The Perinatal Health Partnership (PHP) Program provides home visiting services during pregnancy and up to the infant’s first birthday following delivery. Pregnant women with high-risk conditions or who have identified risk factors that put them at risk for poor pregnancy outcomes will be targeted for home visiting services and interventions but enrollment can occur after delivery.
Perinatal Health Partnership services include:
- Clinical assessment of mother and baby
- Care coordination
- Case management
- Education for high-risk pregnant women and their families
- Linkages to needed resources
Referral to the program is recommended for:
Maternal patients with:
- Hypertension or Gestational Hypertension
- Preeclampsia
- Diabetes
- Multiple gestation
- Prior preterm delivery
- Preterm labor
- Chronic conditions or co-morbidities
- Prior 2nd trimester pregnancy loss
- Prior fetal/neonatal death
- Pre-existing health conditions
- Substance use disorder
- Mental health condition
- Poor support system
- Difficulty complying with provider recommendations and/or follow up (e.g., keeping appointments)
- Other medical conditions or concerns for poor outcomes
Infants with:
- Recent NICU discharge
- VLBW or LBW
- <36 weeks gestation at delivery
- Positive maternal screening for substances at delivery
- Suspected or confirmed congenital syphilis or HIV infection
- Poor maternal support system or other environmental concerns