Welcome to Project ECHO
South Carolina Pregnancy Wellness

Project ECHO SC Pregnancy Wellness is a resource for South Carolina healthcare providers working in the field of obstetrics who are interested in learning more to address preterm birth. Our goal is to create a network of obstetrical health care professionals collaborating to support each other in treating high risk pregnancy patients within their own respective communities.

What Topics Will Experts Discuss in the ECHO Sessions?

Sessions are held the first and third Wednesday of each month from 12:15 pm – 1:00 pm

SC Pregnancy Wellness is leveraging the ECHO model to provide telementoring support to providers across the state of South Carolina. Our ECHO clinics feature brief, user-driven didactic content delivered by national experts in the treatment of high risk pregnancy and case presentations from members of our ECHO community.

Updates on Pregnancy During the Covid-19 Pandemic

Session 1: Wednesday, November 4th
Session 2: Wednesday, November 18th

Safety Bundles: Recognition, Differential Diagnosis, and Appropriate Treatment

Hypertension (HTN)
December 2, 2020 – March 3, 2021
Date Topic
12/2/20 Chronic Hypertension, Treatment and Goals
12/16/20 Standardized Treatment of Severe Hypertension
1/6/21 Diagnosis and Management of Chronic HTN with Superimposed Pre-eclampsia
1/20/21 Pre-eclampsia With and Without Severe Features
2/3/21 Inpatient Versus Outpatient Management of Preeclampsia
2/17/21 Conservative Management of Early Onset Severe Pre-Eclampsia
3/3/21 Postpartum Management of HTN and Implications for Future Health

Special Focus:
Pregnancy Wellness During the Corona Virus Public Health Emergency
June 17, 2020 - August 5, 2020

Date Topic
6/17/20 Practical Office Based Management During Covid-19
7/1/20 SMFM Guidelines Updates and Recommendations During Covid-19
7/15/20 Infectious Disease & Pregnancy Wellness During Covid-19
8/5/20 Panel Discussion:
Pregnancy Wellness During the Corona Virus Public Health Emergency Lessons Learned and Looking Forward

Substance Use Disorder in Pregnancy
August 19, 2020 – October 21, 2020

Date Topic Presenter
8/19/20 Subutex, Methadone, or Suboxone: Which is Better for Baby? Dr. Lisa Boyars
9/2/20 Can a Professional Wean Opioids During Pregnancy? Dr. Connie Guille
9/16/20 Pain Management After Delivery in OUD Patients on Medical Maintenance Therapy Dr. Berry Campbell
10/7/20 How do I Get Patients into Treatment? Dr. Claire Smith
10/21/20 What to Do When a Patient is Admitted on OB with Recent Illicit Drug Use Dr. Rubin Aujla
Module # 1
December 4, 2019 – February 19, 2020
Date Topic
12/4/19 Help Me! I Need to Start Insulin
12/18/19 Pre-Gestational Diabetes P:C Ratio or 24-Hour Urine
1/15/20 Checking Blood Sugars and Adjusting Insulin
2/5/20 Managing Insulin for Intrapartum and Postpartum Care
2/19/20 Delivery Plans: Route and Timing of Delivery

Topics and additional modules will be updated. Please check back in with us.

How can I sign up to join the SC Pregnancy ECHO sessions?

If you are interested in joining our SC Pregnancy Wellness ECHO, please reach out to us by either completing our Contact Us form or emailing our project coordinator, Rachel Grater (grater@musc.edu) for more information. We're excited to work with you!

Preterm birth is when a baby is born too early, before 37 weeks of pregnancy have been completed. In 2016, preterm birth affected about 1 of every 10 infants born in the United States.

A number of maternal medical conditions are associated with an increased risk of indicated or spontaneous preterm birth, including, for example, chronic hypertension, prepregnancy diabetes mellitus, and systemic lupus erythematosus.

Smoking, obesity and other issues affecting the mother’s overall health play an important factor throughout a woman’s pregnancy. Smoking is an important determinant of health and a significant factor contributing to preterm and low birthweight births. In 2013, 22.5% of women of childbearing age reported smoking in South Carolina. While being obese does not directly cause preterm birth, it does increase rates of medical complications (e.g., hypertension, diabetes) that do contribute to preterm birth. In South Carolina, 32.0% of women of childbearing age were obese in 2013.

Addressing these issues as well as others in the early stages of pregnancy can prolong gestational age which can lead to less preterm births and healthier babies.

In South Carolina in 2013, 11.8% of singleton births were preterm,
compared to 64.2% of multiple births.