Challenges in Rural Obstetrics for Women and Neonates (CROWN)

High Risk OB – Rural (CROWN)

Supporting High-Risk Pregnancies

CROWN ECHO will empower and support providers in rural Missouri to improve care and outcomes for mothers and babies.


Why A CROWN (Rural High Risk OB) ECHO?

Missouri women who live in rural areas are at risk of serious pregnancy-related complications that can negatively impact their health and the health of their babies. This is due to the shortage of obstetricians and hospitals that have obstetric services, as well as the social determinants of health which include low income, lack of education, social exclusion, addictions, stress, access to quality food and personal behaviors such as smoking.

Learn about our new CROWN ECHO Incentive Program

The CROWN ECHO Will Mentor and Support Rural Health Care Teams That Treat Pregnant Women By:

  • Keeping patients’ care local when appropriate
  • Building relationships with participants to empower, support and educate rural providers, systems and care teams
  • Sharing evidence-based knowledge and best system-based practices
  • Providing a safe and nurturing forum for exchanging knowledge and sharing experiences

Who Should Join?

  • Primary care physicians
  • Obstetricians
  • Hospitalists
  • Nursing directors
  • Nurses
  • Advanced practice nurses
  • Nurse practitioners
  • Physician assistants
  • Pediatric nurse practitioners
  • Midwives
  • System managers
  • Hospital labor and delivery units

What Does CROWN ECHO Offer?

  • No cost for participating sites or individuals
  • No cost CME for health care professionals
  • Collaboration, support and ongoing learning with experts and other physicians
  • Patients get better care in home community

How Does It Work?

  • Join a one-hour online video conference twice per month
  • Participants need access to internet, webcam and a microphone
  • Discuss and share:
    • Clinical case presentations
    • A brief education presentation by an expert in high risk OB care

Topics for Case-based Learning and Discussion:

  • Aspirin and risk of preeclampsia
  • Spontaneous pre-term birth
  • Gestational diabetes
  • Barriers for access to care
  • Multiple monochorionic
  • Depression and anxiety
  • Substance use disorder
  • Hypertension
  • Hemorrhage
  • Prioritization of needs
  • Genetic screening
  • Grief and loss

Meet the Expert Team

Daniel Jackson, MD, Maternal Fetal Medicine, Mercy East Clinics

Amanda Stephens, MD, Maternal Fetal Medicine, University of Missouri Health Care

Anjali Anders, MD, Neonatologist, University of Missouri Health Care

Naomi Wahl,, MD, Maternal Fetal Medicine, Saint Francis Healthcare System

Kimberly Brandt, DO, Psychiatrist, University of Missouri Health Care

Katie Werth, RN, Charge Nurse, University of Missouri Health Care

Mary Killday, MSW, Social Worker, University of Missouri Health Care