High Risk OB Partnership For Excellence (HOPE)

High Risk OB – Urban (HOPE)

Treating High-Risk Pregnancies

The goal of the HOPE ECHO is to improve maternal and infant outcomes in urban settings by empowering teams to learn and utilize evidence-based practices informed by social determinants of health (SDOH).


Why A High Risk Urban OB (HOPE) ECHO?

Missouri women who live in urban areas are at risk of serious pregnancy-related complications that can negatively impact their health and the health of their babies due to multiple comorbidities and SDOH such as low income, lack of education, social exclusion, addictions, stress, access to quality food and personal behaviors such as smoking. The HOPE ECHO will mentor and support urban health care teams that treat pregnant women by:

  • Building relationships with participants to empower, support and educate urban providers, systems and care teams
  • Sharing evidence-based knowledge and best system-based practices
  • Provide a safe and nurturing forum for exchanging knowledge and sharing experiences
  • Increase awareness of how SDOH impact at-risk and disparaged populations

Learn about our new HOPE ECHO Incentive Program

Who Should Join?

  • Primary care physicians
  • Obstetricians
  • Hospitalists
  • Nursing directorsv
  • Nurses
  • Pediatric nurse practitioners
  • Neonatal nurse practitioners
  • Advanced practice nurses
  • Physician assistants
  • Pharmacists
  • Hospital labor and delivery units

What Does HOPE ECHO Offer?

  • No cost CME for health care professionals
  • Collaboration, support and ongoing learning with experts and other physicians
  • Better care for patients in their home community

How Does It Work?

  • Join an online video conference twice per month
  • Discuss and share:
    • Clinical case presentations
    • A brief education presentation by an expert in urban high-risk pregnancy care

Topics for Case-based Learning and Discussion:

  • Substance use
  • Comorbid conditions in early pregnancy
  • Gestational diabetes and managing the diagnosis
  • Gestational hypertension and preeclampsia
  • Treatment of depression, anxiety and bipolar disorder
  • Preterm birth
  • Multiples
  • Trauma-informed care
  • Genetic screening
  • Contraception planning
  • Hemorrhage
  • Deep vein thrombosis and pulmonary embolism

Meet the Expert Team

Laura Vricella, MD, Maternal-Fetal Medicine, St. Louis University

F. Sessions Cole, MD, Neonatologist, Washington University

Melissa Tepe, MD, MPH, OBGYN, Affinia Healthcare

Jaye Shyken, MD, Maternal-Fetal Medicine and Addiction Medicine, St. Louis University

Eboni January, MD, OBGYN, Doctor EJ’s Fitness Bootcamp

Cynthia Rogers, MD, Child and Adolescent Psychiatrist, Washington University

Ebony Carter, MD, MPH, Maternal-Fetal Medicine, Washington University

Sha’Neco Fennoy, MPA, MPH, Program Manager, Raising St. Louis

Alicia Forinash, PharmD, Pharmacist, St. Louis College of Pharmacy

Sarah Dickoff, MSN, RNCC-MNN Labor and Delivery Nurse, SSM Health St. Mary’s Hospital

Elizabeth Babcock, RD, LD, CDE, Diabetes Educator and Dietitian, SSM Health St. Mary’s Hospital

Samuel Julian, MD Neonatologist, Washington University