Maternal health programs (Title V) in Iowa strengthens our communities to meet the needs of mothers, guardians, children, and their families. Our programs reach thousands of Iowans, including children with special health care needs. Our programs:
Help all moms, infants, children, and adolescents to be healthy and well
Provide state guidelines for women's and children's checkups and newborn screenings
Train agencies and other health care professionals to meet the specific needs of maternal and child health audiences
Title V Maternal Health Program
Clinics offer the following services to Iowa resident.
Iowa’s Maternal Health Programs work to make sure more babies can celebrate their first birthday (prevent infant mortality) and improve birth outcomes. This is done through family centered, community based services. Iowa HHS Title V maternal health clinics provide preventive health services to Medicaid eligible and other low income women. Iowa supports 24 maternal health clinics that are monitored by the Bureau of Family Health (BFH) staff.
All of Iowa’s 99 counties have access to publicly funded maternal health services. Medical services provided by maternal health centers follow the standards of the American College of OB/GYN for ambulatory obstetric care. The BFH maintains a Title V funded contract with the University of Iowa, College of Medicine, Department of Obstetrics and Gynecology for consultation.
Assess health insurance needs and assist with Medicaid presumptive eligibility
Provide care coordination to link pregnant women to a medical home, follow up on appointments and send appointment reminders.
Transportation assistance
Education on the importance of prenatal care
Promote flu vaccines and Tdap vaccines and COVID 19 vaccines.
Health screening for depression, tobacco/substance abuse
Breastfeeding education and support
Signs of preterm labor
Teach women to "Count the Kicks" Monitor your baby's movement Count the Kicks website
Signs of high blood pressure and preeclampsia
Social assessment and guidance provided by social worker or RN
Oral health screening by and RN or RDH with assistance finding a Dentist
Postpartum assessment by and RN of Mom and baby done in the home, or clinic.
Avoiding alcohol, tobacco substance abuse
Choosing healthy foods and staying active during pregnancy
Reducing stress
Encouraging seat belt use
Preventing shaken baby syndrome
Ensuring a safe sleep environment for infants
Waiting for labor and avoiding elective delivery prior to 39 weeks
Enrolling in Text4baby and Count the Kicks.
Promoting healthy birth spacing and reducing unintended pregnancies
Preventing domestic and sexual violence and coercion
Among women of reproductive age, approximately 1 out of 10 women suffer from depression within the past year. Screening has improved identification of women with depression; however fewer than half of depressed women receive any treatment. Numerous barriers such as fear, stigma, lack of understanding of the significance of depression, lack of providers, language barriers, financial barriers or logistical barriers prevent women with depressive symptoms from obtaining treatment. Postpartum depression causes unnecessary suffering for the mother, and unfortunately can also have negative effects on the infant. Early identification, prevention and treatment can alleviate suffering for a new mother and decrease the potentially harmful impact on the infant.
In an Iowa-based randomized controlled trial, researchers at the University of Iowa illustrated the effectiveness of Listening Visits when delivered by U.S. home visitors. Listening Visits were associated with a statistically and clinically significant reduction in depression, improvement in life satisfaction, and were acceptable to the postpartum women. Based on the evidence the Iowa Department of Health and Human Services implemented Listening Visits in Iowa’s Title V Maternal Health Program in 2014.
This innovative approach has the potential to fill the gap in mental health treatment services for low income women who are at high risk for depression. It is a maternal depression intervention that can be provided by public health nurses, case managers or social workers with little or no prior counseling experience, increasing access to care. Listening Visits are especially critical in rural Iowa where there is limited access to Mental Health professionals.
To request Listening Visit brochures, call the Healthy Families Line.
Maternal Mortality Review Committee (MMRC)
Maternal mortality continues to be an important focus in Iowa, and every maternal death is a tragedy. In 2019, Iowa began conducting Maternal Mortality Reviews on an annual basis. Prior to 2019, reviews were conducted every three years. Iowa’s Maternal Mortality Review Committee (MMRC) is a multi-disciplinary committee responsible for reviewing identified maternal deaths for the purpose of reducing morbidity and mortality. The Committee meets to determine if the pregnancy-associated death was pregnancy related or not, the cause of death (both primary and underlying causes), and whether the death was preventable. The Committee also looks for contributing factors and identifies opportunities for prevention after each case review.
Maternal Health Innovation Grant
Iowa was awarded $10,361,110 over five years from the Health Resource Services Administration (HRSA) to execute innovative strategies to address maternal health. Iowa HHS has partnered with the University of Iowa to implement the following strategies:
Develop an Iowa Maternal Quality Care Collaborative (IMQCC). The IMQCC will bring together experts and stakeholders in maternal health across the state to implement policies and protocols to ensure high quality maternal health care. As part of the work of the IMQCC, the state of Iowa will submit an application to join the Alliance for Innovation on Maternal Health (AIM). AIM is a national alliance to ensure safe maternal care and to reduce mortality and morbidity through implementation of evidence-based patient safety bundles. More information can be found at https://safehealthcareforeverywoman.org
Improve state-level maternal health data and surveillance. IDPH/University of Iowa will identify strategies to collect state-level maternal health data, and will work to improve data collection for severe maternal morbidity and mortality data by validating existing data sources and improving data collection processes.
Implement initiatives to address workforce shortages for obstetrical care, including adding a rural track OB fellowship, a family medicine OB track, and assessing the capacity and need for a Certified Nurse Midwife program in Iowa.
Expand existing telemedicine initiatives to increase access to Maternal Fetal Medicine Specialists and mental health professionals.
Address health disparities in maternal health outcomes and access to care.
