Pathways to Prevention (P2P) Program

Graphic Recording for the Roundtable on Behavioral Health Concerns Impacting Postpartum Health

This graphic illustrates highlights from the presentations and discussion that were part of the roundtable on behavioral health concerns impacting postpartum health during Day 1 of the P2P Workshop: Identifying Risks and Interventions to Optimize Postpartum Health. To learn more about the workshop or view the recordings, visit the main workshop page.

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Perinatal Health and Mood Disorders

Pregnancy as stress test for brain:

  • Self-esteem
  • Poverty
  • Racism
  • Health
  • Genetics

Intersectionality increases risk:

  • Race
  • Gender
  • Economic


  • Therapy
  • Mindfulness
  • Medical treatment
  • Education
  • Biological mechanisms


  • Biological risk factors
  • Interventions

Challenges to Reproductive Journey

Barriers and stigmas must be addressed:

  • Infertility
  • Pregnancy loss
  • Premature birth
  • Equitable care is a must

Perinatal mood anxiety disorders:

  • Can last years
  • Range of mood disorder beyond postpartum depression

Maternal suicide:

  • Hidden cause of maternal death in the U.S.
  • COVID-19 made this worse

Care Cascade for Perinatal Depression

Only 3-5% reach remission.


  • Work together
  • Education and training
  • Focus on health equity

Pregnancy Homicide and Violent Death

  • Exceeds any obstetric cause of death
  • Gun violence
  • Partner violence
  • About half postpartum

All cases are preventable:

  • Policy
  • Community prevention
  • Identification

Access to Clinical Trials


  • Maternal outcomes
  • Dosing
  • Fetal safety
  • Pregnant people excluded from trials

Ethical foundations:

  • Protection
  • Respect
  • Access

Communication of findings must be clear.


Causes and prevention of violence:

  • Removing guns
  • Having structures for escape
  • Addressing equity and racism

Impact of abortion restrictions:

  • Pregnant person has a heartbeat too
  • Stress from lack of autonomy
  • Need to focus on both pregnant person and baby


Hand off between care settings?

  • Increase capacity
  • Phone support
  • Maintain setting
  • Cross discipline communication

Screening in BIPOC population:

  • Question for connection to care

Access to care for everyone:

  • Insufficient across the board
  • Group provision
  • Support for OB/GYN
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