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 People of Color (BIPOC) die at 3-4 times the rate of others, and this rate is increasing exponentially each year.

Timing of Maternal Deaths

Prenatal period: Approximately 31-33% of maternal deaths
Day of delivery/intrapartum: Approximately 16-17% of maternal deaths
Postpartum period: Approximately 50-52% of maternal deaths

The postpartum period deaths break down further:

Early postpartum (1-7 days): ~18-20%
Later postpartum (8-42 days): ~12-15%
Late postpartum (43-365 days): ~18-20%

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The statistic that approximately 50-52% of maternal deaths occur postpartum comes from CDC MMRC data analyses published in 2019-2021. The specific breakdown of postpartum timing comes from studies published in journals including Obstetrics & Gynecology and JAMA Network.

Here are a few reasons why this is happening:

Chronic Health Conditions
Delayed Recongnition of Complications
Inadequate Access to Care
Racial and Ethnic Disparities
Mental Health and Substance Use Disorders

Healthcare System Fragmentation
Provider Training and Workforce Issues
Delayed Postpartum Follow-up
Quality Care Concerns
Social Structure Factors

Our MOM CARE process empowers women to beat these odds:

STEP 1

Receive a referral for Mom from a family or one of our partner Health Care Providers (HCPs).

STEP 2

Visit with Mom in the early postpartum period to assess her and Baby's progress (within 2 weeks).

STEP 3

Perform a comprehensive physical and mental health assessment. Educate Mom, provide services, personal care supplies, and referrals as needed.

STEP 4

Be a liaison between Mom and her HCP. Support Mom by advocating, empowering and educating for a year or more.

Learn More about Available Services

Our Amazing Partners

Breadth of Hope
Your Non-Profit Angel

The Fund for
Women & Girls

Taylormade Behavioral Health Solutions

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