Appendix 1. Comprehensive List of Medical Conditions Considered by MiPATH Leaders for Inclusion Medical conditions

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Peahl AF, Zahn CM, Turrentine M, Barfield W, Blackwell SD, Roberts SJ, et al. The Michigan Plan for Appropriate Tailored Healthcare in Pregnancy prenatal care recommendations. Obstet Gynecol 2021;138.

The authors provided this information as a supplement to their article.

Appendix 1. Comprehensive List of Medical Conditions Considered by MiPATH Leaders for Inclusion

Medical conditions

Active/history of substance use disorder Asthma

Autoimmune disease Cancer

Cardiac disease

Chronic hyptertension*

Chronic kidney disease Connective tissue disease Cystic fibrosis

Depression/anxiety*

Diabetes (preeexisting)*

Hepatitis HIV

Hypothyroidism Hyperthyroidism

Immune thrombocytopenic purpura Inflammatory bowel disease

Lupus

Neuromuscular disease Obesity

Prior uterine surgery Pulmonary hypertension Seizure disorder

Sickle cell disease Spinal cord injury Thrombophilia

Pregnancy disorders

Abnormal genetic screening/testing Alloimmunization

Fetal anomalies

Gestational diabetes*

Gestational hypertension*

Grand multiparity

History of cesarean delivery (1 or multiple) History of early pregnancy loss*

History of intrauterine fetal demise Placenta previa

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Recurrent pregnancy loss Shortened cervix

Twin gestation

*Conditions ultimately included in panel deliberations

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Appendix 2. Documents Identified in Addition to the Rapid Review to Inform Panel Deliberations

MiPATH Additional Materials & Recommended Reading Prenatal Care Guidelines

American College of Obstetricians and Gynecologists (2020)

American College of Obstetricians and Gynecologists. (2020) “COVID-19 FAQs for Obstetrician-Gynecologists, Obstetrics”

https://www.acog.org/clinical-information/physician-faqs/-/media/287cefdb936e4cda99a683d3cd56dca1.ashx National Guidelines of Peer Countries (2020)

Peahl, A. F., Heisler, M., Essenmacher, L. K., Dalton, V. K., Chopra, V., Admon, L. K., & Moniz, M. H. (2020). A comparison of international prenatal care guidelines for low-risk women to inform high-value care. American Journal of Obstetrics & Gynecology, 222(5), 505-507.

https://www.ajog.org/article/S0002-9378(20)30029-6/fulltext University of Michigan (2020)

University of Michigan Prenatal Care Redesign Team. (2020) Guidelines for Outpatient Prenatal Care During the COVID-19 Pandemic.

https://docs.google.com/document/d/1UXEh8xa9ZXLpcbXyoA7RUxzuSZv9WKwBRjgEUgjSqOo/edit?usp=sharing National Institute for Health and Care Excellence (2019)

National Institute for Health and Care Excellence (Grande-Bretagne). (2008, updated 2019). Antenatal care for uncomplicated pregnancies.

National Institute for Health and Clinical Excellence.

https://www.nice.org.uk/guidance/cg62

Department of Veterans Affairs & Department of Defense (2018)

Department of Veterans Affairs & Department of Defense. (2018) “VA/DOD Clinical Practice Guideline for the Management of Pregnancy.”

https://www.healthquality.va.gov/guidelines/WH/up/VADoDPregnancyCPG4102018.pdf

American College of Obstetricians and Gynecologists and American Academy of Pediatrics (2017)

Kilpatrick, S. J., Papile, L. A., & Macones, G. A. (2017). Guidelines for perinatal care. American Academy of Pediatrics.

https://reader.aappublications.org/guidelines-for-perinatal-care-8th-edition/605

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World Health Organization (2016)

WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization.World Health Organization.

(2016).

https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/anc-positive-pregnancy-experience/en/

US Department of Health and Human Services: Public Health Service Expert Panel on the Content of Prenatal Care (1989)

US Department of Health and Human Services. (1989). Public Health Service Expert Panel on the Content of Prenatal Care. Caring for our future: the content of prenatal care.(US Government Printing Office, Washington, DC). https://eric.ed.gov/?id=ED334018

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Condition-Specific Guidelines Chronic Hypertension:

American College of Obstetricians and Gynecologists. (2019). ACOG Practice Bulletin no. 203: chronic hypertension in pregnancy.

Obstetrics and gynecology, 133(1), e26-e50.

Pregestational Diabetes:

American College of Obstetricians and Gynecologists. (2018). ACOG Practice Bulletin no. 201: pregestational diabetes mellitus.

Obstetrics and gynecology, 132(6), e228-e248.

Early Pregnancy Loss:

American College of Obstetricians and Gynecologists. (2018). ACOG practice bulletin no. 200: Early pregnancy loss. Obstetrics and gynecology, 131(2), e49-e64.

Gestational Diabetes:

American College of Obstetricians and Gynecologists. (2018). ACOG practice bulletin no. 190: Gestational Diabetes. Obstetrics and gynecology, 132(5), e197-e207.

Gestational Hypertension:

American College of Obstetricians and Gynecologists. (2020). Gestational hypertension and preeclampsia: ACOG Practice Bulletin, number 222. Obstetrics and gynecology, 135(6), e237-e260.

Depression:

ACOG Committee on Practice Bulletins–Obstetrics. (2008). ACOG Practice Bulletin: Clinical management guidelines for obstetrician- gynecologists number 92, April 2008 (replaces practice bulletin number 87, November 2007). Use of psychiatric medications during pregnancy and lactation. Obstet Gynecol, 111(4), 1001-1020.

Yonkers, K. A., Wisner, K. L., Stewart, D. E., Oberlander, T. F., Dell, D. L., Stotland, N., ... & Lockwood, C. (2009). The management of depression during pregnancy: a report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists. General hospital psychiatry, 31(5), 403-413.

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Anxiety:

ACOG Committee on Practice Bulletins–Obstetrics. (2008). ACOG Practice Bulletin: Clinical management guidelines for obstetrician- gynecologists number 92, April 2008 (replaces practice bulletin number 87, November 2007). Use of psychiatric medications during pregnancy and lactation. Obstet Gynecol, 111(4), 1001-1020.

Psychosocial Conditions:

Maternal & Child Health Measurement Research Network. “Next Steps in Family Focused Screening to Address Social Determinants of Health for Young Children in Pediatric Primary Care.”

Committee on Health Care for Underserved Women. (2018). ACOG Committee Opinion No. 729: Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care. Obstetrics and gynecology, 131(1), e43.

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Informative Commentaries on Prenatal Care Redesign

Aziz, A., Fuchs, K., Nhan-Chang, C. L., Zork, N., Friedman, A. M., & Simpson, L. L. (2020, July). Adaptation of prenatal care and ultrasound. In Seminars in Perinatology (p. 151278). WB Saunders.

https://drive.google.com/file/d/1-Jye-KEOMvHo-sDwoZm3wwvbT7xMRAth/view?usp=sharing Aziz, A., Zork, N., Aubey, J. J., Baptiste, C. D., D'alton, M. E., Emeruwa, U. N., ... & LaSala, A. P. (2020).

Telehealth for high-risk pregnancies in the setting of the COVID-19 pandemic. American journal of perinatology, 37(8), 800. https://drive.google.com/file/d/1-GnP3rRT2bWeeLlfOz0_oKLQht_sijb7/view?usp=sharing

Barton, J. R., Saade, G. R., & Sibai, B. M. (2020). A proposed plan for prenatal care to minimize risks of COVID-19 to patients and providers: focus on hypertensive disorders of pregnancy. American journal of perinatology, 37(8), 837.

https://drive.google.com/file/d/161ePiBZbo9JzJR_H61WIxotp0juJ6uOz/view?usp=sharing

Carter, E. B., Tuuli, M. G., Caughey, A. B., Odibo, A. O., Macones, G. A., & Cahill, A. G. (2016). Number of prenatal visits and pregnancy outcomes in low-risk women. Journal of perinatology, 36(3), 178-181.

https://drive.google.com/file/d/1oh6WsSuvB24UsVOD12iwC7ZMa6VzPWJ0/view?usp=sharing

Fryer, K., Delgado, A., Foti, T., Reid, C. N., & Marshall, J. (2020). Implementation of obstetric telehealth during COVID- 19 and beyond. Maternal and child health journal, 24(9), 1104-1110.

https://drive.google.com/file/d/1lW5OinBO3Rpmd8HjJn4bP6jQ6k-HOxsv/view?usp=sharing Jago, C. A., Singh, S. S., & Moretti, F. (2020). Coronavirus Disease 2019 (COVID-19) and Pregnancy:

Combating Isolation to Improve Outcomes. Obstetrics & Gynecology, 136(1), 33-36.

https://drive.google.com/file/d/1n-HCam2aj- B2GitZHS9barhlMH5JQ87o/view?usp=sharing

Lowery, C., Bronstein, J., McGhee, J., Ott, R., Reece, E. A., & Mays, G. P. (2007). ANGELS and University of Arkansas for Medical Sciences paradigm for distant obstetrical care delivery. American journal of obstetrics and gynecology, 196(6), 534-e1.

https://drive.google.com/file/d/19bx0xk5Ro1j4YdkDf4ozy2sGryZOhqo9/view?usp=sharing

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Nicolaides, K. H. (2011). Turning the pyramid of prenatal care. Fetal diagnosis and therapy, 29(3), 183-196.

Peahl, A. F., Gourevitch, R. A., Luo, E. M., Fryer, K. E., Moniz, M. H., Dalton, V. K., ... & Shah, N. (2020). Right-Sizing Prenatal Care to Meet Patients' Needs and Improve Maternity Care Value. Obstetrics & Gynecology, 135(5), 1027-1037.

https://drive.google.com/file/d/1avqFVyNwRekt2CPg6lsqzykvcwbuFr8I/view?usp=sharing

Peahl, A. F., Smith, R. D., & Moniz, M. H. (2020). Prenatal Care Redesign: Creating Flexible Maternity Care Models Through Virtual Care. American Journal of Obstetrics and Gynecology.

https://drive.google.com/file/d/1-_vuEtdcmdwAOytekJ14_w1s9HEc08Jf/view?usp=sharing

Phillippi, J. C. (2009). Women's perceptions of access to prenatal care in the United States: a literature review. Journal of midwifery

& women's health, 54(3), 219-225.

https://drive.google.com/file/d/1VwNbMNUVXLbgP5mY4kE-2fzSnBArTEro/view?usp=sharing

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Appendix 3. MiPATH Panel Members

Prenatal Care Expert Consensus Panel

Chair

Wanda Barfield, MD, MPH, RADM, USPHS Director, Division of Reproductive Health Centers for Disease Control and Prevention

Vice-Chairs

Sean D. Blackwell, MD

Society for Maternal Fetal Medicine Department of Obstetrics and Gynecology

University of Texas Health Science Center at Houston

Mark Turrentine, MD

American College of Obstetricians and Gynecologists Senior Faculty, Baylor College of Medicine

Department of Obstetrics & Gynecology

Division of Gynecologic and Obstetric Specialists

ACOG Leadership

Christopher M. Zahn, MD Vice President of Practice

American College of Obstetricians and Gynecologists

Ije Obidegwu, MPH, CHES®

Manager, Work Groups and Task Forces

Margaret Villalonga Director of Obstetrics

Expert Panel

Jeffrey Bacon, DO

Chief Medical Officer, Banner Health

Tiffani Buck, MPH, MS, ARNP-BC, RN

Association of Women’s Health, Obstetric and Neonatal Nurses Washington State Department of Health

Yvonne Butler Tobah, MD

Medical Director for Ch3B Obstetric Clinic Department of Obstetrics and Gynecology Mayo Clinic

Beth Choby, MD

American Academy for Family Physicians Kaplan Center for Clinical Skills

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Chief Executive Officer

National Birth Equity Collaborative

Lauren Demosthenes, MD

Associate Professor, Obstetrics and Gynecology University of South Carolina, Greenville

Chief Medical Officer, Baby Scripts

Christina M. Han, MD

American Institute for Ultrasound in Medicine Division Director, Maternal-Fetal Medicine Department of Obstetrics and Gynecology David Geffen School of Medicine at UCLA

Susan Hintz, MD, MS, Epi

American Academy of Pediatrics

Division of Neonatal and Developmental Medicine Stanford University School of Medicine

Camille Hoffman, MD, MSc

Associate Professor, Maternal Fetal Medicine

University of Colorado Departments of Ob-Gyn & Psychiatry

Sue Kendig, JD, WHNP-BC, FAANP Nurse Practitioners in Women’s Health Director of Policy

Nurse Practitioners in Women’s Health

Tekoa King, CNM, MPH

American College of Nurse-Midwives

Milton Kotelchuck, PhD, MPH

Professor of Pediatrics, Harvard Medical School Senior Scientists in Maternal and Child Health Division of General Academic Pediatrics

MassGeneral Hospital for Children and Department of Obstetrics and Gynecology, Massachusetts General Hospital

Monica A. Lutgendorf, MD, CDR, MC, USN

Associate Residency Program Director, Gynecologic Surgery & Obstetrics Associate Professor, Uniformed Services University of Health Sciences Division, Head Maternal Fetal Medicine, Naval Medicine Center San Diego Chair, Defense Health Agency Women and Infants Clinical Community

Tiffany A. Moore Simas, MD, MPH, Med Chair, Department of Obstetrics & Gynecology

Professor of Obstetrics & Gynecology, Pediatrics, Psychiatry and Population & Quantitative Health Sciences Medical Director, Lifeline4Moms

Engagement Director, MCPAP for Moms

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Director of Obstetrical Services at the Hospital of the University of Pennsylvania Vice Chair for Quality and Safety

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine

Patient/Advocacy Representatives

Jamie Bardwell

Co-founder of Converge: Partners in Access

Lauren Keenan Devlin, PhD MPH

Research Scientist, Department of Obstetrics and Gynecology Northshore University Health System

Assistant Professor, University of Chicago Pritzker School of Medicine

University of Michigan Panel Leaders

Alex Peahl, MD, MSc

Clinical Lecturer, Department of Obstetrics & Gynecology Lead for Outpatient Prenatal Care Redesign

University of Michigan

Steven J. Bernstein, MD, MPH Associate Dean for Clinical Affairs

Professor, Department of Internal Medicine

Research Scientist, Department of Health Management and Policy Chief Quality Officer, University of Michigan Health System

Vineet Chopra, MD, MSc

Chief of the Division of Hospital Medicine

Associate Professor of Internal Medicine and Hospital Medicine University of Michigan