Who we are
We are a maternal health initiative committed to improving postpartum outcomes and advancing health equity in Arkansas and beyond. Our work spans research, clinical innovation, and patient-centered education, with a focus on strengthening postpartum care during the critical fourth trimester.
Developed from a commitment to addressing postpartum hemorrhage through an equity-centered lens, this initiative centers on persistent challenges such as delayed symptom recognition, bias in reporting and response, and limited awareness of how postpartum hemorrhage disproportionately impacts certain populations. These gaps continue to place individuals at higher risk for preventable harm and delayed recovery.
Founded by Jannelle Carahan, BSN, MPH, RN, the initiative focuses on early recognition of postpartum hemorrhage, the development of enhanced postpartum assessment tools, and community awareness efforts designed to support safer transitions from hospital to home during the fourth trimester.
Mission
Our mission is to improve postpartum outcomes and reduce preventable maternal morbidity and mortality by advancing early recognition of postpartum hemorrhage through research, clinical innovation, and equity-centered education. We aim to strengthen postpartum care during the fourth trimester by addressing gaps in recognition, response, and awareness that disproportionately affect underserved populations.
Vision
We envision a future in which all birthing people regardless of race, geography, or socioeconomic status, experience safe, equitable, and supported postpartum care, with timely recognition of complications and improved recovery outcomes during the fourth trimester.
Our work is centered on the following priorities:
Postpartum Hemorrhage (PPH)
Advancing understanding and early recognition of both primary and secondary postpartum hemorrhage.Fourth Trimester Care
Strengthening care transitions from hospital to home during the critical postpartum period.Equity in Maternal Health
Addressing racial, geographic, and systemic disparities that contribute to preventable harm.Clinical & Nursing-Led Innovation
Supporting tools and frameworks informed by bedside clinical experience and public health research.Community Awareness & Education
Improving understanding of postpartum risks among patients, families, and communities.WHAT IS THE FOURTH TRIMESTER?
The fourth trimester refers to the first 12 weeks after childbirth a critical period of postpartum recovery and vulnerability. During this time, many serious complications, including postpartum hemorrhage, can occur even after hospital discharge. Recognizing the fourth trimester as an extension of obstetric care is essential to improving early recognition, equity, and maternal outcomes.
Contact us
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