Perinatal Conditions
What factors shape a healthy pregnancy? How can we avoid premature births, low birth weight, placental abruption and congenital infections in babies?Deaths related to perinatal conditions can occur from the second trimester of pregnancy through one month after birth. Perinatal conditions are often related to maternal health during pregnancy and preconception.
Why are perinatal conditions a focus area?
There are many risk factors that place a pregnancy in danger. These include:
- Stress
- Chronic disease
- Smoking
- Substance abuse
- Maternal age/health
- Sexually transmitted diseases
- Multiple pregnancies such as twins or triplets
- Short pregnancy intervals with frequent pregnancies
These risk factors were shown to be present in a nearly half (46%) of perinatal conditions-related deaths of Black children in studies conducted the Sacramento County Department of Health and Human Services. While these numbers vary from neighborhood to neighborhood and across time periods, there is a general need to mitigate these risks through positive interventions, workshops and educational resources that support Black families during and immediately after pregnancy.
The best way to prevent perinatal conditions-related infant deaths is by making sure that mothers have the care and resources necessary to take care of themselves. Some actions that can be taken during pregnancy include:
- Start prenatal care in the first three months of pregnancy and attend prenatal visits throughout the pregnancy
- See a dentist before and during pregnancy
- Take prenatal vitamins
- Ask the prenatal care provider before taking any over-the-counter or prescription medications
- Manage chronic conditions, such as diabetes and high blood pressure
- Do not drink alcohol, smoke any type of cigarettes or use illicit drugs
- Find ways to reduce stress
- Exercise regularly and eat healthy foods
BCLC serves new and expecting mothers in Sacramento.
Supportive Organizations

Sac Healthy Beginnings
SACCounty Healthy Beginnings is a project aimed at empowering families and children to thrive by addressing prenatal substance exposure through education, screening, prevention, and intervention for pregnant women and infants.

First5 Sacramento
First 5 Sacramento is dedicated to ensuring all children prenatal through age five are healthy, safe and ready to thrive by advancing equitable, culturally responsive policies and practices in partnership with families and communities.

Black Infant Health
The Black Infant Health (BIH) program provides culturally affirming group and individual support for pregnant and postpartum Black mothers and birthing people, addressing the impacts of racism and social stressors to improve birth outcomes and empower families for future generations. BIH is administered by the California Department of Public Health.

Nurse-Family Partnership
Changent runs Nurse-Family Partnership, a free, evidence-based community health program that serves income eligible women pregnant with their first child. Each vulnerable new mom is partnered with a registered nurse early in her pregnancy and receives ongoing home visits.

Black Mothers United
Black Mothers United aids expectant Black women residing in Sacramento County. Eligible women are paired with a Personal Advocate who provides them with individualized support and guidance throughout their pregnancy, and up to four months after the baby is born.

WellSpace Health
WellSpace Health’s Cultural Broker Program is a pregnancy support program for African American pregnant women who are at high risk for maternal complications and poor pregnancy and birth outcomes.

Her Health First
Her Health First works to reduce infant mortality and improve pregnancy, birth and postpartum outcomes for African American families in Sacramento County through culturally responsive care, advocacy and comprehensive support services.

Birth & Beyond
Birth & Beyond Family Resource Centers strengthen families and communities by providing parenting education, home visitation, crisis intervention and school readiness support in safe, welcoming spaces that meet families’ unique needs and goals.
Research and studies
- The Impact of Low Birth Weight, Perinatal Conditions, and Sociodemographic Factors on Educational Outcome in Kindergarten (.pdf)
- Closing the Black-White Gap in Birth Outcomes: A Life-Course Approach (.pdf)
- African American Women’s Preparation for Childbirth From the Perspective of African American Health-Care Providers (.pdf)
