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    Most women seek consultation from or care by a Maternal-Fetal Medicine (MFM) specialist because they are "at risk" and considering becoming pregnant or because they are pregnant and "high risk", "complicated", or otherwise worried about their pregnancy.


    Some medical conditions which are considered high risk include: high blood pressure, diabetes, thyroid disease, liver or kidney disease, lupus, clotting disorders, and seizure disorders.


     Also, some pregnancy conditions which are considered high risk include:


  • Advanced maternal age (=35 years old)

  • Preeclampsia (toxemia)

  • Bleeding or abruption during pregnancy

  • Twins or triplets

  • Fetal growth restriction (baby not growing)

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

  • Abnormal serum screening with an increased risk/suspicion of a genetic abnormality

  • 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).


     If you currently have or experienced any of the above problems during your pregnancy, please urge your physician to send you for consultation. I will work with your doctor to provide expert, comprehensive, and compassionate care in order to minimize risks and ensure the best possible outcomes for both you and your baby. I perform ultrasound, genetic amniocentesis, cervical cerclage (a stitch closing the cervix), and fetal therapeutic procedures.

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