By Specialty

Maternal Health, Prenatal Risk Screening, and OB Specialist Support

Powered by ConsultBridge and CareScreen

Identify maternal risk earlier, support prenatal and postpartum follow-up, and route complex OB questions to qualified specialists.

CareScreen ConsultBridge

> Product boundary: CareScreen closes screening care gaps: eligibility from the chart/EHR, in-clinic capture (devices and questionnaires), async specialist interpretation, and structured results back to the PCP EMR. ConsultBridge is a separate FabrixMed product for live provider-to-provider specialty consults. CareScreen does not require ConsultBridge. Referral recommendations from screening are documented in the EMR; the PCP handles next steps through normal clinical workflow. /by-specialty/maternal-health-obstetrics /by-specialty/obstetrics Both URLs can land on this same page. Maternal care access is uneven. Many communities face limited OB availability, long travel distances, fragile referral pathways, and gaps in prenatal and postpartum follow-up. Rural hospitals, community clinics, FQHCs, correctional facilities, mobile health programs, Medicaid-focused care teams, and health plans often see maternal risk before specialist support is available. FabrixMed helps healthcare organizations extend maternal health support with independent FabrixMed products (each specialty may use CareScreen, ConsultBridge, or both — no required handoff between them):

This is not a replacement for local OB care, labor and delivery teams, emergency protocols, or maternal-fetal medicine. It is infrastructure for risk identification, specialist routing, and closed-loop maternal care coordination.

  • ConsultBridge helps treating clinicians route structured OB, maternal-fetal medicine, and pregnancy-related questions to qualified specialists.
  • CareScreen helps care teams identify prenatal and postpartum risks, track care gaps, and coordinate follow-up.

The Problem: Maternal Risk Appears Before Specialist Access


Pregnancy-related needs show up across many care settings:

Common failure points include:

Rural hospitals
Community hospitals
Critical access hospitals
FQHCs
Primary care clinics
Urgent care centers
Emergency departments
Correctional facilities
Mobile health units
Home health programs
Medicaid care management programs
Health plans
ACOs and CINs
Community maternal health programs
Postpartum follow-up programs
missed or delayed prenatal care
high-risk pregnancy factors not identified early enough
abnormal labs without clear next step
gestational diabetes follow-up gaps
hypertension or preeclampsia warning signs
postpartum blood pressure follow-up gaps
postpartum warning symptoms
medication safety questions during pregnancy
transportation and social barriers
fragmented referral pathways
unclear escalation thresholds
poor documentation of risk, referral, and follow-up

What FabrixMed Enables in Maternal Health and Obstetrics


FabrixMed supports maternal health workflows through both ConsultBridge and CareScreen.

ConsultBridge

ConsultBridge


ConsultBridge is the provider-to-specialist OB support layer. It helps treating clinicians route pregnancy-related clinical questions, labs, vitals, medication history, risk factors, and care context to OB, MFM, or other qualified maternal health specialists. ConsultBridge is especially useful when a local clinician needs specialist input on risk, escalation, follow-up, or next steps.

CareScreen

CareScreen


CareScreen is the prenatal and postpartum screening, monitoring, and care-gap layer. It helps care teams identify maternal risk, track open follow-up needs, and route patients into the right pathway. CareScreen helps organizations move from fragmented maternal health workflows to structured, specialist-enabled care coordination. ConsultBridge addresses live consult needs separately when the organization purchases that product.

CareScreen

CareScreen for Prenatal and Postpartum Risk Workflows


Identify risk. Track gaps. Route patients into the right pathway.


CareScreen should be the front-end workflow for maternal risk and follow-up. It can help care teams identify and track:

The output is not always an OB consult. The output is the right pathway. That pathway may be:

CareScreen makes maternal risk visible, actionable, and trackable.

missed prenatal care
high-risk pregnancy factors
blood pressure concerns
gestational diabetes screening and follow-up
anemia or abnormal lab follow-up
postpartum blood pressure follow-up
postpartum warning symptoms
postpartum depression screening routing
medication safety concerns
social and transportation barriers
referral completion
follow-up task ownership
local OB follow-up
primary care follow-up
maternal-fetal medicine review
emergency escalation
diabetes/endocrinology support
cardiology support
behavioral health referral
social work or care management
transportation support
postpartum monitoring program

CareScreen

CareScreen Maternal Health Data Capture


CareScreen can help capture and organize:

This is structured maternal risk visibility.

gestational age
pregnancy history
prior complications
current symptoms
blood pressure
heart rate
weight/BMI
diabetes or gestational diabetes status
glucose screening status
medication list
allergies
abnormal labs
anemia status
urine protein status if available
fetal growth concern if documented
prenatal visit status
postpartum status
postpartum blood pressure follow-up
postpartum depression screening status
transportation or social barriers
referral status
follow-up owner

Example: Prenatal Risk Screening in an FQHC


A pregnant patient is seen at an FQHC or community clinic. CareScreen identifies:

The care team can use CareScreen to:

1

capture structured risk data

2

assign follow-up tasks

3

route urgent concerns through emergency protocols

4

route complex questions through ConsultBridge

5

document the next step

6

keep the case open until follow-up is completed

  • elevated blood pressure
  • missed prenatal follow-up
  • gestational diabetes screening gap
  • transportation barriers
  • unclear referral status

Example: Postpartum Blood Pressure Follow-Up


A postpartum patient needs blood pressure monitoring after delivery. CareScreen can help track:

If readings or symptoms are concerning, the case can be routed to the appropriate clinician or specialist pathway. If emergency warning signs are present, emergency protocols should be followed immediately.

  • BP readings
  • symptoms
  • medication adherence
  • follow-up appointment status
  • warning signs
  • care team ownership

Example: Maternal Health in Correctional Facilities


Correctional facilities face unique barriers around transport, outside appointments, specialty access, and continuity. CareScreen can help identify:

ConsultBridge can route appropriate pregnancy-related questions to OB/MFM specialists, while emergency symptoms remain governed by emergency protocols. This supports better documentation, follow-up, and specialty access while reducing avoidable movement when clinically appropriate.

  • pregnancy status
  • prenatal visit gaps
  • high-risk history
  • BP concerns
  • medication issues
  • lab follow-up needs
  • transport-dependent referrals
  • postpartum follow-up needs

ConsultBridge

ConsultBridge for OB and Maternal-Fetal Specialist Support


Route structured pregnancy-related questions to qualified specialists.


ConsultBridge is the provider-to-specialist consult layer. For maternal health and obstetrics, it helps treating clinicians request specialist input when pregnancy-related questions exceed routine local workflows. A ConsultBridge OB request can include:

The OB or MFM provider reviews the submitted information and returns recommendations to the treating clinician through the platform. The treating clinician remains responsible for bedside assessment, emergency escalation, diagnosis, prescribing, treatment, monitoring, and final patient management.

gestational age
pregnancy history
presenting concern
symptoms
vital signs
blood pressure
relevant labs
diabetes or gestational diabetes status
medication list
prior pregnancy complications
fetal growth concern if documented
ultrasound report if available
comorbidities
social or transportation barriers
current care setting
specific consult question

ConsultBridge

ConsultBridge OB / Maternal Health Use Cases


ConsultBridge can support provider-to-specialist workflows for:

The goal is not to replace OB/MFM care when it is needed. The goal is to help treating clinicians access qualified specialist input earlier and route patients more intelligently.

high-risk pregnancy questions
abnormal prenatal lab review
gestational diabetes complexity
hypertensive disorder or preeclampsia concern
postpartum hypertension questions
medication safety in pregnancy
thyroid or endocrine questions in pregnancy
cardiac symptoms in pregnancy
anemia or lab follow-up questions
fetal growth concern review where appropriate
care coordination after ED or urgent care visit
transfer or higher-level care triage support
postpartum warning symptom follow-up
correctional facility maternal health questions
rural or community site OB support

Example: Rural Hospital OB Support


A pregnant patient presents to a rural hospital or community site with concerning symptoms or abnormal findings. The local team needs to determine whether the patient can be managed locally, needs urgent OB follow-up, or requires transfer to a higher-level maternal care center. With ConsultBridge:

This supports better access to specialty input without replacing local emergency or OB protocols.

1

The treating clinician performs the initial assessment.

2

Vitals, gestational age, symptoms, labs, pregnancy history, and relevant reports are captured.

3

Emergency protocols are followed immediately if red flags are present.

4

Appropriate cases route to an OB/MFM provider.

5

Recommendations return to the treating clinician.

6

The treating clinician determines the final plan and documents the disposition.

Example: Gestational Diabetes Complexity


A patient has gestational diabetes with unclear glucose control, medication questions, or follow-up gaps. CareScreen can help identify the gap and collect relevant data. ConsultBridge can route the case to the appropriate specialist for review. Possible pathways include:

FabrixMed helps organize the case and route it into the right care pathway.

  • local OB follow-up
  • MFM review
  • endocrinology support
  • diabetes education
  • nutrition support
  • primary care follow-up
  • postpartum diabetes follow-up

Example: Postpartum Warning Symptoms


A postpartum patient reports concerning symptoms or abnormal blood pressure. CareScreen helps capture the symptoms, BP readings, follow-up status, and warning signs. If emergency red flags are present, emergency protocols should be followed immediately. If the case is appropriate for specialist review, ConsultBridge can route the structured information to the appropriate OB or MFM provider. This helps postpartum care teams avoid lost follow-up and unclear escalation.

Value for Healthcare Organizations


FabrixMed helps organizations strengthen maternal health access and follow-up workflows. Organizations can use FabrixMed to:

The result is better maternal risk visibility, better specialist routing, and more reliable follow-up.

identify prenatal and postpartum risk earlier
support high-risk pregnancy routing
track maternal care gaps
support postpartum blood pressure follow-up
coordinate gestational diabetes follow-up
route pregnancy-related questions to OB/MFM providers
improve referral completion
support rural and community maternal care teams
support correctional maternal health workflows
support Medicaid and health plan maternal health programs
strengthen documentation and follow-up
reduce avoidable delays when clinically appropriate

Value for OB and MFM Provider Groups


FabrixMed also creates a scalable channel for OB and MFM provider groups. Provider groups can use the FabrixMed ecosystem to:

The provider group brings OB/MFM expertise. FabrixMed helps turn that expertise into structured consult and care coordination workflows.

receive structured consults from treating clinicians
support rural and community care teams
support FQHC and Medicaid-focused maternal health programs
support correctional maternal health workflows
build contracted facility relationships
participate in prenatal and postpartum monitoring programs
expand beyond local geography
create recurring consult and program-support revenue
maintain clinical independence
contract directly with health facilities
use FabrixMed as the platform and MSO-style enablement layer

Why This Is More Than Traditional Telemedicine


Traditional telemedicine is often a video visit. Maternal health support often requires more than a conversation. Effective maternal care coordination may depend on:

ConsultBridge helps route the specialist question. CareScreen helps identify and track the care gap. CareScreen and ConsultBridge each support maternal health access — as independent products (no integrated handoff).

gestational age
pregnancy history
vitals
blood pressure trends
labs
medication list
ultrasound reports
diabetes status
social barriers
referral status
postpartum follow-up
emergency warning signs
local facility capabilities
transfer pathways

Products Used in Maternal Health and Obstetrics


CareScreen

CareScreen


CareScreen is the prenatal and postpartum screening, monitoring, and care-gap layer. Primary use cases include:

prenatal risk screening
missed prenatal care tracking
high-risk pregnancy flagging
blood pressure monitoring workflows
gestational diabetes follow-up
anemia/lab follow-up
postpartum blood pressure follow-up
postpartum depression screening routing
referral completion tracking
transportation/social barrier capture
correctional maternal health workflows
mobile maternal health screening
Medicaid and health plan maternal care-gap programs

ConsultBridge

ConsultBridge


ConsultBridge is the provider-to-specialist OB/MFM support layer. Primary use cases include:

CareScreen helps organizations support maternal health risk identification, specialist routing, and follow-up coordination.

high-risk pregnancy consults
abnormal prenatal lab review
gestational diabetes complexity
hypertension/preeclampsia concern routing
postpartum hypertension questions
medication safety in pregnancy
fetal growth concern review where appropriate
transfer or higher-level care triage support
rural/community OB support
correctional facility OB questions
post-ED or post-urgent care maternal follow-up

Best-Fit Organizations


FabrixMed maternal health and OB workflows are especially useful for:

Rural hospitals
Community hospitals
Critical access hospitals
FQHCs
Primary care clinics
Medicaid-focused care programs
Health plans
ACOs
CINs
Correctional facilities
Mobile health units
Home health agencies
Community maternal health programs
Postpartum follow-up programs
Health systems with distributed sites
Regional OB/MFM networks

Best-Fit Provider Groups


FabrixMed is especially useful for OB and MFM provider groups that want to:

support rural and community care sites
receive structured consult requests
participate in maternal health access programs
support postpartum monitoring workflows
support FQHC and Medicaid-focused programs
build contracted facility relationships
expand geographically
create recurring consult and program-support revenue
stay independent while scaling through infrastructure support

The ROI of Maternal Health Access


CareScreen can create value by helping organizations:

Identify Maternal Risk Earlier


Care teams can capture structured prenatal and postpartum risk data before problems become invisible or delayed.

Improve Specialist Routing


Treating clinicians can route appropriate OB/MFM questions to qualified specialists.

Close Prenatal and Postpartum Gaps


CareScreen can help track missed prenatal care, postpartum BP follow-up, gestational diabetes follow-up, and referral completion.

Support Rural and Community Sites


Facilities with limited OB access can connect to regional specialists more reliably.

Reduce Avoidable Delays


Specialist-supported routing may help patients receive the right follow-up or escalation sooner when clinically appropriate.

Strengthen Documentation


Consults and care-gap workflows create a clearer record of data reviewed, recommendations, follow-up plan, and final disposition.

Support Medicaid and Value-Based Maternal Health Programs


Health plans, ACOs, CINs, and community programs can coordinate maternal risk across more care sites.

Where FabrixMed Fits

FabrixMed does not replace OB clinicians, maternal-fetal medicine specialists, labor and delivery teams, emergency protocols, EMS, local facility protocols, or treating-provider clinical judgment. FabrixMed supports the infrastructure around maternal health access by helping organizations:

The treating provider and OB/MFM provider group remain responsible for clinical decision-making, diagnosis, treatment, prescribing, emergency escalation, transfer decisions, monitoring, and patient management within their applicable scope and agreements. Patients with severe hypertension, seizure, heavy bleeding, severe abdominal pain, chest pain, severe shortness of breath, signs of stroke, severe headache with concerning features, loss of consciousness, suspected ectopic pregnancy, active labor concerns, decreased fetal movement, or other emergency warning signs should be managed according to emergency protocols immediately.

  • capture relevant maternal health data
  • identify prenatal and postpartum care gaps
  • route cases to appropriate OB/MFM providers
  • support provider-to-specialist consult workflows
  • document recommendations
  • coordinate follow-up
  • connect facilities with internal, contracted, regional, or ecosystem OB/MFM providers

Source Notes


Potential external references for planning and future citation:

https://www.marchofdimes.org/maternity-care-deserts-report

https://www.acog.org/

https://www.acog.org/clinical

https://saferbirth.org/

https://mchb.hrsa.gov/

  • March of Dimes Maternity Care Deserts Report
  • ACOG Rural Maternity Care and Access Resources
  • ACOG Clinical Guidance
  • Alliance for Innovation on Maternal Health Patient Safety Bundles
  • HRSA Maternal and Child Health Bureau

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