Program Impact
DC Safe Babies Safe Moms Community Impact
Committed to creating sustainable change in maternal health in Washington, DC
Improving maternal and infant health outcomes is one of the most urgent challenges facing the District of Columbia.
Washington, DC has some of the highest rates of maternal and infant mortality in the country. Black birthing people are at much greater risk of poor maternal health outcomes than their white counterparts, even when education and employment levels are similar.
Through the DC Safe Babies Safe Moms initiative and critical partnerships with community partners Community of Hope and Mamatoto Village, we are working to create a continuum of care that ensures birthing people, their babies, and their families receive the resources they need to thrive from pregnancy through early childhood, regardless of race or neighborhood.
Impact to Date
DC Safe Babies Safe Moms By The Numbers
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37,000+
patients’ lives touched
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12,500+
babies born under our care
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324
patients supported through our medical-legal partnership
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30
perinatal care coordinators, diabetes educators, and social workers added to staff
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530+
pregnant patients without
established pediatrician receiving pediatric care options -
$10,700
worth of transportation support provided
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97%
of pre-pregnancy patients
received tobacco cessation
counseling in the last year -
95%
of birthing persons screened for social risk factors during the prenatal and postpartum periods in the last year
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97%
of prenatal patients received breastfeeding education in the last year
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99%
of high-risk birthing individuals connected to tailored care pathways in the last year
* As of March 2024
Program Milestones to Date
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September 2023: Selected as a 2023 Commitment to Action project by the Clinton Global Initiative
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January 2023: Highlighted as a resource in The Joint Commission Sentinel Event Alert and Quick Safety on national maternal health, health equity, and mental health
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August 2022: Community of Hope Family Health Birthing Center opens
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April 2022: Mamatoto Village providing lactation services at MedStar Washington Hospital Center
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March 2022: OB Specialty Services at MedStar Washington Hospital Center opens to offer comprehensive perinatal care services in one integrated clinic
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February 2022: Community of Hope announces high-risk obstetrics specialist at Community of Hope’s Conway Health and Resource Center in Ward 8.
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September 2021: Pediatricians Prenatal available during pregnancy
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September 2021: Expanded access to BabyScripts and remote hypertension monitoring
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June 2021: Integrated social determinants of health screenings and referrals across the full spectrum of perinatal care delivery
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May 2021: Community of Hope launches onsite sonography services with three hand-held ultrasound machines, dramatically increasing accessibility to sonography services in Wards 7 and 8
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April 2021: Perinatal Legal Assistance Well-Being Project (PLAW) at Women's and Infants' Services
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April 2021: Received national designation as a ZERO TO THREE HealthySteps site
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Early Spring 2021: Intergrated Behavioral Health staff expansion at all three MedStar sites
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January 2021: Began offering embedded continuous learning around cultural sensitivity, implicit bias, and trauma-informed practice for all care team members
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November 2020: Launch
Insights and Research on Improving Maternal Health Outcomes
The D.C. Safe Babies Safe Moms medical and research teams focus on perinatal health as a pathway to medical innovation and research. Our team contributes to informed policy decisions, best practices, and improved infant and maternal health. Below are key publications from our team to inform best practices and advocate for policies aimed at improving maternal and infant health in the U.S.
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Patchen, L., McCullers, A., Budd, S. G., Blumenthal, H. J., & Evans, W. D. (2024). Protocol for Evaluating Remote Patient Blood Pressure Monitoring Adapted to Black Women and Birthing Persons. International Journal of Environmental Research and Public Health/International Journal of Environmental Research and Public Health, 21(5), 603. https://doi.org/10.3390/ijerph21050603
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Ganacias K, Rethy JA. Women, Infants, and Children (WIC) Enrollment: Learning From Key Informants to Enhance Utilization. Am J Public Health. 2023 Dec;113(S3):S220-S223. doi: 10.2105/AJPH.2023.307443. PMID: 38118102; PMCID: PMC10733875.
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Patchen L, Richardson R, McCullers A, Girard V. Integrating Lawyers Into Perinatal Care Teams to Address Unmet, Health-Harming Legal Needs. Obstet Gynecol. 2023 Dec 1;142(6):1310-1315. doi: 10.1097/AOG.0000000000005417. Epub 2023 Oct 26. PMID: 37884009; PMCID: PMC10642697.
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Patchen, L., McCullers, A., Beach, C. et al. Safe Babies, Safe Moms: A Multifaceted, Trauma Informed Care Initiative. Matern Child Health J (2023). https://doi.org/10.1007/s10995-023-03840-z
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Brown J, Ahmed N, Biel M, Patchen L, Rethy J, Thomas A, Arem H. Considerations in implementation of social risk factor screening and referral in maternal and infant care in Washington, DC: A qualitative study. PLoS One. 2023 Apr 13;18(4):e0283815. doi: 10.1371/journal.pone.0283815. PMID: 37053233; PMCID: PMC10101493.
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The Joint Commission. (2023). Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. Retrieved from https://www.jointcommission.org/-/media/tjc/newsletters/sea-66-maternal-mm-and-he-1-13-23-final.pdf
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The Joint Commission. (2023). Mental health conditions leading cause of pregnancy-related deaths. Retrieved from https://www.jointcommission.org/-/media/tjc/newsletters/quick-safety-67-maternal-death-and-mh-1-13-23-final.pdf
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Kuhn AG, Ganacias KG, Rethy JA. Strategies to improve enrollment in The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC): examining high coverage states and leveraging successful COVID-19 pandemic adjustments. Public Health Nutr. 2022 Jul 22;25(10):1-5. doi: 10.1017/S1368980022001471. Epub ahead of print. PMID: 35866330; PMCID: PMC9304943.
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Rubin L, Leu H, Nathan B, Agrawal R, Arem H, Rethy J. Low Fruit, Vegetables, and Carotenoids Intake Driving Low Healthy Eating Index in Young Children With Food Insecurity. Curr Dev Nutr. 2022 Jun 14;6(Suppl 1):67. doi: 10.1093/cdn/nzac049.013. PMCID: PMC9193469.
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Rethy, Janine A, MD, MPH; Chawla, Elizabeth M, MD. Contemporary Pediatrics; Monmouth Junction Vol. 39, Iss. 2, (Mar 2022): 28-31. Retrieved from https://cdn.sanity.io/files/0vv8moc6/contpeds/c4aa38b6afcf5bdb7fd89bcd5282c1bdd69c18a6.pdf/CNTPED0322_ezine.pdf
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Shara N, Anderson KM, Falah N, Ahmad MF, Tavazoei D, Hughes JM, Talmadge B, Crovatt S, Dempers R. Early Identification of Maternal Cardiovascular Risk Through Sourcing and Preparing Electronic Health Record Data: Machine Learning Study. JMIR Med Inform. 2022 Feb 10;10(2):e34932. doi: 10.2196/34932. PMID: 35142637; PMCID: PMC8874927.
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Community Health Needs Assessment. (2022). Retrieved from https://www.medstarhealth.org/-/media/project/mho/medstar/pdf/community-health-needs-assessment/final-7687-0005_medstar_hospital_report_2023-mwhc-p4.pdf