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Bridging the gap in maternal care: the role of community-based workers in preventing maternal mortality

Year: 2026

Type: article

Abstract: The United States continues to face a persistent maternal mortality crisis, underscoring the need to explore innovative approaches to prevention that extend beyond traditional clinical care. Mental health and substance use disorders are among the leading causes of preventable maternal deaths, particularly during the postpartum period when clinical perinatal care ends. Community-based workers-including community health workers, doulas, peer support specialists, and patient navigators-may address gaps in maternal healthcare by responding to social determinants of health, connecting patients with community resources, and supporting engagement with healthcare and behavioral health services. This commentary explores opportunities to integrate community-based workers into perinatal care and highlights their potential roles in addressing mental health and substance use, navigating social and structural barriers, and strengthening continuity of support throughout pregnancy and the postpartum period. The commentary also highlights the importance of investing in the community-based workforce and developing partnerships between community-based workers and perinatal providers. Rather than replacing physicians, community-based workers may complement clinical care by addressing needs that extend beyond the traditional scope of medical practice and expanding the reach of maternal healthcare.

Source: Preventive Medicine Reports

DOI: 10.1016/j.pmedr.2026.103663

Author: Morgan Kruzan

Institution: Brown University

Language: English

Topic: Maternal and Neonatal Healthcare

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Gender equality, Reduced inequalities

Open Access status: gold

Estimated APC paid: $2,610