No More Silos: A Unified Response to Maternal Emergencies

Perinatal emergencies are the classic “low-frequency, high-acuity” challenge for EMS: they’re uncommon enough that confidence and muscle memory can fade, but when they happen, the stakes are large: two patients, rapidly changing physiology, and a system that has to coordinate fast from dispatch to the receiving hospital. Step Up Together® bridges the gap between silos.

Rural Health Transformation Must Include Maternal and Newborn Health

When care is far away, the risks don’t wait. Complications in pregnancy, labor, postpartum, or the newborn period still happen, sometimes in homes, in birth centers, in clinics, or en route to the nearest hospital. Rural communities are strongly associated with long travel times to seek care, fewer prenatal visits, more preterm births, and higher

Disaster-Ready Maternity Care: Perinatal Transfer Drills Belong in Emergency Preparedness

Pregnancy, labor, postpartum complications, and newborn needs don’t stop during emergencies. Yet many disaster preparedness plans still treat maternity as a downstream clinical issue rather than a time-sensitive mobility, communication, and coordination problem that starts at home, in a birth center, on the road, or in an overwhelmed emergency department (ED). The Step Up Together®

Step Up Together for PQCs: From Drills to Sustainable System Change

Perinatal Quality Collaboratives (PQCs) exist to turn evidence into action so maternal and infant health care gets safer and more equitable. The National Network of PQCs (NNPQC) and the CDC describe PQCs as state or multi-state networks that rapidly improve care through data-guided implementation. After more than a decade of focus on hospital-based preparedness, there

Transforming Maternal Health with Step Up Together

Have you heard of the new CMS model designed to improve maternal health care?  As of January 2025, 14 states and D.C. are participating in the Transforming Maternal Health (TMaH) Model. TMaH is a 10-year care delivery and payment model that funds state Medicaid programs to focus on three pillars: 1) Access, Infrastructure & workforce

Integrating Doulas into Community Birth Transfer Drills

Practicing for community-to-hospital birth transfers for clinical emergencies is crucial for effective preparedness for all professionals involved in the birth process. Though these events are rare, there is a real chance that a birth doula will be present when a birthing person requires a transfer from a home or birth center.  As part of the