Pathways to Prevention (P2P) Program

Graphic Recording for the Roundtable on Elevating Patient-Centered Strategies of Care

This graphic illustrates highlights from the presentations and discussion that were part of the roundtable on elevating patient-centered strategies for care during Day 2 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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Summer of 2016

  • Lowest pre-term birth rates in the West of St. Louis
  • Best pre-term birth rates in the North of St. Louis
  • Race-based inequity
  • How do we address this inequity?


  • Hearing the voice of the patient:
    • Group-based care
    • Trauma care
    • Mental health

Pilot study:

  • Group care works best for people without support
  • No preterm births
  • 80% postpartum visits
  • More study needed for postpartum

Paradigm shift: Must consider system, not just the individual.

Impact of Maternal Fatality on Families

  • There is no data to communicate impact of loss
  • Hospital would not listen
  • Healthy Mom

Patient Perspective with Patricia Bandettini, M.D.:

  • Induction and C-section
  • Went home happy
  • Pale and wobbly
  • Everyone afraid
  • Emergency bleeding
  • Able to be advocate
  • Uncertainty

Shari Huskie:

  • Visiting parents post birth
  • Rushed to hospital
  • Woke up week later
  • Baby contracted RSV
  • Depression one year later
  • Quote from Ms. Huskie: “We are sacred but we are not treated that way.”

Maternal Morbidity and Mortality in the Indigenous Population

  • Three times higher maternal mortality
  • 5.2 million Indigenous people in the U.S.
  • 40% in non-urban areas

Stress on Indigenous people compounded:

  • Food desert
  • Domestic abuse
  • Remote hospital and continued care
  • Mental health
  • Exposure to uranium
  • Lack of water access

Integrated women’s care


  • Food deserts
  • Learning barriers
  • Safety bundles


  • Advocate
  • Legislate
    • Momnibus
    • 13 bills
  • Educate
  • Environmental factors

One thing to improve maternal care:

  • Health insurance
  • Postpartum team
  • Support for moms

Equitable birth care:

  • Break down barriers between patient and caregiver
  • Empathy and compassion
  • Support system outside health system
  • Equitable access to resources
  • Held to highest standard
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