Maternal Health

Whether you are caring for patients who are pregnant or patients who are planning on getting pregnant, many resources are available in our community and through HPSM. Please read below to learn more.

Free Care for Pregnant Women

Women and teens who are pregnant qualify for free prenatal care coverage in California if they do not already have insurance. Presumptive Eligibility for Pregnant Women (PE4PW) is a type of temporary Medi-Cal that is designed to provide immediate, temporary coverage for prenatal care to low-income pregnant patients pending a formal Medi-Cal application. It is available irrespective of immigration status.

Maternal Mental Health

Perinatal depression is one of the most common medical complications during pregnancy and the postpartum period. Ob/Gyns, primary care providers, and other obstetric care providers play a critical role in identifying and initiating treatment for this pervasive complication.

  • The Edinburgh Postnatal Depression Scale is a 5-minute questionnaire designed specifically for pre- and post-natal screening. It is available in multiple languages from mcpapformoms.org. (Please note that not all versions are validated – use at your discretion.)
  • The PHQ9, a general screening tool for depression, is also used by many providers.
  • HPSM’s Behavioral Health Screening Tool (Part A and Part B and C) integrates the PHQ-9 questionnaire with additional screening questions from GAD-2, PHQ-2, AUDIT-C,and CRAFFT. A Behavioral Health Screening Scoresheet is also available.
  • The California nonprofit organization 2020 Mom is focused on closing gaps in maternal mental health care through education, advocacy, and collaboration. They offer many resources for providers at www.2020mom.org.
  • Read more about the economic and population health consequences of untreated maternal mental health conditions. A recent study estimated the societal costs at over $2B annually in California alone

Maternal and Infant Health Disparities

Did you know that in the Bay Area, infant mortality is four times higher for African-American women than White women, and that African-American woman are three to four times more likely to die during pregnancy or childbirth1,2? Did you know that this alarming disparity exists for women of all education and income levels3? There are many things providers and community organizations can do to help tackle this public health crisis:

Learn more about the underlying causes of this issue and some of the resources available to you and your patients from the Winter 2018 edition of HealthMatters MD.

Get detailed information about several great organizations here in San Mateo County and nationally — you can read more Spring 2019 edition of HealthMatters MD

Additional resources

Sources:
  1. “Pregnancy Mortality Surveillance System.” Centers for Disease Control and Prevention: August 2018. www.cdc.gov
  2. “Infant Mortality.” Centers for Disease Control and Prevention: August 2018. www.cdc.gov
  3. “New York City, 2008-2012: Severe Maternal Morbidity.” New York City Department of Health and Mental Hygiene: 2016. www1.nyc.gov

Prenatal & Postpartum Care Incentive Program

HPSM offers Target gift cards to Medi-Cal members who visit their provider early in their pregnancy and soon after giving birth. Learn more about our Prenatal & Postpartum Care Program.