High Risk OB – Urban (HOPE)

Pregnancy ECHO improves outcomes for mothers and infants by empowering care teams to use evidence-based practices informed by social determinants of health. This ECHO meets the second and fourth Tuesdays of the month from noon to 1 p.m.


Why a Pregnancy ECHO?

Many Missouri women 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 social determinants of health, including low income, lack of education, social exclusion, addictions, stress and access to quality food.


  • Build relationships with participants to empower, support and educate providers, systems and care teams
  • Share evidence-based knowledge and best system-based practices
  • Provide a safe and nurturing forum for exchanging knowledge and sharing experiences

Who Should Join?

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

What Does Pregnancy 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 high-risk pregnancy care

Meet the Expert Team

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

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

Samuel Julian, MD, Neonatologist, Washington University

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

Melissa Tepe, MD, MPH, OBGYN, Affinia Healthcare

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

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

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

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