Building the foundation for high-quality, community-based maternity care.
Primary Maternity Care (PMC) partners with health systems, states, and national organizations to design and implement integrated care systems that improve outcomes, advance equity, and reduce costs.
The maternity care system is at a breaking point.
Across the United States, maternal and newborn outcomes remain unacceptably poor, with persistent disparities disproportionately impacting Black, Indigenous, immigrant, and rural communities. At the same time, workforce shortages, hospital closures, and fragmented systems are leaving more communities without access to safe, coordinated care.
But this moment also presents an opportunity.
There is growing demand for care that is personalized, risk-appropriate, and delivered close to home—and increasing recognition that we need stronger foundations and better coordination across levels and locations of care to achieve it.
What is primary maternity care?
Primary Maternity Care is not a single program or model—it is an organizing principle for how maternity care systems are designed.
In most high-performing health systems around the world, care is built on a strong foundation of community-based, first-line services that meet the majority of needs across pregnancy, birth, and the postpartum period. In the United States, this concept is still unfamiliar—and largely underdeveloped.
Primary maternity care names a different starting point.
We design from the foundation up.
PMC brings together deep clinical, operational, and policy expertise to help partners build and scale high-value maternity care systems—grounded in strong, community-based foundations.
Build Integrated Care Systems
We support the development and integration of midwifery-led care, birth centers, doulas, and community-based services as the foundation of a high-functioning maternity care system.
Strengthen Quality, Safety, and Coordination
We develop and implement quality improvement strategies, clinical standards, and training systems that ensure teams are prepared, aligned, and able to deliver safe care across settings.
Enable Sustainable Payment and Policy
We help states, payers, and providers design payment models, regulatory frameworks, and implementation strategies that support long-term access and sustainability.
So where should we begin?
Against the backdrop of an ongoing maternal health crisis in the United States, there is growing recognition that maternity care needs a fundamental redesign—one that is rooted in communities and centered on access, relationships, and continuity.
Primary maternity care asks:
What comes first?
What foundational services and structures must be in place to improve access and outcomes?
What’s most important?
What services and supports matter most for healthy and safe pregnancy, birth, and postpartum and newborn experiences?
What is fundamental?
What are the core goals and principles that should define our maternity care system?
At its core, primary maternity care prioritizes risk-appropriate, person-centered care delivered as close to home as possible—supported by strong coordination across levels and locations of care.
PMC exists to define, advance, and operationalize this concept in the U.S. context so that every community has access to high-quality care.
Turning Principles into Practice
PMC translates the principles of primary maternity care into real-world systems, tools, and partnerships.
Our flagship initiative, Step Up Together®, provides a proven framework to strengthen coordination, safety, and emergency readiness across community and hospital-based care.
Clients
Primary Maternity Care (PMC) works with clients across the system, because it will require a whole-system approach to radically shift how we care for birthing people and growing families. We are proud to have both independent and enterprise clients and to serve as a point of integration across collaborative projects that engage multiple stakeholders.
Meet the Team
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Monet Goode
FOUNDER
With a vision for building something meaningful, our founder brings a blend of big-picture thinking and hands-on experience.
They set the tone for everything we do. -
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Emmett Marsh
SALES MANAGER
Focused, approachable, and driven by results, our sales manager is all about building strong relationships. They help connect people to the right solutions—with clarity and care. -
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Eleanor Parks
MARKETING DIRECTOR
Creative and strategic in equal measure, our marketing director brings fresh ideas to every campaign. They turn insights into action and help our message resonate with the right audience. -
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Karl Holland
CUSTOMER SERVICE MANAGER
Friendly, attentive, and always ready to help, our customer service manager ensures every interaction is a positive one. They keep communication clear, timely, and human.
