The Birth Bundle Project: A Rainier Valley Midwifery-led Collaborative Care Initiative Offering Patients and Providers a Paradigm Shift to Impact Health Equity

J Midwifery Womens Health. 2024 Mar-Apr;69(2):287-293. doi: 10.1111/jmwh.13571. Epub 2023 Sep 27.

Abstract

Innovative midwifery-led collaborative care models have the potential to build on grassroots approaches to make transformative change within systems that work with families. Rainier Valley Midwives operates the Bundle Birth Project, a successful program that serves communities who are at higher risk for poor birth outcomes and face barriers to adequate medical, prenatal, and postpartum care, including Black, Indigenous, and persons of color. This project offers wraparound perinatal care services to provide a missing community of support to traditionally marginalized families before, during, and after birth while also bridging the gaps between midwives and physicians who attend births in different settings. By strengthening and formalizing the relationships between different types of perinatal providers including community-based doulas and lactation support professionals, this midwifery-led initiative improves the continuity and quality of care available to families including immigrant, refugee, and families of color in south Seattle, Washington.

Keywords: health disparities; health equity; interprofessional collaboration; midwifery professional issues; midwifery workforce; patient education; preventive health care; primary care; vulnerable populations.

MeSH terms

  • Child
  • Female
  • Health Equity*
  • Humans
  • Infant, Newborn
  • Midwifery*
  • Parturition
  • Perinatal Care
  • Pregnancy