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The Department of Gynecology and Obstetrics
Maternal-Fetal Medicine

Prenatal Diagnosis & Treatment Center

Conditions We Evaluate:


The types of patients seen in our unit may include those with:

  • maternal/family history of cardiac disease

  • a known or newly diagnosed history of hypertension (high blood pressure)
  • preeclampsia (toxemia)
  • maternal metabolic diseases, including diabetes (both pregestational and gestational types)
  • infectious diseases (to include parvovirus, toxoplasmosis, hepatitis, HIV, and AIDS)
  • maternal/family history of renal, gastrointestional disease, and cystic fibrosis
  • an abnormal AFP (alpha fetoprotein) blood test (including the suspicion of a neural tube defect)
  • an abnormal antenatal serum screening (triple screen/quad scren) with an increased risk/suspicion of a chromosomal abnormality such as Trisomy 21 [Down syndrome], Trisomy 13 or Trisomy 18
  • multiple gestation (twins and higher order multiples)
  • poor past obstetrical history (to include past preterm deliveries, preterm labor, preterm cervical dilatation, premature rupture of membranes, repetitive pregnancy loss)
  • suspected abnormal fetal growth -- both macrosomia (a baby that is too large) or fetal growth restriction (a baby that is too small)
  • maternal lupus (collagen vascular disorder)
  • red cell alloimmunization (Rh- mother sensitized to an Rh+ fetus)
  • the need for invasive fetal testing procedure(s) or other in utero therapeutic techniques (i.e., blood sampling/transfusion, platelet infusion, fetal bladder stent placement, chorionic villus sampling (CVS) or amniocentesis (amnio) for maternal age or other factors
  • a known/suspected fetal anomaly

The David A. Nagey Prenatal Outreach Program offers coordination for emergent perinatal consultation and maternal transport.

In addition to providing our services to high-risk patients, we also provide services for women with low-risk pregnancies. Please visit www.smfm.org to learn more about the role of a Maternal-Fetal Medicine Specialist.


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