Bridges to Moms (BTM)


What is Bridges to Moms?
Each year, thousands of women are referred to the BWH for its renown as a world-class Obstetrics Hospital, especially for women facing high-risk pregnancies.  Among those women who are at high risk are hundreds of women from the communities surrounding the BWH who struggle with housing insecurity, homelessness, poverty, food insecurity, domestic violence and limited financial resources.  All those factors impact their health, pregnancy outcomes, and the health of their babies.  In 2016, Dr. Roseanna Means, senior faculty member in the Division of Women’s Health, and an internationally recognized expert on health care for homeless women, conceived of and created the Bridges to Moms Program (BTM) at the BWH. BTM was designed specifically to assist vulnerable women who receive maternity care at the BWH.  By focusing on filling in gaps in social determinants of health (conditions that affect health such as housing, safety, food, transportation, and health access), Dr. Means and her team have transformed birth outcomes, improved health equity, established greater continuity in primary care and the entire life trajectories of these moms and their babies.


From 2016 to 2021, Bridges to Moms’ bilingual staff had helped over 300 women close multiple gaps in health care and social determinants of health.  Compared to several comparison groups, both at the BWH and at other Boston hospitals, Bridges to Moms outcomes have been impressive.      
  • Clinic attendance: BTM moms attended 90% their prenatal clinic appointments
  • Gestational age: 83% reached full term
  • Continuity of care: 94% were connected to primary care; 89% identified a pediatrician for their babies
  • NICU babies: Similar numbers of babies in BTM and comparison groups ended up in NICU but BTM babies were sicker overall and yet, stayed as many or even fewer days in the NICU than the comparison group babies.
  • Maternal deaths: Women of color are at substantially higher risk of maternal death than white women. Since the onset of BTM, no maternal deaths have occurred in the intervention group.
  • Cost analysis: BTM moms and babies were sicker (higher case mix index) and yet, brought in more net revenue (direct margin) to the BWH than their counterparts in the comparison group.
  • Housing trajectory: 81% of BTM moms had an upward housing trajectory—a qualitatively improved housing status due to BTM interventions.
  • Health equity: 53% Hispanic, 38% Black, non-Hispanic, 8% White
  • Languages spoken: 72% English, 26% Spanish, 4% other
  • Medical issues: 46% with anxiety, 53% with depression, 53% with a history of trauma, in addition to housing insecurity, food insecurity, little social support, and poverty

Support BTM

Bridges to Moms at the BWH relies on grants and philanthropic support for many of its operations and tangibles for the women such as meal tickets, cab vouchers, diapers, grocery store gift cards and other items.  It is unimaginable that so many hundreds of women right in our back yards face pregnancy and motherhood with so many challenges, not the least of them being not knowing where they can take their newborn home to and whether they will have to face this journey alone.  Their courage and resiliency are an inspiration to everyone on the Bridges to Moms/BWH team.  You can be part of this extraordinary program by donating to the Bridges to Moms Fund.

Learn About BTM
Clinic Locations

Brigham Medical Specialties Clinic

75 Francis Street
Boston, MA 02115

617-278-0684 or