The human placenta is a remarkable organ created out of necessity by the fetus to support and nourish its growth. It works in concert with maternal physiology to nurture new life, and it’s work contributes to the outcome of both the mother and her baby. It’s made of cotyledons, which are small islands of vessels and capillaries originating from the interconnected chorionic vessels, and together comprise the placental disc. Much like the placental cotyledons, the individual states and projects of RMOMS and MHIs are working to nourish and enrich their communities to improve outcomes. Their individual work contributes to the greater narrative on how to optimize maternal and neonatal outcomes, and will create (or give birth) to a new era in maternal health care.