Desired Reproductive Health Access for Maternal Services (DREAMS) (Formerly MADRE)

Desired Reproductive Health Access for Maternal Services (DREAMS) (Formerly MADRE)

Asian couple with baby

The DREAMS (Desired Reproductive Health Access for Maternal Services) program (formerly MADRE) provides health linkages and assists with access to care for underserved women who have experienced the tragedy of losing a baby either during pregnancy or at birth. The DREAMS program also serves women who receive a terminal fetal diagnosis during their current pregnancy, or have a history of preterm labor/delivery. The program is designed to improve the health of women and couples before conception or during pregnancy in order to improve their birth outcomes.

Target audience

Women of reproductive age.


Eligible women are residents of Alameda County who are low income / Medi-Cal eligible and have one or more of the following:

  • history of fetal / infant loss
  • history of multiple miscarriages
  • history of preterm labor or delivery
  • pregnant women anticipating fetal demise

You can become a DREAMS participant a number of ways: by contacting us directly; through a referral from your clinic or hospital; or a referral from friends, family, or a community agency. The right time to sign up for DREAMS is before becoming pregnant, after losing a baby, during pregnancy, or simply when you are ready.

DREAMS services

  • Assessment and referral
  • Assistance with linkages and access to care
  • Bereavement support
  • Care coordination in person or by telephone
  • Community site visits by staff
  • Information, education and community outreach
  • Accompaniment to providers
  • Culturally competent Spanish/Mayan Mam trilingual services (Spanish/MAM)

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