This Modern Maternity Clinic Is Improving Maternal Outcomes

A modern maternity clinic called Millie uses a hybrid model to combine different types of care and improve maternal outcomes.

Millie, a modern maternity clinic that combines midwifery-led care, doulas, OB-GYN support, and technology, is working to improve maternal health outcomes — and the efforts appear to be paying off.

On Tuesday, the clinic released results of the maternal health outcomes from the first cohort of more than 150 births, showing better health outcomes than national averages, improved patient engagement, and cost savings.

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The results come amid rising maternal deaths and OB-GYN shortages across the country, with up to 6.9 million vulnerable women living in maternity care deserts — areas where there is low or no access to maternity care.

“Our goal from day one was to build a model that centers the patient in their journey, creates better experiences and outcomes by addressing common gaps in care (both clinical and non-clinical), and that expands access for less served communities to create a more equitable health system,” Talia Borgo, Millie’s co-founder, clinical director, and lead midwife, tells Healthnews. “These results highlight that such a model is possible, and we hope to see it expand nationally.”

In addition to midwifery-led care supported by OB-GYNs, the clinic’s model incorporates doulas who help patients create birth and postpartum plans, connect them with resources, and offer emotional support. The hybrid care model also includes an app that provides support, features regular health screening questionnaires, and connects to a blood pressure cuff to monitor pregnancy between visits.

Millie shows promising outcomes

The company’s report reveals that, compared to national averages, the first cohort of Millie patients saw 17.5 % better NTSV C-section rates (the percentage of first-time mothers who give birth via C-section), 71.3% better preterm birth occurrence (PTB), and 57% better low birthweight rates.

Research has shown that Black mothers specifically experience worse maternal health outcomes, and Millie’s model was also shown to improve outcomes for this demographic.

Black mothers who were treated at Mille saw 64.2% better NTSV C-section rates and a 60.2% better preterm birth occurrence.

The report also shows high patient engagement, with 93.62 percent of Millie patients active on the app, an average of 1.32 intervisit health screens completed each month, and an average of 5.79 blood pressure cuff readings completed by provisioned patients each month.

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The clinic also mitigated eight hypertensive crisis-related “near misses” thanks to early detection and timely care.

A Millie patient, who asked to remain anonymous, tells Healthnews that while her pregnancy had its challenges, she felt highly supported by the care she received.

“As someone with past birth trauma, I was able to talk that through with each midwife, each listening to my concerns, and felt reassured in every way,” she says. "Every single appointment, I felt deeply listened to.”

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