Maternal Health Community Engagement: Insights from Statewide Maternal Health Listening Sessions in Alabama

Abstract Purpose Alabama ranks among the worst states for maternal and infant health outcomes, with maternal mortality rates rising to 56.9 per 100,000 live births between 2018 and 2021. Contributing factors include rural hospital closures, limited obstetric care access, high prevalence of chronic conditions, and lack of Medicaid expansion. To address these disparities, the Alabama Perinatal Quality Collaborative (ALPQC) launched statewide listening sessions to incorporate patient perspectives into maternal health improvement efforts. This study aimed to (1) capture lived experiences of individuals during prenatal, labor/delivery, and postpartum periods; (2) identify barriers and facilitators to maternal health care access and quality in Alabama; and (3) inform clinical, programmatic, and policy strategies to reduce maternal mortality and morbidity through patient-centered approaches. Description Nine “What Moms Want” listening sessions were conducted across Alabama from July to September 2024. Community organizations hosted sessions to ensure geographic and demographic representation, particularly in rural and underserved areas. Participants included mothers, fathers, and support partners. Sessions followed a structured guide addressing prenatal, labor/delivery, and postpartum experiences. Assessment Over 250 participants shared experiences, with 75.8% identifying as Black. Six major themes emerged: (1) access and continuity of care, (2) education and resources, (3) self-confidence and empowerment, (4) communication and choice, (5) compassion and respect, and (6) gratitude. Conclusion Listening sessions revealed critical gaps and opportunities for patient-centered strategies to improve maternal health in Alabama. Findings underscore the value of qualitative data in shaping policy, clinical practice, and community engagement.