High-Risk Pregnancy / Maternal-Fetal Medicine

What is a High-Risk Pregnancy?

Your pregnancy may be considered high-risk for a variety of reasons:

  • You’re in your teens or older than 35
  • You’re overweight or obese
  • You’re pregnant with multiples (twins or more)
  • You experienced problems in a previous pregnancy (such as miscarriage)
  • You have medical conditions that began before pregnancy (such as diabetes, high blood pressure and autoimmune diseases)
  • Complications occur during pregnancy (such as premature labor)
  • Problems are detected in the developing baby
  • You develop a medical condition during pregnancy (such as preeclampsia or premature rupture of membranes)

Maternal-Fetal Medicine Services

We offer the following maternal-fetal medicine services locally:

  • Amniocentesis. This diagnostic test is the most common procedure used to test for birth defects, performed after 15 weeks of pregnancy upon signs of a potential abnormality.
  • Chorionic villus sampling. An alternative to amniocentesis, this procedure takes a small sample of cells from the placenta where it is attached to the wall of the uterus. It can be performed earlier in the pregnancy than amniocentesis.
  • Diabetes education and management. For newly diagnosed gestational or pre-existing diabetes, management is provided with nutrition counseling and daily blood sugar monitoring.
  • Genetic counseling. You may choose to consider genetic counseling and testing if you have a family history of genetic disorders or your doctor recommends it.
  • Management of anticoagulation. We provide education and instruction on the proper injection technique for any blood thinning medication you may be prescribed.
  • Management of high-risk pregnancies. If you have a complication from a previous pregnancy, you may need special care and coordination with your primary obstetrician.
  • Pre-pregnancy consultation. This may be appropriate if you have a medical or genetic history that needs to be assessed before you become pregnant.
  • Prenatal screening. Usually in the first trimester, a maternal blood test is combined with an ultrasound to identify fetuses at risk for chromosome abnormality.
  • Ultrasound. Advanced 4-D capability allows the best possible view of the fetus.