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Maternal Fetal Medicine (High Risk Pregnancy)

What is a high-risk pregnancy?

A high-risk pregnancy is one in which a condition puts either the mother or the developing fetus, or both, at an increased risk for complications during or after pregnancy and birth.

Our team is also here for your emotional support and to make sure you receive the best care during your pregnancy.

You may be in need of our services if you:

  • Are 35 years of age or older
  • Have a multiple gestation (twins, triplets, or more)
  • Have a serious medical condition (high blood pressure, diabetes, heart disease, etc.)
  • Have a history of pregnancy-related complications (premature delivery, preeclampsia, gestational diabetes)
  • Are carrying a baby with birth defects or had a previous pregnancy with birth defects
  • Have poor pregnancy outcomes (miscarriage, premature delivery, ect.)
  • Abnormal Placentation (such as placenta accreta – where the placenta is invading into the uterus)
  • Cancers during pregnancy

Our services include pre-conception counseling for those considering pregnancy with previous complications or for those with an acute or chronic medical condition.

Comprehensive diagnostic testing and therapeutics are provided for those who are pregnant. 

Diagnostic procedures available are:

  • First Trimester Screening
  • Chorionic Villus Sampling (CVS)
  • Comprehensive and targeted ultrasonography
  • Amniocentesis
  • First and Second Trimester Biochemical and Ultrasound Screening Tests
  • Percutaneous Umbilical Blood Sampling (PUBS)
  • Biophysical profile
  • Doppler velocimetry
  • Fetal echocardiography

Conditions that maternal fetal medicine specialists diagnose and treat are:

  • Pre-existing conditions affecting the mother, such as diabetes, heart disease, kidney disease, epilepsy, or asthma.
  • Complications of pregnancy that affect the mother, including pre-eclampsia, infections, or gestational diabetes.
  • Multiple fetuses
  • Genetic disorders or other abnormalities of the fetus
  • Surgical management of the obstetrical patient
  • Management of the critically ill patient.
  • Intrauterine fetal procedures
  • Diagnosis and management of fetal anomalies
  • Congenital Diaphragmatic Hernia
  • Congenital Cystic Adenomatoid Malformation (CCAM)
  • Congenital high airway obstruction syndrome (CHAOS)
  • Gastroschisis
  • Omphalocele
  • Hydrocephalus
  • Sacrococcygeal Teratoma (SCT)
  • Twin Reversed Arterial Perfusion Sequence (TRAP)
  • Twin – Twin Transfusion Syndrome (TTTS)
  • Fetal Reduction
  • And many other fetal anomalies (structural, genetic or perhaps syndromic) 
 
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