September 2, 2026 · American journal of perinatology · DOI: 10.1055/a-2949-9626

Transforming Obstetric Care Through an MFM-Led Architectural System: A Proposed Model for High-Value Care Running Title: Transforming Obstetric Care: MFM architecture

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The authors aim to evaluate a maternal-fetal medicine (MFM)-led, integrated care model that positions subspecialists as clinical governors to improve obstetric outcomes. Their analysis of a women's health organization with over 3,500 annual deliveries shows significant improvements in preterm birth rates, cesarean section rates, and diabetes management compared to regional and national benchmarks. This model emphasizes proactive risk identification and treatment, potentially leading to substantial cost savings and enhanced maternity care.

Brian Iriye, Manijeh Kamyar

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