Preconceptional and Prenatal Consultation

 

We offer consultation, evaluation, and management recommendations for any pregnant women who have had or are currently experiencing any of the following medical conditions such as:

  • Heart disease

  • High blood pressure

  • Diabetes or other endocrine disorders such as thyroid disease

  • Liver, gastrointestinal, or kidney disease

  • Maternal lupus (collagen vascular disorder)

  • Clotting disorders (history of DVT or pulmonary embolus)

  • Seizure disorders

  • Mental health disorders

  • Infectious diseases (including parvovirus, CMV, hepatitis, and HIV)

  • Maternal Cancer

  • Medications

  • Structural abnormalities of the cervix or uterus

 

We offer consultation and evaluation for any pregnant women who are at a markedly increased risk for adverse outcomes or for any pregnant women who have experienced or are currently experiencing any of the following pregnancy conditions or complications, such as:

  • Advanced maternal age (≥35 years old)

  • Preeclampsia (toxemia)

  • Bleeding or abruption during pregnancy

  • Twins, triplets, or other multi-fetal pregnancies

  • Suspected fetal growth restriction (baby not growing)

  • Oligohydramnios (low fluid) or polyhydramnios (too much fluid)

  • Abnormal antenatal serum screening with an increased risk/suspicion of a genetic abnormality or neural tube defect/ spina bifida

  • Genetic disorders or baby born with birth defects or genetic syndrome

  • Cervical insufficiency (pregnancy losses at 18-20 weeks)

  • Preterm labor and delivery (early dilation or early delivery)

  • Premature rupture of membranes (water breaks too early)

  • Early pregnancy losses, miscarriages, or stillbirth (baby who died late before birth)

  • Alloimmunization (Rh incompatibility that required a blood transfusion to the fetus)

 

We also offer pregnant patients the ability to undergo diagnostic or therapeutic procedures during pregnancy, such as:

  • Comprehensive ultrasound, including diagnostic 3D/4D imaging

  • Prenatal diagnostic procedures including genetic amniocentesis

  • Therapeutic procedures including amnioreduction (when there is too much fluid around the baby), intrauterine fetal transfusion (when the baby has anemia), or fetal shunt procedures (when there is extra fluid in or around the baby’s internal organs)

  • Cervical cerclage (a stitch closing the cervix)

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