Tag: Maternal-Fetal

Fetal growth restriction (FGR) remains a key focus in maternal-fetal care as early detection directly influences clinical decision-making. While clinical guidelines clearly define how FGR should be assessed, variation in detection persists across practices.  

FGR assessment depends on comparing measurements across multiple visits ensuring all findings are tied to the correct pregnancy. In many settings, these steps require navigating separate reports, reviewing prior studies manually, and reconciling differences in documentation styles. This introduces inefficiencies that can make trend recognition more time-consuming than it should be.  

What Is Fetal Growth Restriction? 

Fetal growth restriction is a condition in which a fetus does not grow at the expected rate during pregnancy. It is typically identified through serial ultrasound measurements and longitudinal assessment of fetal growth over time. 

For clinical definitions and diagnostic criteria, refer to guidance from organizations such as the American College of Obstetricians and Gynecologists (ACOG). 

Why Longitudinal Data Is Critical for Fetal Growth Restriction Detection 

Effective FGR monitoring relies on evaluating patterns across time rather than isolated measurements. Growth trends and interval changes provide the context needed to identify potential concerns. 

When longitudinal data is not easily accessible, clinicians must reconstruct patient history by reviewing multiple reports or systems. This slows interpretation and increases cognitive load. Even when the data exists, it may not be presented in a way that supports quick comparison. 

When data is structured and consistently linked across visits, growth patterns become easier to interpret. Access to prior studies within the same workflow supports more efficient review and improves confidence in decision-making. 

How Documentation Practices Affect Data Usability 

Documentation variability is a common challenge in women’s health imaging workflows. Providers may use different terminology, organize reports differently, or capture key measurements in inconsistent formats. 

These differences make it harder to compare studies and manage pregnancy growth tracking over time. Important details may be present but not easily usable. 

Standardized templates and controlled terminology improve consistency. When reports follow a predictable structure, information can be compared more reliably across visits. 

Improving Workflow Efficiency Through Structured Data 

In many practices, the challenge is not the absence of data but the effort required to access it. Information stored in free text or across disconnected systems requires additional steps to assemble. 

Structured data entry and integrated workflows reduce this burden. When prior studies, measurements, and patient context are available in one place, clinicians can review information more efficiently. 

This approach aligns with broader trends in clinical decision support and data standardization in healthcare systems, supporting a more streamlined workflow and more time for care.  

Supporting Longitudinal Care with Asera 

Asera is designed to align with how women’s health teams manage longitudinal data. Structured reporting templates help ensure that key measurements are captured consistently across providers and visits. 

The platform maintains continuous pregnancy context, linking studies, reports, and patient information within a unified view. Clinicians can access prior exams and growth trends without navigating across systems. 

Fetal growth trend visualization and structured measurements support comparison over time. Unified worklists and standardized study statuses help teams maintain consistent workflows and reduce variation in documentation. 

What This Means For Your Practice 

Improving fetal growth restriction detection depends on workflows that support consistent data capture and systems that make longitudinal information accessible. 

When data is structured and connected across the pregnancy timeline, clinicians can review trends more efficiently and make decisions with greater clarity. 

Asera supports this approach by enabling standardized templates and terminology, which make clinical data trackable over time and easier to interpret within everyday workflows. Features such as the prior growth table and integrated growth charts allow clinicians to quickly visualize fetal growth trends across visits, with the flexibility to select preferred reference standards. This helps teams spend less time assembling information and more time acting on it.

Schedule some time with our team to learn what Asera can do for you!

The Society for Maternal-Fetal Medicine (SMFM) 2025 conference at the Gaylord Rockies, January 27–February 1, brought together thought leaders, researchers, and clinicians to discuss the latest advancements in AI, clinical informatics, telemedicine, and maternal health equity. AS Software was proud to be part of the conversation as an exhibitor, where we engaged with industry professionals and gained valuable insights into the future of MFM care delivery.

Here are the key takeaways from the most impactful sessions at this year’s event. 

The Luncheon Roundtable: Practical Tips for Incorporating AI and Clinical Informatics Into an MFM Practice explored how AI and informatics enhance documentation, clinical decision-making, and workflow efficiency.

Remote Patient Monitoring (RPM):

  • NYU‘s 11,000-patient RPM program actively manages 3,000 patients at any time, improving maternal glycemic control and reducing preeclampsia and neonatal hyperglycemia.
  • AI-driven predictive modeling is helping providers proactively identify high-risk patients and intervene earlier.

AI in Documentation & Billing:

  • AI solutions are streamlining clinical note reconciliation and automating denial letters, saving valuable time for providers.
  • NYU has also introduced a HIPAA-compliant ChatGPT platform to assist in clinical decision support and research.

Change Management for AI Adoption:

  • Melissa Wong, MD (Cedars-Sinai) highlighted principles from the book “Switch” (Heath & Heath) to drive adoption of AI-driven workflows.
  • The key? Find the feeling, shrink the change, and rally the herd—emphasizing incremental improvements, peer learning, and leadership buy-in.

Action Items for Practices
✔ Pilot AI-generated clinical notes and orders. 
✔ Align AI initiatives with institutional goals to drive adoption. 
✔ Work with IT to integrate CGM data into the EHR and predict glucose trends.

The Quenching the Gap in Maternal-Fetal Health Deserts session tackled the pressing issue of maternity care facility shortages in rural areas.

The Crisis:

  • 35% of U.S. counties lack birthing facilities
  • Over 1,100 counties in the U.S. are without a single birthing facility in their country.
  • 1 in 12 women in the U.S. are affected by Maternal Health Deserts
  • Impacting 7 million women and 500,000 babies.
  • 200 rural hospital closures in the past decade have forced patients to travel long distances for maternity care.
  • By 2030, the number of obstetricians is expected to decrease by 7% while demand is projected to increase by 4%

Contributing Factors to Maternal Health Deserts

  • Geographic isolation
  • Economic barriers
  • Work Force shortages
  • Cultural/language barriers

3 Proposed Solutions:

  1. Diversifying the Perinatal Workforce: Expanding collaboration between family medicine physicians, midwives, and OB-GYNs.
  2. Specialized Transport Teams: The Stork 1 team (University of Texas San Antonio) demonstrated how high-performance transport teams reduce risks for high-risk pregnancies in rural areas. States like New Mexico, are awarding an annual rolling $4 million grant for programs like these.
  3. Telemedicine & Remote Ultrasound: Virtual visits, remote monitoring, and AI-assisted ultrasound are closing care gaps in underserved regions. Practices like Dr. Ruma’s group in New Mexico have used teleultrasound to expand access to care, increasing patient visits from 0 to 5,000 in three years.

Action Items for Practices
✔ Partner with family medicine and primary care providers to extend maternity care in rural areas.

✔ Create networks that improve continuity and training rural obstetricians. 
✔ Develop a telemedicine and RPM blueprint to expand access. 

✔ Advocate for policies supporting family medicine’s role in maternity care. 

Another key theme at SMFM 2025 was bridging healthcare gaps through community involvement.

Birth Equity Initiatives:

  • A July 2021 initiative increased social determinants of health (SDOH) screening from 17% to 100% in hospitals.
  • Strategies included standardizing race/ethnicity data and building stronger patient-provider relationships.

Doulas & Community Partnerships:

  • Tennessee’s doula training program has improved maternal health literacy, trust, and patient outcomes.
  • Hospitals are exploring ways to integrate doulas into clinical teams through targeted training and policy updates.

Action Items for Practices
✔ Implement SDOH screening in labor & delivery.
✔ Build partnerships with community organizations for better referrals.
✔ Train nurses & staff on doula collaboration.

The Philips-sponsored symposium with Perinatal Associates of New Mexico explored how technology is transforming obstetric care across rural and urban settings.

Telemedicine Expansion:

  • Ouma, a telehealth company, provides midwifery and behavioral health services to underserved areas, improving maternal health outcomes.
  • The growth of remote non-stress tests (NSTs) is making antenatal surveillance more accessible and affordable.

AI-Powered Ultrasound:

  • AI applications in ultrasound automation are reducing scan time, increasing accuracy, and improving workflow efficiency.
  • Future innovations aim to combine CGM data with ultrasound imaging to predict persistent diagnoses.

Action Items for Practices:

✔ Explore AI-powered solutions to automate ultrasound protocols. 
✔ Expand telemedicine services for perinatal care. 
✔ Engage with patient communities to understand their digital health needs.

AS Software is committed to supporting MFM providers by delivering cutting-edge ultrasound automation, AI-driven workflow efficiencies, and telemedicine-friendly reporting solutions.

  • Remote Diagnostic Access: AS Software enables real-time, cloud-based ultrasound reporting, reducing the need for in-person visits.
  • Seamless AI Integration: Our system integrates with EHRs and AI-powered documentation tools, improving efficiency and billing accuracy.
  • Scalable Solutions for Rural Care: Our vendor-neutral, cloud-hosted solution supports telemedicine and remote diagnostics, ensuring patients in maternal health deserts get the care they need.

Want to learn more? Connect with our team to discuss how we can help your practice elevate MFM care.

Sources SMFM 2025 Sessions:

Engaging Communities to Improve Perinatal Outcomes

Chair: Ann EB Borders, MD, MPH, MSc (she/her/hers) – Endeavor Health, Evanston Hospital

Chair: Ebony B. Carter, MD (she/her/hers) – University of North Carolina

Chair: Rolanda Lister, MD (she/her/hers) – Vanderbilt University Medical Center

Practical Tips For Incorporating AI and Clinical Informatics Into An MFM Practice 

Roundtable Leader: Hye J. Heo, MD (she/her/hers) – NYU Langone Health System 

Roundtable Presenter: Melissa S. Wong, MD, MS (she/her/hers) – Cedars-Sinai Medical Center 

Obstetric Innovation that transcends care settings

Industry Session Presenter: Michael Ruma, MD, MPH – Perinatal Associates of New Mexico

Industry Session Presenter: Sina Haeri, MD, MHSA – Ouma Health

Industry Session Presenter: Richie Broth, MD – TLC PERINATAL

Quenching the Gap in Maternal Health Deserts 

Roundtable Leader: Alixandria F. Pfeiffer, DO – University of Texas Health Science Center at San Antonio 

Join the AS Software Team at Booth 723

January 27 — February 1, 2025

Join us as we connect with leaders and decision-makers shaping the future of obstetrics and maternal-fetal medicine. This event is your opportunity to explore groundbreaking ultrasound technology that enhances both your work and your patients’ care, all while connecting with colleagues from around the globe. To learn more and register, visit the SMFM 2025 event site.

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The demand for integrated clinical software has never been higher. For maternal-fetal medicine (MFM) practices, these solutions aren’t just nice to have—they’re becoming essential. These tools help streamline workflows, enhance patient outcomes, and ultimately, raise the overall quality of care provided.

Maternal-fetal medicine is a highly specialized field, that requires a lot of coordination between healthcare providers to ensure the best outcomes for both mom and baby. Traditional systems often involve tools that don’t communicate effectively, leading to fragmented care, inefficiencies, and even potential risks for patients. This is where integrated clinical perinatal software comes in. It offers a seamless connection between different parts of the healthcare ecosystem.

Integration matters because it synchronizes data across systems like electronic health records (EHR), ultrasound imaging, lab results, and more. When these systems communicate effectively, MFM practices can access comprehensive patient information in real-time, reducing the likelihood of errors and ensuring accurate care decisions based on the most up-to-date information.

One of the most significant benefits of integrated clinical perinatal software is how it streamlines workflows. In a typical MFM practice, doctors, sonographers, nurses, and other providers must collaborate closely, but often have to juggle multiple platforms to access the information they need. This can be time-consuming and prone to mistakes.

With an integrated system, providers can work within a single, unified platform. For example, when an ultrasound is performed, the images and data are automatically uploaded to the patient’s EHR, allowing immediate access to all relevant information. This saves time and reduces the risk of errors associated with manual data entry and cross-referencing between different systems.

Ultrasound reporting is a critical part of perinatal care, providing detailed visual and quantitative data that guide clinical decisions. In traditional systems, ultrasound data is managed in a separate system from the patient record, which can create bottlenecks in accessing this vital information. Integrated clinical perinatal software changes that by bringing ultrasound data directly into the main patient management system, offering several advantages:

  1. Automatic Data Transfer: Ultrasound images and measurements are automatically transferred into the patient’s electronic health record (EHR), eliminating manual uploads and reducing the risk of data loss or transfer errors.
  2. Real-Time Access: Providers can access ultrasound data right away, allowing for quicker diagnosis, which is particularly important in high-risk pregnancies where timely intervention can make a significant difference in outcomes.
  3. Enhanced Collaboration: Multiple Providers can view and discuss ultrasound findings simultaneously, regardless of their location, fostering better collaboration and more coordinated care.
  4. Faster Reporting: Automatically populate ultrasound reports using standardized templates, saving time and ensuring consistency and compliance with clinical guidelines.
  5. Improved Data Analytics: Combining ultrasound data with other patient information enables advanced analytics that can reveal trends in patient care, leading to better management of high-risk cases and improved outcomes.

Integrated clinical perinatal software doesn’t just help healthcare providers; it also has a positive impact on patient outcomes. With all relevant data at their fingertips, clinicians can make more informed decisions, leading to more personalized care.

For instance, if an ultrasound shows a potential issue, the integrated system can alert the clinician in real-time, allowing them to take action. This proactive approach is crucial in perinatal care, where early detection and intervention can make a big difference in the health of both mother and baby.

Also, integrated systems often include patient portals that allow expectant mothers to access their medical information, appointment schedules, and educational resources. This empowers patients to take an active role in their care and improves the patient-provider relationship.

According to Global Market Insights, the clinical perinatal software market is expected to exceed $2 billion by 2032, driven by the increasing adoption of advanced technologies in maternal-fetal medicine. This growth is fueled by the number of pregnancy-related complications and the growing government initiatives and awareness regarding fetal care.

The report highlights that the demand for integrated solutions, especially those that incorporate ultrasound reporting, will continue to rise as healthcare providers look to improve clinical outcomes while reducing costs. For MFM practices, investing in integrated clinical perinatal software isn’t just about keeping up with trends—it’s about future-proofing their operations and delivering the highest standard of care.

The rising demand for integrated clinical perinatal software is driven by the need for efficiency, accuracy, and improved outcomes in maternal-fetal medicine. Practices that adopt these integrated solutions will be better positioned to handle the challenges of modern perinatal care.

At AS Software, we understand the unique needs of MFM practices and have designed our solutions to support seamless integration across all areas of perinatal care, including advanced ultrasound reporting. For over three decades, we’ve been committed to providing our clients with the most advanced tools, enabling them to provide the highest quality of care.

As the demand for integrated clinical perinatal software continues to grow, it’s clear these solutions are the future of maternal-fetal medicine. Practices that embrace this technology will not only improve their operational efficiency but also enhance the quality of care they provide, leading to better outcomes for both mothers and babies.

In a recent webinar, Caleb King, Director of Customer Engagement at AS Software, and Dr. Michael Ruma, President of Perinatal Associates of New Mexico, shared their experiences and strategies for leveraging data to enhance healthcare practices. The discussion highlighted the journey from reactive to proactive data usage, emphasizing the significant impact on patient outcomes, staff efficiency, and overall business growth.

Caleb King opened the session by emphasizing the critical role of data in achieving healthcare objectives. He highlighted that, whether the goal is to streamline operations, improve patient outcomes, or drive business growth, the foundation lies in benchmarking current performance and continuously measuring progress. By understanding where you stand today, you can make informed decisions and track the impact of changes over time. Caleb then introduced Dr. Ruma, who has been integrating data analytics into his maternal-fetal medicine (MFM) practice since 2008, transforming it into a more efficient and patient-focused operation.

Dr. Ruma shared his journey of joining Perinatal Associates of New Mexico when it was a smaller practice with three offices and 30 staff members. Through data-driven decisions and process improvements, the practice has grown significantly, now boasting five MFM physicians and over 130 team members, including 17 advanced practice nurses, four genetic counselors, and 36 sonographers.


Key to this growth has been the strategic use of business data alongside medical data. By understanding patient demographics, referral patterns, and operational efficiencies, Dr. Ruma’s practice has been able to make informed decisions that drive growth and improve patient care.

One of the challenges Dr. Ruma highlighted is the lack of business training for healthcare professionals. He emphasized the need to move beyond traditional medical training to understand financials, data analysis, and operational efficiencies.


Dr. Ruma shared how Perinatal Associates initially struggled with time-consuming processes, using unstandardized data, like manually typing ultrasound reports. Partnering with AS Software in 2013 helped automate these processes, resulting in an 86% reduction in report creation time, saving their clinicians over 23 hours a week. This time-savings allowed the practice to see more patients and improve overall efficiency.

CASE STUDY
Perinatal Associates of New Mexico Decreases Ultrasound Documentation Time

Learn More

Dr. Ruma also discussed the implementation of standardized ultrasound protocols. By using electronic checklists on ultrasound machines, the practice was able to reduce the time spent on each exam by 9 to 10 minutes. This not only improved operational efficiency but also enhanced the quality of patient care by allowing more time for complex cases.

Read more on this published research: Ruma MS, Bradley H, Holstrom A, Rigdon J, Herring A. Obstetric Ultrasound Efficiency and Accuracy Using a Protocol-Based Examination. J Ultrasound Med. 2016;35(3):565-569. doi:10.7863/ultra.15.03075

A significant part of the webinar focused on the use of Microsoft Power BI, a business intelligence tool that aggregates data from various sources into a visual, real-time dashboard. This tool has been instrumental in helping Perinatal Associates monitor key performance metrics, track patient volumes, and make data-driven decisions.

Dr. Ruma’s top three reports:

  1. Total Patient Visits – overview of the total number of patients seen, helping to gauge overall practice growth and capacity.
  2. Visits by Location – aids in understanding market penetration and identifying areas with growth potential.
  3. Service Line Performance – evaluates service lines overtime to understand how to optimize service delivery and expand offerings.

Dr. Ruma illustrated how Power BI enabled his practice to identify opportunities for new services and locations, ultimately leading to growing patient visits by over 30% in 10 years. For instance, real-time data analysis supported the decision to open a new office in Las Cruces and expand mental health services for pregnant patients.

The journey from reactive to proactive data use has allowed Perinatal Associates of New Mexico to anticipate changes, improve patient care, and enhance operational efficiencies. Dr. Ruma emphasized the importance of continuous learning and adapting, using data not just to react to issues but to proactively identify opportunities for improvement.

Caleb King concluded the webinar by encouraging healthcare professionals to start by identifying specific business problems and leveraging data to address them. He stressed the importance of partnerships with EMR providers, software vendors, like AS Software, and internal staff to achieve success. By fostering a culture of continuous improvement and data-driven decision-making, healthcare practices can enhance their efficiency, patient care, and overall success.

The insights shared by Caleb King and Dr. Ruma demonstrate the transformative power of data in healthcare. By moving from reactive to proactive data use, healthcare practices can achieve significant improvements in patient outcomes, staff efficiency, and business growth.

To learn more about how to embrace data analytics, standardize processes, and leverage technology to unlock the full potential of your practice, watch the webinar on-demand.


Dr. Michael S. Ruma

Michael S. Ruma, MD, MPH, Physician Partner & President

Dr. Michael S. Ruma, a board-certified maternal-fetal medicine specialist, prioritizes caring for high-risk pregnancies. He trained at Creighton University and the University of North Carolina, where he also earned a Master of Public Health. Joining Perinatal Associates of New Mexico in 2008, he expanded the practice and integrated telemedicine, significantly enhancing patient care. 

Caleb King

Caleb King, Director of Customer Engagement

Caleb King, a Six Sigma Black Belt, with over a decade of experience building results-driven relationships, has a deep understanding of meeting customer needs with efficiency. At AS Software, Caleb coordinates complex healthcare projects, and is passionate about making a positive impact by delivering value with ongoing expertise and optimization. 

In maternal-fetal medicine (MFM), leveraging data effectively can significantly enhance both care quality and practice efficiency. From identifying high-risk pregnancies to optimizing clinic operations, analytics offer numerous opportunities to improve maternal and child health outcomes while streamlining healthcare practices.  

As new technologies and applications for data analytics continue to emerge, these strategies will not only help ensure safer pregnancies but also drive continuous innovation and operational excellence in MFM practices. 

Data analytics will play a pivotal role in improving the efficiency of MFM practices now and into the future. By analyzing health data, predictive models can forecast issues such as preterm birth, preeclampsia, and gestational diabetes, enabling healthcare providers to allocate resources effectively and plan interventions proactively. This strategic foresight could also assist clinics in optimizing scheduling, reducing wait times, and ensuring timely care for high-risk patients. 

Integrating analytics with electronic health records (EHRs) could also help create a more comprehensive view of patient health, facilitating informed decision-making and streamlined operations. Such integrations have the potential to enhance diagnostic accuracy and support continuous monitoring, improving overall practice efficiency. 

Data analytics can also extend beyond patient care to enhance overall practice operations. Healthcare administrators can identify trends and inefficiencies by leveraging captured datasets, enabling data-driven improvements. For instance, analyzing patient flow data can optimize appointment scheduling and reduce bottlenecks, leading to a smoother patient experience. 

Real-time monitoring and analytics could also enhance resource allocation, ensuring effective use of staff and equipment. These optimizations can help reduce costs and enhance practices’ ability to efficiently provide high-quality care. 

Continuous monitoring powered by data analytics can help improve pregnancy outcomes and enhance practice performance. Real-time data enables healthcare providers to track health metrics continuously, supporting patient safety and operational efficiency improvements. 

Data analytics also enhance patient engagement by providing expectant mothers with insights into their health, fostering active participation in their care decisions and improving health outcomes. This increased engagement contributes to a more collaborative and efficient care environment, enhancing overall practice performance. 

One example of the wide-ranging potential of data analytics MFM comes from Dr. Michael S. Ruma at Perinatal Associates of New Mexico. Through data-driven strategies, Dr. Ruma expanded services to remote areas, optimizing operations for superior patient care. These efforts not only enhanced patient outcomes but also showcased data analytics’ ability to drive innovation and operational excellence in healthcare delivery. 

Join us for our upcoming webinar, “From Reactive to Proactive: Mastering Data Analytics to Grow Your Practice, to learn more about his story. 

Incorporating data analytics into maternal-fetal medicine is more than just the adoption of new technologies; it is an opportunity for comprehensive approaches to optimization that can transform healthcare delivery and practice efficiency.

New ways to leverage data—such as identifying and managing high-risk pregnancies, optimizing clinic operations, and continuous monitoring—will continue to expand. Embracing a data-driven strategy enables healthcare providers to leverage innovative solutions and enhance MFM care. 

Maternal mortality remains a pressing public health concern in the United States, reflecting broader disparities in healthcare access and outcomes. As we move through 2024, it’s crucial to understand the current state of maternal mortality, examine statistics, and learn more about ongoing efforts to address the persistent challenges. 

 According to the Centers for Disease Control and Prevention (CDC), the maternal mortality rate in the United States was 32.9 deaths per 100,000 live births in 2021, the most recent year for which complete data is available. This rate, significantly higher than in other high-income nations, underscores the need for systemic improvements within our healthcare system. 

Furthermore, provisional data for 2024 continues to reveal concerning trends. Maternal mortality rates fluctuate, with racial disparities remaining a significant concern. Black women are “about three times more likely to die from pregnancy-related causes compared to white women.” (CDC, 2024) 

Social determinants of health significantly impact maternal outcomes. Factors such as housing instability, transportation access, food insecurity, substance use, violence, and systemic racial and economic inequalities all play a role in maternal health disparities. 

Efforts to tackle these disparities include supporting state perinatal quality collaboratives and initiatives like the Hear Her campaign, aimed at raising awareness and fostering better communication between healthcare providers and patients, particularly those from underserved communities. 

Several initiatives are underway to combat maternal mortality by enhancing healthcare quality and addressing health disparities: 

  1. Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) Program: This program supports states in understanding the drivers of maternal mortality and developing prevention strategies through comprehensive reviews of maternal deaths. 
  1. Perinatal Quality Collaboratives (PQCs): These state-based collaboratives strive to enhance the quality of care for mothers and infants, with CDC support focusing on improving equity in care and outcomes. 
  1. CDC Levels of Care Assessment Tool (LOCATe): LOCATe assists states in standardizing their assessments of maternal and newborn care levels in hospitals, ensuring healthcare facilities are adequately equipped to meet patient needs. 
  1. Hear Her Campaign: This campaign raises awareness about warning signs of potentially life-threatening complications during and after pregnancy, promoting better communication between patients and healthcare providers for timely and effective care. 

In addition to CDC initiatives, there are legislative efforts to address maternal mortality. The Black Maternal Health Momnibus Act, for instance, is a comprehensive package of bills aimed at improving maternal health outcomes, particularly for Black women and other women of color. It includes provisions for improving data collection, investing in community-based organizations, and diversifying the perinatal workforce. 

Programs like the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are also combating maternal mortality and addressing maternal healthcare deserts, areas where women face significant barriers to accessing maternity care. 

Technology can also help combat maternal mortality. Telehealth services, for example, can bridge the gap for mothers in healthcare deserts, enabling them to access vital prenatal and postnatal care remotely. Additionally, digital health platforms can provide educational resources, monitor maternal health indicators, and facilitate communication between patients and healthcare providers, ensuring timely interventions and support. 

The maternal mortality crisis in the United States remains a significant public health challenge in 2024. However, through comprehensive efforts to improve healthcare quality, enhance access, and reduce racial and ethnic disparities, progress can be made. Initiatives by the CDC, legislative endeavors such as the Black Maternal Health Momnibus Act, and leveraging technology all play pivotal roles in creating a safer and more equitable healthcare system for all mothers. By continuing to monitor and address the factors contributing to maternal mortality, we can strive toward a future where every mother has the chance to thrive. 

Maternal care deserts are areas with a lack of access to essential maternal healthcare services, such as:

  • Prenatal care
  • Labor and delivery services
  • Postpartum care

Due to the lack of available care, women face considerable challenges in accessing timely, adequate care. This can lead to adverse health outcomes both for the mothers and the infants.

Limited Access to Health Facilities

Maternal care deserts have few or no hospitals, clinics, or healthcare providers offering maternal health services. Women living in these areas must travel long distances to reach facilities and receive care.

Shortage of Healthcare Professionals

There is a shortage of obstetricians, gynecologists, and other maternal care providers in these areas, leading to care delays and overburdened existing providers.

Lack of Specialized Care

For some areas, even when access to basic care is available, access to specialized care is limited. This can include care for high-risk pregnancies or complications during childbirth.

Higher Rates of Maternal and Infant Mortality

Due to inadequate access to care, maternal healthcare deserts often have higher rates of maternal and infant mortality and morbidity. Women in these areas are more likely to experience complications during pregnancy and childbirth.

Health Disparities

Maternal healthcare deserts exacerbate existing health disparities, particularly affecting low-income women, women of color, and those in rural communities. This contributes to overall poorer health outcomes and can perpetuate cycles of poverty and ill health.

Addressing the issue of maternal healthcare deserts involves a multifaceted approach, including increasing the number of healthcare providers in underserved areas, improving transportation and infrastructure, expanding telehealth services, enhancing healthcare coverage, and addressing social determinants of health.

Several organizations, government agencies, and initiatives are working to address maternal health care deserts. Their efforts aim to improve access to maternal health services and reduce disparities in maternal and infant health outcomes.

Government Agencies:

  • Health Resources and Services Administration (HRSA): HRSA runs programs aimed at improving access to health care in rural and underserved areas, including the Maternal and Child Health Bureau, which supports maternal and child health services.
  • Centers for Medicare & Medicaid Services (CMS): CMS provides funding and policy guidance to improve maternal health care access and quality through programs like Medicaid and the Children’s Health Insurance Program (CHIP).
  • National Health Service Corps (NHSC): This program provides scholarships and loan repayment to health care providers who commit to working in underserved areas, including maternal health care providers.

Nonprofit Organizations:

  • March of Dimes: This organization advocates for policies that improve maternal and infant health, funds research, and provides resources to support mothers and babies in underserved areas.
  • Every Mother Counts: Founded by Christy Turlington Burns, this nonprofit works to make pregnancy and childbirth safe for every mother, everywhere, by supporting programs that improve access to essential maternity care.
  • Black Mamas Matter Alliance (BMMA): BMMA focuses on improving maternal health outcomes for Black women through advocacy, research, and support for community-based organizations.

Community Health Initiatives:

Telehealth Initiatives:

  • Project ECHO (Extension for Community Healthcare Outcomes): This model uses telehealth to connect primary care providers in rural and underserved areas with specialists, including maternal health experts, to improve care delivery.
  • Telehealth Resource Centers: Funded by HRSA, these centers support the expansion and implementation of telehealth services, which can be particularly beneficial for prenatal and maternal health care in remote areas.

Policy and Advocacy Efforts:

Advancements in ultrasound reporting and telehealth play a crucial role in enhancing access to quality care and improving health outcomes for mothers and infants. These technologies facilitate remote consultations, prenatal care monitoring, and emergency support and leverage data analytics to identify trends, predict high-risk pregnancies, and allocate resources effectively.

By adopting these strategies and leveraging the efforts of government agencies, nonprofit organizations, community health initiatives, and technological advancements, we can make significant strides in closing the gap in maternal health care and ensuring that all women receive the care they need for healthy pregnancies and childbirths.

The way patients are diagnosed, treated, and cared for is undergoing significant transformation in maternal-fetal medicine (MFM). Artificial intelligence (AI) is emerging as a powerful tool in enhancing diagnostic accuracy, optimizing workflows, and fostering equitable access to healthcare. But there are many profound implications of AI in MFM, which were discussed in a recent panel, “Exploring the Expanding Role of Artificial Intelligence in Maternal-Fetal Medicine” that featured clinicians and experts at the SMFM 2024 Pregnancy Meeting.

The speakers and panelists included: Jeanne Sottile, RDMS RVT CSPO of AS Software; University of Kentucky College of Medicine’s Maternal Fetal Medicine Fellow Physician, Dr. Neil Bharat Patel; CEO of Ultrasound AI, Robert Bunn; Chief Medical Offer and Professor, Dr. Garrett K.Lam, of Intermountain High Risk Pregnancy Center and University of Kentucky; and Martin Mienkina, PhD, Advanced Technology and Innovation Manager at GE Healthcare.

Here is a breakdown into the key insights that emerged of the multifaceted applications of AI, challenges, opportunities, and its potential to reshape patient outcomes.

The establishment of trust in algorithmic insights is central to the integration of AI into MFM.

Rigorous testing methodologies are paramount to validate AI algorithms, ensuring consistency and persistence of results across diverse patient populations and clinical settings.

Transparency and trust will build the foundation of successful adoption and utilization of new AI technologies, ensuring that AI-driven innovations enhance, rather than compromise, patient care.

A compelling aspect of AI in MFM is its capacity to democratize healthcare access.

By mitigating skill barriers through technologies like AI-assisted ultrasound, AI enables less specialized practitioners to perform basic examinations with greater accuracy. This innovation is especially promising for underserved rural and international communities, where access to specialized care can be limited.

AI algorithms, like those that can predict preterm birth, represent a large shift in diagnostic approaches.

These algorithms transcend conventional anatomical markers like the cervix, leveraging digital signals within ultrasound images to discern subtle patterns and correlations. AI can ‘see’ beyond human perception and analyze a spectrum of anatomical areas (like the ovaries, uterus, and placenta).

By processing vast amounts of data in real time, AI algorithms can detect early indicators of complications, leading to timelier interventions and improved patient outcomes.

Ensuring equitable access to AI-driven healthcare solutions is a critical consideration in the adoption of AI in MFM.

Some collaborative efforts underway include the development of solutions tailored for low-resource settings, supported by organizations like the Gates Foundation. By leveraging AI to bridge healthcare gaps globally, these initiatives aim to advance maternal and fetal health outcomes worldwide.

The equitable dissemination of AI solutions in MFM extends beyond merely providing access to technology. It involves tailoring solutions to suit the needs of diverse populations and addressing systemic barriers to healthcare access. By prioritizing inclusivity and accessibility, AI-driven innovations have the potential to revolutionize maternal and fetal healthcare delivery.

From enhancing diagnostic precision to optimizing workflows and fostering equitable access to healthcare, AI promises to transform patient care in MFM. However, realizing this potential requires collaborative efforts, rigorous testing methodologies, and regulatory oversight to ensure the reliability, validity, and accessibility of AI technologies.

As the healthcare industry navigates the intersection of AI and healthcare, the future of maternal-fetal medicine holds promise for improved patient outcomes and enhanced quality of care.


Learn more about AS Software’s approach to AI: AI in Ultrasound Reporting: Driving Efficiency and Automation