Risk-appropriate care is a key strategy to improve maternal and neonatal morbidity and mortality rates by ensuring high-risk pregnant people and infants receive care at a birth facility that is best prepared to meet their needs. ASTHO brings together experts to address gaps in knowledge and advance neonatal and maternal levels of care. ASTHO works with state and territorial health agencies, neonatologists, obstetricians, and other experts to examine existing research, implement tools like the CDC Levels of Care Assessment Tool (LOCATe), and develop policy and regulation.


Evidence-Informed Substance Use Disorder Policies for Maternal and Child Populations

Discusses the gendered and racialized impacts of substance use and child maltreatment policies and offers four considerations to policymakers as they look to create effective, meaningful policy to improve outcomes for women and families impacted by substance use disorders.

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COVID-19 and the Fourth Trimester

ASTHO’s podcast on COVID-19’s impact on overdose-related deaths during the postpartum period, also known as the fourth trimester.

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Latest Risk-Appropriate Care Resources

Midsection shot of a stethoscope on a pregnant person's belly

Polysubstance Use During Pregnancy and the Benefits of Universal Verbal Screening

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Thumbnail of Dr. Wanda Barfield of CDC and Dr. Chris Zahn of the American College of Obstetricians and Gynecologists
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Improving Access to Risk-Appropriate Care Through a Partnership Between Obstetrics and Gynecology and Pediatrics

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Doctor checking a woman's blood pressure over a desk

Addressing Hypertension in Pregnancy to Reduce Maternal Morbidity and Mortality

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Pregnant belly in profile. ASTHO Health Policy Update banner in upper left

States Aim to Improve Outcomes for People Experiencing Substance Use During Pregnancy

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ASTHO Perinatal Opioid Use Training

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Couple comforting each other while pregnant woman receives maternal massage from her doula

Utilizing Doula Care to Support Substance Use Disorder in the Postpartum Period

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Data Strategies to Improve Health Outcomes for Indigenous Communities

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Improving Financial Access to Maternal and Infant Care in Rural Areas

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