The Mom and Infant Outcomes (MOMI) Study
The investigator's long-term goal is to mitigate pregnancy-related mortality (PRM) risk by systematically delivering integrated clinical and supportive care that is effective, equitable, and scalable. The investigator's central hypothesis is that the Multi-modal Maternal Infant Perinatal Outpatient Delivery System (MOMI PODS) will mitigate postpartum (PP) risk and reduce disparities in PP risk by improving biopsychosocial profiles and facilitating access to evidence-based clinical and supportive care. To test this hypothesis, the investigators will conduct a hybrid type 1 randomized controlled trial (RCT) of MOMI PODS versus enhanced usual care (EUC, which we will term MOMI CARE) among a total sample of 384 mother-infant dyads (192/group) following pregnancy affected by a cardiometabolic and/or mental health condition. The investigators will enroll participants on PP day 1 and collect data at baseline and 6 months and 1 year PP. The investigators will collect implementation and service data across sites.
- EligibilityCriteria: Inclusion Criteria:  index pregnancy affected by one or more of the following that is reflected in the medical record - chronic hypertension (with or without super-imposed preeclampsia); gestational hypertension; preeclampsia; eclampsia; hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome; type 1 diabetes mellitus; type 2 diabetes mellitus; gestational diabetes mellitus (GDM); a pre-existing or newly diagnosed depressive disorder (e.g., major depressive disorder, persistent depressive disorder) or anxiety disorder (e.g., generalized anxiety disorder, panic disorder); or undiagnosed depression or anxiety identified by prenatal screening [i.e., PHQ-9 score of >10, GAD-7 score of >10, Edinburgh Postnatal Depression Scale (EPDS) score of >12, or Center for Epidemiological Studies Depression Inventory (CES-D) score of >16).  Exclusion Criteria:  presence of a pre-existing, community driven MOMI PODS referral that has already been scheduled; maternal history of syncope during venipuncture; a seizure disorder; determination of maternal diminished capacity without a legally authorized representative present at enrollment; maternal age <18 without a parent or legal guardian present at enrollment. - HealthyVolunteers: No - Gender: Female - StdAgeList: Child, Adult, Older Adult