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.