosse, Samuel Hocher, Shivani Jayendraprasad, Meghana Kandiraju, Luke Liu, Amanda Naccarato, Harini Pennathur, Nicholas Zacharek

Project Contact: cheps-contact@umich.edu

Project Synopsis:

Prenatal care guidelines have remained unchanged in the United States for over a century, in spite of drastic changes in population health, patient preferences, and evidence of the impact of psychosocial factors on health outcomes and disparities. These guidelines recommend 12 to 14 in-person visits, regardless of patients’ medical or psychosocial risk factors. Tailoring prenatal care visit number and use of telemedicine to patients’ individual needs could provide higher value care, yet little is known about how these characteristics influence actual prenatal care utilization.

In collaboration with Dr. Alex Peahl (OBGYN, Michigan Medicine), the team has worked to assess the prevalence of medical and psychosocial risk factors in a cohort of pregnant patients. In addition, the team has analyzed care utilization for patients with different risk factors. The long-term goal is to inform health system changes needed to support rightsized prenatal care: that is, care that matches patients’ needs to delivered services. By understanding what risk factors are most associated with poor prenatal outcomes, more patient specific prenatal care can be developed to better meet the needs of pregnant patients in the United States.

Papers, Posters, & Presentations: