Shannon Lenze, PhD, an associate professor of psychiatry at Washington University School of Medicine in St. Louis, knows the grim statistics showing that gun violence, racism, poverty and a lack of access to transportation and nutritious foods can adversely affect mental and physical health during pregnancy, particularly among Blacks who suffer disproportionately more than people of other races. However, Lenze noted that many obstetricians hesitated to question pregnant patients about trauma related to their life experiences because it could upset them. Through her partnership with Elevating Voices, Addressing Depression, Toxic Stress and Equity (EleVATE) a community of academic physicians and clinics in St. Louis, Lenze had a light bulb moment — one that has helped guide her research on prenatal health of the pregnant person and baby.