Toward a New Model of Maternal Health in the US with Neel Shah, MD

In a recent development, the US Preventive Services Task Force sounded the alarm about the increasing prevalence of hypertensive disorders among pregnant women. They have advised monitoring blood pressure throughout pregnancy since these disorders have doubled in the last three decades, impacting one in ten pregnancies. Unfortunately, the United States lags in maternal health, bearing a troublingly high maternal mortality rate compared to other countries. While the newly recommended guidelines are undeniably important, it is crucial to delve deeper into the root causes that contribute to this and the growing number of other chronic health problems showing up in pregnancy.

On today's episode of On Health, I have the privilege of being joined once again by the remarkable Dr. Neel Shah, a forward-thinking OBGYN and the Chief Medical Officer of Maven Clinic. Together, we delve into the heart of the maternal health crisis, exploring its multifaceted origins, and discuss important new ways of thinking about critical problems. We examine the profound societal challenges that impact maternal health and emphasize the urgent need for and significance of personalized care and the promising role of emerging digital healthcare solutions in supporting pregnant individuals. Furthermore, we address the repercussions of the COVID-19 pandemic, including the impact of forced isolation on maternal health.

It is of utmost importance that we continue to raise awareness about maternal health and strive for comprehensive changes that prioritize the well-being of both mothers and babies in this country. By tackling the underlying factors that contribute to these challenges and ensuring access to meaningful care, we can achieve healthier outcomes for all, including the most vulnerable members of society.

Dr. Neel and I discuss:

• COVID-19, lack of labor support, isolation, and other unforeseen obstacles for pregnant people
• Systemic racism and the impact of weathering on maternal mortality rates
• Dr. Neel’s firsthand experience as a practicing OBGYN during the pandemic
• The dangers of generalizing and the importance of working directly with pregnant people on their individual needs
• A breakdown of what pregnant or aspiring pregnant people deserve from the healthcare system
• The goal of the Maven Clinic app and the potential of digital maternal care options
• Dr. Neel’s perspective on the centering pregnancy model
• Why Dr. Neel feels that competence, reliability, and affirmation are required to move the needle in creating systemic change in maternal care

Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Dr. Neel @neel_t_shah, check out the Maven Clinic App and more @mavenclinic