Related Articles From fragmented levels of care to integrated health care Framework toward improved maternal and newborn health Int J Gynaecol Obstet 2020 Dec 20 Authors Barnea ER Nicholson W Theron G Ramasaukaite D Stark M Albini SM Nassar AH FIGO Safe Motherhood Newborn Health Committee Abstract Worldwide health systems and care approaches vary widely due to local reality distance to facilities cultural norms resources staff availability geography and politics Consequently globally maternal newborn dyad care and outcomes are highly variable leading to approximately 800 maternal deaths daily with a 100 fold difference among high and low resource days Irrespective of where care is received maternal safety and wellbeing should be preserved Despite ongoing efforts however this is not the case Large gaps exist between spending and clinical outcomes Segmented health care coupled with poor planning and inadequate resource distribution results in failure to provide essential life saving treatment The proposed solution is a regional integrated care model from midwife to advanced level III IV care and the newborn unit achieved through effective coordination by site staff and clinicians This model has been successfully implemented in high to low resource countries in the past 20 years In the large diverse population of the United States constructive steps have been implemented to reduce high maternal mortality in black and rural communities The COVID 19 pandemic demonstrates the feasibility of rapid resources coordination to provide effective advanced care The proposed integration of resources will have a major positive impact on the maternal newborn dyad PMID 33341938 PubMed as supplied by publisher