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The United States has the highest maternal mortality rate of any industrialized country, with Black women being three times more likely to die during pregnancy than white women due to disparities in socioeconomic status, health status, and access to health care as well as systemic racism and discrimination. The Cocoon Pregnancy Care Model, which places the woman at the center of a protective layer of a care team and services, can optimize health, enhance pregnancy experience and achieve the best possible outcomes.