First Year Cleveland

First Year Cleveland

Case Western Reserve University School of Medicine
Biomedical Research Building
11000 Cedar Avenue - 4th Floor Cleveland, OH 44106

Phone 216-368-4837
Home Solutions Reducing Racial Disparities Pregnancy & Infant Loss Initiative

Pregnancy and Infant Loss Initiative (PAIL)


For more than 50 years, Cuyahoga County has had one of the highest rates of infant deaths in the United States, with even higher numbers for African American babies. First Year Cleveland is diligently working to change this so that every baby can celebrate his or her first birthday. We understand the importance of saving our babies, and we also know it’s equally important to provide support to those who have experienced the loss of an infant. 

To address this need, the Pregnancy and Infant Loss (PAIL) Initiative was formed in 2018 to engage and support African Americans who have experienced infant loss. PAIL is driven by the voices of a 40-member committee comprised of African Americans who have experienced loss, community leaders, government agencies, health care providers, mental health professionals, faith-based institutions, and nonprofit organizations.

PAIL provides hope to families who have experienced loss through healing support groups, infant loss remembrance events, education and wellness events and more.

Free Healing Support

Through PAIL's Our Wellness Network (OWN) African American mental health professionals and peer support specialists are available to help men and women who are:

  • Pregnant
  • New parents
  • Have experienced miscarriage, stillbirth or the loss of a baby before age one.

Learn more about PAIL at

Learn more about OWN and how to get the support you need here.


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