Healthy Women. Healthy Babies.

Delaware’s Healthy Women, Healthy Babies Program

This program is based on the life course perspective that recognizes that birth outcomes are influenced by the health of mothers before and during pregnancy. Designed and implemented by the Delaware Department of Health and Social Services’ Division of Public Health (DPH), in collaboration with the Delaware Healthy Mother and Infant Consortium, Healthy Women, Healthy Babies facilitates comprehensive preconception, prenatal, and interconception care to women, regardless of insurance status.

The Healthy Women, Healthy Babies Program is for women at risk for poor birth outcomes, including those for whom a pregnancy resulted in a poor birth outcome, such as infant death, stillbirth, low birth weight, or premature birth. Other women may also enroll in the program if presenting with two of the following risk factors: Body Mass Index (BMI) greater than or equal to 30; history of chronic disease (e.g., asthma, cancer, chronic obstructive pulmonary disease, diabetes and/or hypertension); high stress (based on a self-reported Perceived Stress Scale); late entry into prenatal care (after first trimester); maternal age under 18 or over 35; mental illness (based on clinical diagnosis and/or self-reported Patient Health Questionnaire); or risk for birth defects (based on environmental toxins, family history, and/or personal history).

The Healthy Women, Healthy Babies Program services are facilitated through seven health care organizations and their 20 clinic sites that contract with the Division of Public Health to conduct program outreach and enrollment, and deliver service bundles. Contractors are selected through a competitive process that prioritizes service delivery in geographic areas found to have high rates of infant mortality.

The Healthy Women, Healthy Babies Program services are grouped into four service bundles:

  1. preconception care
  2. psychosocial care (i.e., mental health diagnosis and counseling)
  3. prenatal care
  4. nutrition care

Services in each bundle are based on clinical practices recommended by:

  • American Academy of Pediatrics (AAP)
  • American College of Obstetricians and Gynecologists (ACOG)
  • Centers for Disease Control (CDC)
  • United States Preventive Services Task Force (USPSTF).

Bundles include enhanced services not fully covered by Medicaid or private insurance (e.g., oral health education and psychosocial risk assessment). Service bundles are delivered to individual women depending on need.

Referrals should be made directly to participating providers.