Maternal Fetal Medicine
If you are at high risk of complications during your pregnancy, take comfort in knowing we have board-certified maternal fetal medicine specialists on staff to provide continuous care, from consultation to testing and follow-up. Our special expertise in evaluating birth defects, umbilical cord malformations, and other high-risk pregnancy conditions – coupled with our advanced ultrasound equipment – are more reasons why patients choose us.
Your treatment begins with a consultation with Dr. Jeffrey Wright to determine your specific needs. Most of our patients have a fetal ultrasound at their first consultation.
Ultrasound may be used to assess fetal growth, fetal organs for birth defects, fetal markers for signs of genetic syndromes, location of the placenta, umbilical cord malformations, amniotic fluid levels, and health of the uterus or cervix. We have access to other highly specialized ultrasound techniques, such as fetal echocardiogram to assess your baby’s heart and color-flow Doppler to evaluate blood flow through major arteries and veins.
All testing is on a voluntary basis, allowing you to make the choices you want for your pregnancy. Your OB/GYN will discuss with you the risks of your pregnancy, testing options, and available technology. We offer some testing, such as blood screening for Down's syndrome and amniocentesis, to all patients in accordance with American Congress of Obstetricians and Gynecologists (ACOG) standards. We may offer you other testing, depending on your condition.
Along with other types of fetal testing, amniocentesis does involve a small risk of pregnancy loss. It is estimated to cause miscarriage in 0.06 percent to 0.5 percent of cases. Because of this risk, we recommend you consider the value of such testing. You may want the high level of accuracy amniocentesis can provide for certain specific defects. Or, you may choose to avoid the test due to safety concerns. We’re here to address those concerns.
If you have certain complications or medical conditions throughout your pregnancy, we may require additional testing and laboratory evaluation, as well as adjustments and changes to medications to help improve your chances of having a healthy baby.
Many diseases can cause serious problems for the placenta and baby. We closely monitor mom and baby to prevent those complications. Specifically, we keep a watchful eye for the following conditions:
- Diabetes, hypertension, blood clotting disorders
- Lupus, epilepsy, thyroid disease
- Recurrent miscarriage
- Isoimmunization (for a pregnant woman whose blood type is Rh-negative)
- Twins and other multiples
- Cervical weakness, uterine malformations, fetal growth restriction, structural birth defects, abnormal amniotic fluid volume