Healthy Moms, Healthy Babies

The earliest years of a child’s life lay the foundation for all future development. When communities support mothers and babies with high-quality care before and during pregnancy, birth, and the baby’s first year, they not only aid in healthy growth and attachment, they also prevent future health problems and benefit lifelong health for mom and baby. 

The challenges in accessing both physical and mental health care in our state directly impact the well-being of mothers and their infants. In Tennessee, 1 in 12 mothers don’t start prenatal care until the third trimester of pregnancy or don’t receive prenatal care at all. Additionally, 43 of Tennessee’s 95 counties have 0 active OBGYNs, making it challenging for many mothers to get comprehensive care. In 2022, Tennessee ranked 45th nationally in access to mental health resources. 

To ensure all babies have a strong start to life, we must collectively support pregnant women and new moms through:

     ·  Fostering a community-wide commitment to prevention and early intervention,
     ·  Increasing accessibility of pre-and post-natal health and mental health care, and
     ·  Advocating for policy change that supports families.  

When we work together to support mothers and their babies, we lay the groundwork for a healthier, more resilient, thriving future generation.

Healthy Moms, Healthy Babies Fact Sheet
Click to Read Fact Sheet

Supporting pregnant women and mothers of young children is an investment in our future vitality. The early years shape a child's lifelong trajectory, influencing their physical and mental health. Adverse experiences that occur during pregnancy and childhood can lead to long-term consequences, affecting cognitive development and emotional resilience, while positive experiences can act as buffers to adversity, leading to better physical and mental health, healthier relationships, and improved overall functioning in adulthood.

Complications related to pregnancy can start before, during, or after pregnancy and may affect the mother, the baby, or both. Common issues like high blood pressure, gestational diabetes, and anemia are often preventable or manageable. Maternal health problems can lead to risks for the baby, including low birth weight and premature birth, which may affect their development in areas like communication, problem-solving, and social skills.  Despite these risks, women with health conditions can and do have healthy pregnancies and healthy babies! Investing in maternal health during pregnancy is crucial for promoting positive outcomes for both the mother and the infant in the early stages of life.

Maternal mental health is also critical for infant physical and mental health outcomes. Women’s relationships and social networks undergo changes in the perinatal period, increasing risk of loneliness, isolation, and depression. Depression affects women at a higher rate, with low-income pregnant and parenting women experiencing increased levels of depression and challenges in accessing treatment. In Tennessee in 2020, 18.6% of women experienced postpartum depression symptoms.   During the perinatal period, women’s relationships and social circles often change, which can make them feel lonely and isolated from others. Isolation and loneliness are significant contributors to depression, particularly during pregnancy and following birth. Research supports developing perinatal interventions that strengthen women’s support networks to help reduce maternal depression.

Depression in mothers can interfere with a mother’s ability to care for her child. Mothers with depression have lower rates of breastfeeding initiation, decreased maternal and infant bonding, and an increased risk of developmental delays in infants. Children of mothers with depression are more likely to face behavior and social function problems during their school-aged years. 

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Every student can face difficulties over the course of their education. Still, certain groups are more likely to face challenges that get in the way of their learning at school such as access to basic needs, having the proper tools for learning, or experiencing bullying or discrimination while at school. When we implement changes to design community supported schools, we provide an opportunity for all students to receive support that helps them meet their needs and their learning goals.  

Certain communities face extra challenges that can hinder or complicate access to maternal care. Whether this is due to inaccessible or unaffordable resources, or systemic barriers, members of these communities need support in order to improve health and mental well-being outcomes for themselves and their children.

Rural Communities 

In rural areas of Tennessee, access to prenatal care is hindered by limited healthcare facilities and transportation challenges, leading to delayed or inadequate care for many pregnant women. Within Tennessee, 32.6% of counties are considered "maternity care deserts,” meaning that they do not have a hospital or birth center offering care for pregnant women. In rural areas in Tennessee, more than half of all women (55.1%) live over 30 minutes from a birthing hospital. The farther a woman travels to receive maternity care, the greater the risk of maternal morbidity and poorer infant outcomes (I.e., stillbirth and NICU admission). These “maternity care deserts” may put these women at an increased risk for complications during pregnancy and childbirth.

By ensuring that mothers receive adequate care during pregnancy and childbirth, we pave the way for healthier generations, stronger communities, and improved overall societal well-being.

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Women Experiencing Homelessness

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Pregnant women experiencing homelessness encounter significant health challenges that directly impact both their well-being and the outcomes for their babies. Pregnant women experiencing homelessness have higher rates of pregnancy-related health issues. Homeless pregnant women are less likely to receive timely prenatal care, breastfeed, or have well-baby checkups. Babies born to homeless mothers are more likely to have a low birth weight or preterm labor and need intensive care, leading to longer hospital stays. Health challenges persist from childhood into adulthood, posing an elevated risk of various health issues and higher healthcare expenses.

Uninsured Women

The absence of health insurance impacts maternal and infant outcomes by reducing access to prenatal and postnatal care, ultimately contributing to poorer health outcomes for both mothers and babies.  In 2022, approximately 24% of low-income women of childbearing age in Tennessee lacked health insurance. In 2020, about 1 in 7 women (14.8%) were uninsured prior to pregnancy, and 8% were uninsured after pregnancy.  Uninsured women, especially those lacking adequate perinatal care, encounter increased risks during and after pregnancy. Women without insurance face a much higher risk of dying from pregnancy-related complications, a 4.75 times higher risk than privately insured women. Newborns without insurance are at a higher risk for negative health outcomes, including low birth weight and mortality, compared to insured newborns.

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Racial and Ethnic Minorities 

Systemic issues such as unequal access to maternal healthcare, socioeconomic disparities, and potential biases within healthcare systems can contribute to racial and ethnic minority disparities in maternal and infant health outcomes. Black and American Indian/Alaska Native women face significantly higher rates of pregnancy-related deaths. In 2021, 53 women in Tennessee died from pregnancy-related causes, with the burden of pregnancy-related death higher among non-Hispanic Black women. Non-Hispanic Black women were 2.3x as likely to die as white women." Black women are also more likely to experience pregnancy-related adverse conditions (e.g., hypertension, antepartum and postpartum hemorrhage, and peripartum infections).

Babies born to Black women in Tennessee also experience the highest mortality rates, with 9.7 infant deaths per 1000 live births in 2020. Babies born to Black women also have an increased risk of preterm birth and low birthweight compared to babies born to white or Hispanic mothers. In 2021, Hispanic women had the highest teen birth rate in Tennessee with 41.9 births per 1,000 women ages 15-19, despite only making up about 10-15% of Tennessee’s maternal population each year. Black women have the second highest teen birth rate, at 29.9 births per 1000 women. Addressing implicit biases is crucial for improving the quality of care provided to pregnant women and mitigating these disparities.

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Teen Parents

In 2022, Tennessee had the sixth-highest teen birth rate in the country, with 21 births per 1000 females aged 15-19. Adolescents who grew up in poverty, especially those who experienced maltreatment as children, are at higher risk for teenage pregnancy. Childhood poverty has been linked with teenage pregnancy, and it can also result from it. Adolescents in foster care are especially at risk for teen pregnancy; 1/2 of young women in foster care have given birth by age 20. Teen moms face heightened risks during pregnancies and childbirth, such as complications with delivery, greater risk of preterm birth, low birthweight, and perinatal death or infant mortality. Teen moms also experience significantly higher rates of depression pre- and post-partum than adult mothers, and are less likely to graduate high school than their peers.

Children born to teen mothers are more likely to face educational challenges, health problems, and socio-emotional issues. Moreover, the cycle tends to continue, as the child of a teen mother is more likely to become a teen parent. These issues not only affect the immediate generation but also contribute to a cycle of disadvantage that continue through generations. 

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Activities and Programs: Evidence-informed, actionable, short-term steps that collaborative groups can take to address priority areas.

Policy and Systems Change: Systems change refers to how organizations or programs — such as school systems or health systems — are connected and work together to improve conditions to make change that lasts. This section contains evidence-informed, actionable, long-term steps that collaborative groups can take to address priority areas.

  • Adopt a public education campaign to bring awareness to strategies to improve maternal and infant care, such as:
    • Spread awareness about local and state maternal health support programs
    • Launch public awareness campaigns to educate moms and their families about the importance of perinatal care, healthy lifestyles, and risk factors.
    • Raise awareness of urgent maternal warning signs during pregnancy and after pregnancy
    • Provide information about proper nutrition, exercise, and prenatal vitamins to support a healthy pregnancy, including the importance of the optimization of chronic health conditions
    • Increase education on perinatal mental health to patients and providers.
    • Ensure training, education, and implementation of protocols for all healthcare providers on the management of pregnancy and postpartum complications in all inpatient and emergency department settings.
  • Connect community members to assistance programs such as TennCare (Medicaid), Tennessee Women, Infants, and Children (WIC), Community Health Access and Navigation in Tennessee (CHANT), and Coverkids (CHIP). Navigating government resources can be overwhelming. Providing community resources, workshops, and partnering with organizations that help individuals access these programs can help remove barriers and increase access to care.
    • Collaborate with your local WIC office to ensure women in your community know about and have access to the essential resources and support WIC provides, such as breastfeeding education and support, baby formula, nutritious foods, and referrals to healthcare.
    • Encourage pregnant women to seek perinatal care. Encourage eligible women to enroll in presumptive eligibility  (PE) for temporary prenatal, delivery, and postnatal care services. The PE program is in every county health department throughout the state.  Encourage pregnant women to call their local health department office to ask about getting signed up for PE.
  • Provide training for teens and young adults on comprehensive sexual risk avoidance and family planning, which promote community-based awareness for adolescent pregnancy prevention and mindful family planning.
  • Adopt breastfeeding promotion programs to increase breastfeeding rates in your community. Breastfeeding is one of the most highly effective preventive measures a mother can take to protect the health of her infant and herself.
  • Partner with the evidence-based home visiting (EBHV). EBHV supports new parents with access to caregiver support, parenting resources, trainings, and referrals to community-based services all within the caregiver’s home. When the curriculum implemented is evidence-based, these programs can improve maternal and child health, increase positive parenting, and increase healthy child development.
  • Host a community baby shower in your local community to provide expecting parents with supplies, resources, and family-based services. Collaborate with local health departments and a community partner to share resources and programs that offer support to parents and babies.
    • Local health departments can raise awareness for different resources and programs (I.e., WIC, EBHV) that offer support to parents and babies
    • Community partners can offer support for families to show up, and bring resources with them that might be helpful to an expecting parent.
  • Integrate Doula services in your community, which offer support for new mothers during the perinatal period. Pregnant and postpartum women who receive doula care are found to have improved health outcomes for themselves and their infants, including higher breastfeeding initiation rates, fewer low birth weight babies, and lower rates of cesarean deliveries. Raise awareness about the benefits of doula care.
  • Increase access to prenatal care by providing transportation resources to those impacted by maternity care deserts.
  • Promote Group Prenatal Care, where a small group of expecting mothers can gather to receive education, support, and peer connection facilitated by a health professional.
  • Incorporate maternal care initiatives into local homeless services, which can support homeless mothers to receive important care during pregnancy.
  • Build partnerships to increase access to perinatal care, including mental health and substance use disorder treatment, for vulnerable populations such as incarcerated women, women experiencing homelessness, or women in treatment.
  • Encourage community members to speak openly about mental health during the perinatal period. Create community avenues for support and assistance for women who are struggling during the perinatal period.
  • Sign up to receive the Tennessee Maternal Health Matters Newsletter. The newsletter is the monthly go-to source for maternal health professionals, delivering the latest trends, events, best practices, and learning opportunities each month to your inbox. To sign up for the newsletter click here.
  • Join the Maternal Health Task Force (MHTF), which engages partners statewide to identify and address issues and find opportunities to improve maternal health. The mission of the MHTF is to improve and maintain the health of birthing persons before, during, and after pregnancy, by developing and implementing strategies that align with the Maternal Mortality Review Committee recommendations.  Click here to join the MHTF. 
  • Strengthen Economic Support for Families: Policies that improve the financial security and stability for families make it easier for families to satisfy children’s basic needs, especially during early childhood. Some ways that communities might address policy reform include:
    • Connect eligible community members to financial assistance programs such as SNAP, WIC, and childcare subsidies. Understanding eligibility, collecting documentation and paperwork, and appropriately applying for government resources is often overwhelming and can stand in the way of accessing care.
    • Champion federal and state economic policies that improve financial security and stability for families. Provide resources to communities that highlight the importance of these economic policies to support babies and parents.
  • Encourage companies to adopt comprehensive paid leave policies such as parental leave and sick leave. These policies provide economic security during a crucial time for early child development, allowing parents to focus on healthy parenting without facing financial strife. Distribute resources to local organizations about the importance of paid parental leave.
  • Advocate for universal screening for mental health and/or social needs to enhance identification of at-risk women and facilitate proper referral and treatment.
    • For more information about the importance of psychosocial screening, read this report by the American College of Obstetricians and Gynecologists.
  • Encourage local school systems to adopt comprehensive education on family planning . Teaching young adults early about informed family planning can lessen the number of teens and young adults who become parents before they are ready. The Tennessee Department of Health offers a variety of programs to support family planning for Tennesseans.
    • Local health departments in all 95 counties across the state offer Family Planning Services which include a variety of clinical service including birth control information and supplies, breast and cervical cancer screenings, emergency contraception, family size and birth spacing, pre-pregnancy and infertility counseling, and more.
  • Facilitate advancement of high-quality childcare through licensing and accreditation of childcare programs. Funding opportunities for childcare centers to seek accreditation can help smaller centers to gain attention while ensuring quality care for all children who attend childcare programs. 

Trousdale County Mental Health Services Center 

For the past few years, the Trousdale County Health Council has been collaborating with the Mayor's office to coordinate the Mayor's Task Force for Mental Health and Substance Abuse. In 2021, Trousdale County experienced 6 suicides - an alarming rate for a small community of 11,000 people. In response, the task force was formed to create a coordinated effort to bring mental health resources to the county. The task force is a multisector group with community involvement from faith-based organizations, behavioral health organizations such as Centerstone and Volunteer Behavioral Health, the sheriff and district attorney, and more. At the time the task force was being formed, there were virtually no mental health resources available in the entire county.   

One of the key goals of the task force was to procure a building to offer mental health services where providers could have a home base. Through the partnership with the mayor's office and the county, the task force received funding for $80,000. The task force found a space where services could be offered in a building that also houses a pharmacy and a medical provider, helping to eliminate small town stigma from keeping people from services. They partnered with multiple behavioral health providers to share the space so that individuals could seek treatment from any of the available providers - including Volunteer Behavioral Health, Centerstone, HOPE Clinic, and Senior Solutions. The new mental health services center celebrated their kickoff in June 2023, and have already enrolled various community members to receive services. The original funding will support the project for the initial pilot period of 2 years, with the hope that the mental health services center can become embedded into the Trousdale community for years to come. This successful collaboration between the Health Council, the Mayor's office, and multiple community partners is already making a difference in access to mental health providers in Trousdale County. 

For more information about this story, contact Kathy Atwood at kathyatwood@tcschools.org. 

Tennessee Department of Health

  • Women, Infants, and Children (WIC) is a federally funded program designed to provide supplemental food assistance and nutrition education to low-income pregnant, postpartum, and breastfeeding women, infants, and children until age five. In addition to providing healthy, supplemental foods, nutrition education, and breastfeeding support, the program also provides referrals to other health, welfare, and community-based services. WIC has proven to be effective in preventing and improving nutrition related health problems. Here are guidelines about eligibility and the application process.
  • Growing Inside Free of Tobacco and Smoking (GIFTS): Tennessee’s Pregnancy Tobacco Cessation Program is a program created to improve the health and wellness of women and families across Tennessee by providing them with resources to quit smoking. Individuals who quit smoking are less likely to have premature and low birth weight babies and reduce the risks of secondhand smoke on their children Tennessee’s Pregnancy Tobacco Cessation Program is a program created to improve the health and wellness of women and families across Tennessee by providing them with resources to quit smoking. Individuals who quit smoking are less likely to have premature and low birth weight babies and reduce the risks of secondhand smoke on their children
  • Adolescent Pregnancy Prevention Program is a state-funded program that involves community-based awareness and prevention through community services, education, collaboration, and partnerships. The program focuses on three primary goals:  promote community involvement, reduce the incidence of teen pregnancy in Tennessee, and to improve and coordinate services available for pregnant teenagers and teenage parents.
  • Maternal Health Innovation Program is a federally funded program focused on implementing state-specific actions to address disparities in maternal health and improve maternal health outcomes in Tennessee. is a federally funded program focused on implementing state-specific actions to address disparities in maternal health and improve maternal health outcomes in Tennessee.
  • Tennessee Maternal Mortality Review and Prevention Program works to review and prevent maternal deaths, aiming to improve maternal health outcomes in the state.to review and prevent maternal deaths, aiming to improve maternal health outcomes in the state.
  • Maternal Violent Death Prevention Program is focused on implementing strategies to decrease maternal suicide and maternal homicide through increase in awareness, education, trainings, screenings, partnerships, and data surveillance.
  • Maternal Mortality Review Committee(MMRC) is a multidisciplinary expert panel that review all deaths occurring during pregnancy or within a year of pregnancy, and report recommendations for changes to any law, rule, or policy that would promote the safety and well-being of women and the prevention of maternal deaths.
  • Doula Services Advisory Committee is a multidisciplinary committee which will advise the Tennessee Department of Health on standards for the profession and recommend reimbursement rates for TennCare coverage of doula services is a multidisciplinary committee which will advise the Tennessee Department of Health on standards for the profession and recommend reimbursement rates for TennCare coverage of doula services
  • Tennessee Breastfeeding Hotline-855-4BF-MOMS (1-855-423-6667) is a hotline staffed by International Board Certified Lactation Consultants (IBCLC), which is available to nursing mothers and  partners, their families, expectant mothers, and health care providers seeking breastfeeding support and information. It operates 24 hours a day, 7 days a week and includes translation services.
  • Breastfeeding in Tennessee provides information about the benefits of breastfeeding for both mother and child, in addition to existing support resources for breastfeeding mothers.
  • Tennessee Infant Safe Sleep Program distributes educational materials and portable cribs to promote infants being placed alone, on their back and in a crib.
  • Perinatal Regionalization Program provides diagnosis and treatment of certain life-threatening conditions of pregnant women and newborn infants statewide.
  • Evidence-Based Home Visiting provides in-home parenting education and support that promotes family stability, economic support, and improves outcomes for families with infants and young children. Research demonstrates that young children of families enrolled in EBHV programs show improvements in health and development outcomes and increased school readiness.
  • Adolescent Pregnancy Clearinghouse  is a website that offers information on statewide programs and services, online training and state and national reports regarding adolescent pregnancy.


TN Commission on Children and Youth

  • TN Commission on Children and Youth is an independent, nonpartisan agency created to ensure the state’s policies and programs effectively promote and protect the health, well-being and development of children and youth.


TN Department of Mental Health and Substance Abuse Services

  • Tennessee Redline 800-889-9789 is a 24/7 referral service to addiction treatment for people and their families looking for help for substance use disorder.
  • Housing and Homeless Services: includes resources pertaining to finding housing, medical resources, substance misuse and mental health support.


TN Department of Intellectual & Developmental Disabilities

  • Tennessee Early Intervention System (TEIS) is a voluntary program that offers therapy and other services to families of infants and young children with developmental delays or disabilities. Services are provided at no cost to families.


TN Division of TennCare

  • TennCare is Tennessee’s Medicaid program that provides health insurance for eligible low-income pregnant women, ensuring access to necessary prenatal and postpartum care. TennCare provides health insurance for roughly 1.7 million Tennesseans which covers about 23% of the population, 50% of the state's births and 53% of children in the state.
    • TennCare Kids full program of checkups and health care services for children from birth through age 20 who have TennCare. These services make sure that babies, children, teens, and young adults receive the health care they need.
    • Presumptive Eligibility (PE) program provides immediate, temporary TennCare coverage for pregnant individuals in order to receive prenatal services and other health care (including dental coverage). TennCare obtained through the PE program begins the date of enrollment and extends at least 1-year post-partum.
    • Coverkids is Tennessee’s CHIP program which provides health insurance for children aged 18 and younger or pregnant women who fit eligibility requirements.
  • Kid Central TN is a one-stop shop for Tennessee families to raise healthy and happy kids, providing resources for each developmental stage from birth to 18 years old.
  • Tennessee Initiative for Quality Perinatal Care (TIQPC) -  works to improve the quality of care of mothers and babies in the communities. Healthcare practices are improved through collaborative learning and pregnancy complications are reduced.   
  • TIQPC’s podcast “Healthy Mom Healthy Baby Tennessee” presents discussions with providers and experts across the state leading advancements in perinatal care. Many episodes are focused on racial disparities and the opioid crisis impacting moms and babies in Tennessee. More resources for clinicians and community members alike are available across their website.FindHelpNowtn.org is an online database of resources available for social services in Tennessee. Resources are available in near-real time based on the type of treatment needed, payment options and location in Tennessee.
  • National Maternal Mental Health Hotline 833-TLC-MAMA (1-833-852-6262) is a 24/7, free, confidential hotline for support before, during and after pregnancy. The hotline offers callers phone and test access to professional counselors, real-time support and information, referrals to local and telehealth providers and support groups. Services are available in English and Spanish and provides interpreter services for 60 languages.
  • NICU Helping Hands provides educational and support for families with babies while in the NICU, during their transition from hospital to home and in the event of an infant loss.
  • Mothers’ Milk Bank of Tennessee is a nonprofit milk bank dedicated to providing safe, pasteurized donor human milk to the most vulnerable babies.
  • Nurses for Newborns (NFN) is a free home visitation program, partnering with families to ensure the baby is safe and healthy and the caregiver is strong and confident in their care.
  • Maternal Opioid Misuse (MOM) Model is a Center for Medicare & Medicaid Innovation model, that addresses fragmentation in the care of pregnant and postpartum Medicaid enrollees with opioid use disorder through state-driven transformation of the delivery system.
  • CDC’s HEAR HER Campaign The Hear Her campaign supports CDC’s efforts to prevent pregnancy-related deaths by sharing potentially life-saving messages about urgent warning signs.
  • March of Dimes  is a non-profit organization that focuses on the health of mothers and babies. The Tennessee chapter may offer resources, education, and support.
  • Cherished Mom promotes awareness and education for perinatal mental health and the importance of self-care to new moms, families, healthcare professionals and the community. “Our primary project will be providing free self-care boxes to new moms after they view a series of educational videos surrounding perinatal mood and anxiety disorders.”
  • Postpartum Support International provides access to information, social support and informed professional care to deal with mental health issues related to childbearing.
  • Mother of Fact is a digital health platform that connects patients with critical access to registered dietitians in order to provide appropriate nutrition care for moms and babies.

America's Health Rankings, Teen Birth Trends, 2021
     ·  Teen Birth Rate in Tennessee by Race

Center for Disease Control, National Center for Health Statistics, Teen Birth Rate by State
     ·  State Teen Birth Rate, 2022

Center for Healthcare Quality and Payment Reform, Addressing the Crisis in Rural Maternity Care
     ·  Tennessee Rural Hospitals without Obstetric Services, 2024

Kaiser Family Foundation (KFF), Tennessee Maternal & Infant Health Data
     ·  Infant Mortality Rates by Race, 2020
     ·  Preterm Births and Low Birthweight Infants by Race, 2021

March of Dimes, Where You Live Matters: Maternity Care Access in Tennessee
     ·  Maternity Care Deserts in Tennessee, 2022
     ·  Distance Rural Areas in Tennessee are from a Birthing Hospital, 2023

Mental Health Institute (MHA), Ranking the States 2022
     ·  State Rankings: Mental Health Resources, 2022

National Alliance to End Homelessness, SOH: State and CoC Dashboards
     ·  Homeless Individuals in Families across Tennessee, 2022

National Health Statistics Report, 2020
     ·  Foster care pregnancies by age 20, 2020

Prenatal-3 Policy Impact Center, Tennessee Roadmap
     ·  Low-income Women of Childbearing age in Tennessee lacking Health Insurance, 2022

Tennessee Commission on Children and Youth, The State of the Child in Tennessee 2023
     ·  Tennessee Prenatal Care, 2021
     ·  Tennessee Counties with Active OBGYNs, 2023
     ·  Children in Tennessee Experiencing Homelessness, 2022
     ·  Uninsured Women’s risk of dying from Pregnancy related complications, 2021

Tennessee Department of Health, Pregnancy Risk Assessment Monitoring Dashboard
     ·  Postpartum Depression Symptoms, 2020
     ·  Women who Experienced Depression During Pregnancy in Tennessee, 2020

Tennessee Department of Health, Maternal Mortality in Tennessee 2021: 2023 Report to the General Assembly
     ·  Number of Women in Tennessee who Died from Pregnancy related causes, 2021
     ·  Pregnancy Related death by Race, 2021

Tennessee Department of Health, Tennessee Pregnancy Risk Assessment Monitoring System (PRAMS): Annual Summary Report 2020
     ·  Number of Women Uninsured Prior to or Following Pregnancy, 2020
     ·  Teen Birth Rate in Tennessee by Race, 2020

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