A Maternal Fetal Medicine subspecialist, as defined and certified by the American Board of Obstetrics and Gynecology (ABOG), is a subspecialist in obstetrics and gynecology who, by virtue of additional education, cares for and/or provides consultation for women with complications of pregnancy.

This activity requires advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. It also requires expertise in the most current approaches to the diagnosis and treatment of women with complicated pregnancies.

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.

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 (such as high blood pressure, diabetes and/or heart disease)
• Have a history of pregnancy-related complications (premature delivery, preeclampsia and/or gestational diabetes)
• Are carrying a baby with birth defects or had a previous pregnancy with birth defects
• Had recurrent miscarriages
• Have abnormal placentation (such as placenta accreta, where the placenta is invading into the uterus)
• Developed cancer(s) during pregnancy
• Have history of renal transplant, pancreatic transplant and/or bone marrow transplant

Services:

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 to those who are pregnant.

Our diagnostic procedures include:

• 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:

• 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)