FAQs about High-Risk Pregnancy

What services do you offer?

We manage or co-manage with you:

  • Gestational diabetes
  • Type I and Type II diabetes
  • Multiples
  • Bariatric pregnancy care
  • Invasive placentation management
  • Maternal medical complications
  • Pre-term labor
  • Fetal abnormalities.

We also offer:

  • Non-stress testing
  • Fetal ultrasound
  • Genetic Counseling and prenatal diagnosis
  • Diabetes Education
  • Social worker support

When is it appropriate to refer my patient to the Maternal and Fetal Specialty Center?

Patients may be referred at any time you identify a complication either related to maternal or fetal health.
Chronic medical conditions which may be exacerbated by pregnancy include:

  • Hypertension
  • Diabetes
  • Rheumatologic disease
  • Fetal anomalies

Do you provide consultations? If so, what does that look like?

Consultations and follow-up are available through the MFM clinic. On a patient’s initial visit, she usually undergoes a fetal ultrasound and meets one-on-one with a perinatal provider. In addition, she may meet with a genetic counselor, diabetic educator and/or social worker. Further antenatal tested may also be needed.
At the end of these visits, patients are provided with recommendations for follow-up, if needed. For patients with fetal complications, we arrange meetings with pediatric specialists and neonatologists to prepare for their upcoming deliveries.

Do you take over care for high-risk pregnancies?

Many of our patients continue routine obstetric care with their primary providers, while we consult on their cases. If this is the case, we stay in direct communication with you and provide recommendations for care as appropriate. If need be, we can provide full care for high-risk patients.

If I do refer my patient, will you take over care through delivery?

If you request full care, we are happy to assume care of patients with complicated pregnancies. If we are consulting with a patient and feel it is in the best interest of the patient to transfer care, we will call and discuss our recommendations with you. Ultimately, however, it is your decision.

Do you have any information I can give to my patients?

We have many different hand-outs that you can give patients. We have a pamphlet called “What test is right for you?” that discusses options for genetic testing and the benefits of seeing a genetic counselor. We also have a brochure on our Comprehensive Care Conferences. These conferences involve bringing other specialty groups together to help care for women and their babies from antepartum to birth and beyond.

What classes do you offer?

We offer a Gestational Diabetes Class. This is a two-part class that teaches women with gestational diabetes how to manage their blood glucose during pregnancy.

The first session covers:

  • The physiology of gestational diabetes
  • The basic principles of nutrition
  • How to do blood-glucose monitoring using a provided meter.

The second session is to evaluate the progress of blood-glucose monitoring and do any follow-up that is needed.