4th Trimester MOMMIE

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Nurse-Led Maternal Health and Postpartum Care Navigation

Supporting mothers after childbirth through postpartum health screening, education, advocacy, and care coordination during the critical fourth trimester.

The 4th Trimester MOMMIE is a nurse-led maternal health organization founded by Talonda Rogers, MSN, RN, to ensure mothers receive continued support after leaving the hospital.

Our program helps mothers recognize warning signs early, access resources, and stay connected with their healthcare providers during the critical weeks after childbirth

Many maternal complications occur after hospital discharge. Our program provides personalized support focused on the mother's physical recovery, emotional well-being, and confidence in advocating for her health during the fourth trimester. Our goal is to reduce preventable postpartum complications by ensuring mothers receive continued support and early identification of warning signs after hospital discharge.

We believe no mother should feel unheard, unsupported, or unsafe during the postpartum period.

Preventable Problem for Women

In the United States, we have the worst maternal mortality rates of all high-income countries, and it is getting worse each year. Most of these women die in the postpartum period! 84% of deaths are due to preventable causes.)

Bigger Problem for BIPOC Women

Black and Indigenous women die of pregnancy-related causes at about three times the rate of White women. Even as national maternal death rates have started to fall, this gap has not closed.

Timing of Maternal Deaths

During Pregnancy, 31% of
Day of delivery: 17%
After Birth (Postpartum up to 1 year) 52%

The postpartum deaths break down further:

First Week (1-6 days): ~19%
Weeks 1-6 (7-42 days): ~21%
6 weeks to 1 year (43-365 days): ~12%

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In 2024, Black non-Hispanic women died at 44.8 per 100,000 live births — more than three times the rate for White (14.2) and Hispanic (12.1) women. The national rate (17.9) edged down from 2023, but the racial gap remains wide and statistically significant.

Sources: NCHS, Maternal Mortality Rates in the United States, 2024 (NVSS, 2026); CDC, Vital Signs: Pregnancy-Related Deaths (MMRC data). Postpartum-timing percentages reflect CDC MMRC review data.

Here are a few reasons why this is happening: