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IMPLICIT Network

IMPLICIT Network

Innovations for Maternal and PerinataL Care ImprovemenT

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    • About IMPLICIT
    • Where We Work
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    • Interconception Care – ICC
    • 4th Trimester – 4TM
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About

  • Mission, Vision, Values
  • Mission, Vision, Values

    Mission

    The IMPLICIT Network is a family medicine maternal child health learning collaborative focused on improving birth outcomes and promoting the health of women, birthing people, infants, and families through innovative models of care, quality improvement and professional development for current and future physicians.

    Vision

    To envision a future where all mothers/birthing people are fully supported to attain optimal health and wellness for themselves and their babies.

    Values

    The work of the IMPLICIT Network is rooted in the following core values:

    Commitment

    Improving maternal health one woman / birthing person at a time

    Innovation

    Developing methods to improve the health of women, birthing people, children and families

    Education

    Training future physicians and health care providers to positively impact the health of women / birthing people in their communities

    Collaboration

    Fostering a synergistic environment where all specialties can work towards birth and health equality for all

    Cultural Humility

    Amplifying the expert voices of all women / birthing people to create trustworthy therapeutic alliances

    Justice

    Promoting respect, empathy and shared decision making as well as protecting dignity and safety for everyone
  • Supporters
  • Supporters

    The IMPLICIT Network receives support from foundations, government and public health, nonprofits, and industry.

    • 2004-present Family Medicine Education Consortium
    • 2004-2010 National March of Dimes support in-kind 
    • 2011-2012 PA American Academy of Pediatrics
    • 2013-2016 March of Dimes
    • 2016-2020 PA Department of Health 
    • 2020-2025 PA Department of Health
    • 2021-2025 Minnesota Department of Health 
    • 2022-2024 North Carolina State Maternal Health Innovation Grant through MAHEC
    • 2024-2026 American Board of Family Medicine
    • 2025-2028 HRSA PA State Maternal Health Innovation Grant 
    • 2025-2026 The Philadelphia City Fund: Philadelphia Department of Public Health Division of Maternal, Child, and Family Health’s

    If your organization is interested in providing support to IMPLICIT, please make a donation below:

    Support Us
  • History
  • History

    At the 2003 Family Medicine Education Consortium (FMEC) fall meeting, a group of family medicine physicians discussed the idea of creating a network of family medicine residencies collectively working to reduce the incidence of premature and low birth weight babies using continuous quality improvement (CQI) techniques. Out of this meeting and with seed funding from the national March of Dimes, the Interventions to Minimize Preterm and Low Birthweight Infants through Continuous Improvement Techniques or the IMPLICIT Network, was formed.

    After recruiting family medicine faculty members to review their prenatal care curriculum and existing prematurity prevention literature, the Network developed a shared strategy to implement evidence-based prenatal interventions known as IMPLICIT Pregnancy. This model, launched in 2004, concentrated on six areas of focused intervention as the basis of prematurity prevention: asymptomatic bacteriuria (UTIs), bacterial vaginosis (BV) screening for women/birthing people with a history of preterm birth, depression, smoking, and family planning to avoid short pregnancy interval. For nearly a decade, IMPLICIT Pregnancy was the dominant model at participating Network sites. 

    In recognition of the 2006 Centers for Disease Control (CDC) recommendation to use the interconception period, or the time between pregnancies, to improve maternal health and subsequent pregnancies, the Network began developing IMPLICIT Interconception Care (ICC). Launched in 2011, IMPLICIT ICC eventually replaced IMPLICIT Pregnancy at most sites. 

    Our newest care model, IMPLICIT 4th Trimester (4TM) was launched in 2020 in response to the American College of Obstetrics and Gynecology (ACOG) call for a new paradigm of postpartum care that addresses the needs of women/birthing people and protects against maternal morbidity and mortality. 

    Throughout its history, the Network has published scholarly work highlighting the successes of the ICC and 4TM care models. Since its inception the IMPLICIT Network has consistently evaluated its care models using CQI techniques to provide the best quality care for women/birthing people and their families at all IMPLICIT Network sites. 

    In 2023, the IMPLICIT Network began a rebranding initiative of our logo and acronym to better represent the birthing people we serve and the work we do. Our new logo was launched in April 2024 and in March 2025 we unveiled our new acronym: Innovations for Maternal and PerinataL Care ImprovemenT.

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    Preeclampsia is a hypertensive disorder that is a Preeclampsia is a hypertensive disorder that is a complication of pregnancy. It is characterized by high blood pressure and often the presence of protein in the urine. If left untreated, it can lead to serious complications for the mother/birthing person and baby. 

Low-dose aspirin (LDA), taken daily during pregnancy, can prevent or delay the onset of preeclampsia. If a mother/birthing person has risk factors for preeclampsia it is recommended, after consultation with the patient's provider, that daily LDA supplementation begins late in the first trimester. 

For providers, the Hypertension in Pregnancy Change Package (HPCP) can be utilized to put more efficient and effective systems in place to care for birthing people with hypertension in pregnancy. The HPCP outlines the evidence and indications of LDA use in pregnancy to prevent preeclampsia. 

#IMPLICITNetwork #HypertensiveDisorders #Preeclampsia #LowDoseAspirin
    Every mother/birthing person should have access to Every mother/birthing person should have access to comprehensive and patient centered family planning.

IMPLICIT Interconception Care (ICC) screens mothers/birthing people (MBPs) for four risk factors, including family planning, at their child’s Well Child Visits from 0-24 months. ICC initiates conversations about family planning, connects MBPs to care to discuss options, and/or even provides birth control at that visit.

IMPLICIT 4th Trimester (4TM) promotes patient centered contraception counseling across the prenatal and postpartum time periods. Providers review options and make a plan with the MBP to choose a contraception method that aligns with the MBP’s values and preferences.

Identifying family planning needs, providing interventions, and connecting families to care promotes not only healthier future pregnancies (if desired), but also a healthier mother/birthing person, child, and family. 

#IMPLICITNetwork #FamilyPlanning #Contraception #PatientCenteredContraceptionCounseling
    Providing professional development opportunities, Providing professional development opportunities, such as research opportunities and quality improvement projects, is at the cornerstone of the work the IMPLICIT Network seeks to provide to current and future physicians. 

This month, we will be highlighting student and residents who have partnered with the Network to conduct research projects utilizing IMPLICIT data. 

Today we are highlighting Anisha Willis! Anisha is a current undergraduate student at the University of Pennsylvania. She will be conducting a project focused on the effects of prenatal biomedical risks and intrapartum complications on mood disorders identified at the postpartum visit.

If you are a current student or resident interested in working with the IMPLICIT Network, please feel free to reach out to us! 

#IMPLICITNetwork #4thtrimester #research
    August is recognized as National Breastfeeding Mon August is recognized as National Breastfeeding Month!

Breastfeeding offers important benefits for both babies and birthing people. It helps protect against diseases, supports the development of a strong immune system, and promotes bonding and emotional well-being. 

The IMPLICIT Network supports breastfeeding practices by connecting birthing people to lactation services through our 4th trimester model, and providing a space for birthing people to discuss lactation with their provider.

#IMPLICITNetwork #NationalBreastfeedingMonth #4thtrimester #breastfeeding
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