About Us
Primary Maternity Care is a service design and consulting firm that helps health systems and other stakeholders improve maternity care.
We focus on “primary” maternity care—first line services in the community and care for low-risk birth.
We have deep experience in evidence-based care models that improve outcomes and equity and reduce costs. These models include midwifery care, birth centers, group visits, home visits, integrated behavioral health, and digital tools for health and wellness.
Our interdisciplinary team of consultants are experts in value-based care models, clinical standards and operations, quality improvement, training and facilitation, consumer research, experience design, product development, and regulatory compliance.
When we design solutions, we center the experience of the pregnant person and family, and focus on addressing the needs and opportunities of those most impacted by our maternity care crisis—Black, Indigenous, and other people of color.
Amy Romano, MBA, MSN, CNM
Founder and CEO, Primary Maternity Care
Amy is a nationally-recognized expert in maternity care improvement and innovation. With a clinical background as a nurse-midwife, she has spent her career working to transform maternity care and helping to build a national movement for more human-centered, evidence-based, and respectful care for all. She writes about “midwifing the system” on Medium.
We are woman- and worker-owned.
The people who are both most qualified and most motivated to fix maternity care are those with the capacity for pregnancy and birth, as well as those working in the system. Also, it matters who owns maternity care, especially in a profit-driven system. We are a small and young company, but as we grow we are committed to remaining primarily owned by women and non-binary individuals, as well as employees.
Meet the Team
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Alexa Dougherty, MSN, PHN, CNM
Clinical Operations Specialist and Faculty, Step Up Together
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Jennifer Johnson, CNM, MS
Clinical Operations Consultant and Faculty, Step Up Together
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Claudia Jennings
Administrative, Billing, and Operations Specialist
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Julia Cogdell, MSW, LMSW
Operations and Programs Associate
Let’s midwife the system.
Midwives are natural leaders in the movement to transform our system of care delivery, keeping the focus of the system where it belongs—on people who want to have healthy pregnancies, safe births, and to be supported through the transformative work of growing their families. We believe midwives form the foundation of a high-value maternity care system. Learn why in Amy’s call to action: Let’s midwife the system.