The maternity journey
Forty weeks
The baby has to be born. And born healthy.
Forty weeks, and every one of them counts. This line walks all of them — and the system makes sure none of them go missing.
The positive result is already in your lab
Nobody has called her yet. She is still taking it in — and a positive result already exists in your system. The system sees it: it reads the lab feed, the chart and the claims every day, and finds the pregnancy without anyone going looking for it.
LAB · hCG, quantitative —positive
DetectedThe call that starts everything
This is when the first prenatal visit is supposed to happen. The agent reaches out in your practice's name — by phone or by text, whichever one she actually answers — and leaves the visit on the books.
Here the path splits in two
The first trimester closes here, and so does the window every payer grades you on: the HEDIS Prenatal and Postpartum Care measure asks one blunt question — was there a prenatal visit in thefirst trimester? Started on time, the whole schedule fits inside the pregnancy: the visits, the labs, the warning signs caught while they are still just signs. After this week everything is still possible — everything just costs more.
Real number: only 76.1% of 2023 US births had prenatal care starting in the first trimester — the second straight year it fell (CDC/NCHS).
Started on time.The green line: every visit in its week, every lab verified.
Never started.The gray line: the schedule runs without her — and the system does not let go: it keeps looking.
The anatomy scan and the labs
Booking it is not the same as it happening. The system checks the chart to confirm the visit took place and the orders were resulted. Whatever is missing gets a new outreach — without anyone working a spreadsheet by hand.
- Prenatal visit 3Kept ✓
- CBC and urine cultureResulted ✓
- Anatomy ultrasound (18–22 wks)Not on the books → reach out
Two paths, two very different week 24s
On the green line
Visits current, the glucose screen already scheduled for week 26, and last night's reminder came back confirmed.
On the gray line
Today she walks into the ED for the first time, 24 weeks along, with no prenatal care at all. Late — but there. And if your system catches her here, the schedule starts that same day.
The warning signs get seen in time
Hypertensive disorders of pregnancy — preeclampsia among them — showed up in at least 1 in 7 delivery hospitalizations in the US, and in about a third of the deliveries that ended in death (CDC, 2017–2019). The good news: a blood-pressure cuff and a kept visit find them. So the system does not wait — it ranks the patients with a warning sign and no recent visit, and goes after those first.
Priority 1: warning sign + no recent visit → reach today
No surprises on delivery day
The GBS swab is due this week. Where to go, what to bring, when to leave the house and which symptoms do not wait — all of it lands on the channel she actually reads, and the agent answers her questions at any hour.
- Group B strep swab (36–37 weeks)
- Which entrance to use at the hospital, and when
- Symptoms that mean call now, not tomorrow
Born. And born healthy.
This is what all of it was for. US maternal mortality fell to 18.6 deaths per 100,000 live births in 2023 — still the worst rate in the developed world, and 50.3 for Black mothers. More than 8 in 10 of those deaths are judged preventable. The distance between those numbers is walked exactly like this: one pregnancy found early, one visit that actually happened, one warning sign somebody heard.
The schedule does not end at the delivery
More than a third of pregnancy-related deaths in the US happen more than six weeks after delivery, when the pregnancy is over and nobody is calling anymore. The measure knows it: the second half of HEDIS PPC counts a postpartum visit between7 and 84 days after birth. So the system keeps the thread open — the visit gets booked, the depression screen gets asked, the blood pressure gets checked, and a missed appointment gets a second attempt instead of a gap in a report.
The count
Three numbers, one conclusion
76.1%
of 2023 US births had prenatal care starting in the first trimester — down two years running (CDC/NCHS).
41%
of US births are financed by Medicaid — and the plan is graded on whether that first-trimester visit happened (KFF).
84%
of pregnancy-related deaths were judged preventable by state review committees (CDC MMRC, 2017–2019).
How the outreach actually runs
Sources:CDC/NCHS births, 2023;CDC/NCHS maternal mortality, 2023;CDC maternal mortality review committees;CDC MMWR on hypertensive disorders;KFF natality analysis on Medicaid-financed births; and the NCQA HEDIS Prenatal and Postpartum Care measure.
This is not scheduling software
It is a system that follows every pregnancy in your panel — week by week, on the EHR and the claims you already have, with nothing migrated. It finds, contacts, books, verifies and calls back, so no schedule is left half-finished. That is Arbol applied to maternity care.
Every pregnancy that starts late started somewhere in your data
Book 30 minutes: we walk your prenatal panel and show you who is already behind schedule this month.
No data migration · Flat monthly fee in USD · Signed BAA