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high risk ob


The collaboration of Oklahoma State Department of Health, The Perinatal center and The Oklahoma State University Department of Obstetrics and Gynecology will together greatly increase access to High Risk Obstetric (OB) guidance, get expert knowledge in a virtual training network and support and  improve maternal outcomes across Oklahoma- impacted by high risk obstetrics, including opioid use disorder and other related substance use and addiction medicine issues.


  1. High Risk OB ECHO provides education, training and consultation utilizing the Project ECHO (Extension for Community Healthcare Outcomes) model to support the State Maternal Health Innovation Program.
  2. For the past 18 years in the state of Oklahoma, an average of 11 women died of complications related to pregnancy every year.
  3. Nationally, according to the Centers for Disease Control and Prevention (CDC), 700 women die every year related to a pregnancy or from delivery complications.
  4. Most maternal deaths happen before or soon after the mother has given birth, usually within a few weeks or months postpartum.
  5. According to March of Dimes, 41 out of 77 counties in Oklahoma are classified as maternity care deserts with no birthing hospital and no obstetrician- gynecologist or certified nurse midwife to provide care.


First Thursday of every month, 12(Noon) to 1pm Central Time. To Join this ECHO session registration is a one-time requirement, once registered you will receive the zoom meeting link.


Register Now



John R Stanley III, MD

Medical Director
The Perinatal Center


Regina Lewis, DO


OSU Medicine, Family Medicine, Obstetrics


Erin Brown, DO
Clinical Assistant Professor
OSU Medicine, OB/GYN


Carlos M Guevara, DO
Clinical Assistant Professor
OSU Medicine, OB/GYN


Melissa Szeto

Social Service Coordinator

Oklahoma Health Care Authority


Nishitha Gali, MHA, BDS
Clinical Coordinator- Project ECHO



  • Hypertensive diseases of pregnancy
  • Diabetes in pregnancy
  • Cardiac conditions in pregnancy
  • Asthma in pregnancy
  • Maternal sepsis
  • Opioid use disorder/ Substance abuse in pregnancy
  • HIV in pregnancy
  • Thyroid disease
  • Mental health in pregnancy (depression, anxiety)
  • Trauma in pregnancy

Submit a Case

To present a case at an upcoming High Risk OB TeleECHO clinic, email to request an ECHO ID number. You will receive an ID and the case presentation form.

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