A 39-year-old woman with a pregnancy at 21 weeks complicated by hypertension was seen for initial intake by Ouma physician, at which time it was noted that she could not afford a blood pressure cuff. Ouma made arrangements and blood pressure cuff was immediately mailed to her home.

At 29 weeks she contacted Ouma with severe-range blood pressure values, and her family practitioner wanted her to be transported to tertiary care center for delivery. She met with Ouma's MFM physician within hours, was prescribed higher-dose regimen, and her primary care physician was contacted to provide reassurance that this was physiologic rise in the 3rd trimester and did not necessitate delivery. She successfully went on to delivery at 37 weeks.

A 31-year-old woman with a pregnancy at 27
weeks complicated by hypertension contacted us
at 5:35 local time due to inability to reach OB with
marked right-sided calf pain. The patient met with Ouma maternal-fetal medicine (MFM) physician
within 15-minutes. Our physician arranged for
a visit to urgent care (not ER) and the member
was subsequently diagnosed with a DVT. The
member’s discharge was coordinated with the nurse
practitioner at urgent care, Lovenox was ordered, and MFM consultation sent in with her to her OB the next morning.