Maternal Fetal Medicine Maternal-Fetal Medicine is an obstetric specialty that focuses on the diagnostic, medical and surgical care for high-risk pregnant women. High- risk pregnancies include: Obstetric Issues such as: Multiple gestation - twin, triplets and more Preterm labor - before the 37th week of pregnancy Incompetent cervix - a cervix that opens too early, before the baby is full term Placenta problems - poor placenta function Gestational diabetes - diabetes caused by pregnancy that can affect the health of the fetus Preeclampsia - a form of high blood pressure during pregnancy Fetal growth restriction - poor fetal growth Fetal anemia - not enough red blood cells to carry oxygen to the rest of the body Medical Conditions such as: Cardiac disease Diabetes Hypertension - 5 to 8 percent of women develop hypertension during pregnancy, which can affect the health of the fetus Lupus Asthma Our Services Pre-pregnancy counseling One of the most important steps you can take to have a healthy pregnancy is to see a health care provider before you conceive. Your physician may recommend preconception visit with our practice to discuss: Existing medical conditions Medications you are taking Complications in a prior pregnancy Significant family history Consultative services to obstetric care providers related to evaluation and management of high-risk pregnancies. Our consultations include distributing useful guides and information to our patients, including: Multiple Gestation Guide - When a woman is carrying two or more babies they require special care and have unique issues and questions. They are also at increased risk for certain pregnancy complications. Our Multiple Gestation Guide provides valuable information and helps answer many questions. Gestational Diabetes Program - If you’ve been diagnosed with gestational diabetes, you may be referred to our practice for comprehensive diabetic care while still seeing your obstetric care provider for routine prenatal care. You will learn about how this may affect your pregnancy and what you can do to promote a healthy pregnancy, delivery and baby. Along with your medical care, registered dieticians provide education and follow up related to your special diet. The program includes weekly contact to review your progress and provide additional information and support. Comprehensive prenatal care Diagnostic or therapeutic procedures during pregnancy including: Amniocentesis - a test to diagnose genetic conditions such as Down Syndrome or Cystic Fibrosis Chorionic villus sampling (CVS) - a biopsy of the placenta in the 1st trimester that diagnose genetic conditions earlier than amniocentesis Percutaneous umbilical blood sampling (PUBS) - a procedure to test the baby's blood for severe anemia and to possibly treat with transfusion Genetic Counseling - We coordinate genetic counseling using a collaborative team approach with the Genetics Department. Genetic counseling may be recommended when person or family may be at risk for an inherited disease or abnormal pregnancy outcome. Perinatal Diagnostic Center, accredited by the American Institute of Ultrasound in Medicine (AIUM) Close collaboration with various other health care specialties including: Genetic, Cardiology, Neonatology, Pediatric Surgery, Endocrinology, Neurosurgery Outpatient Consultation Service Inpatient Consultation Service Performing Ongoing research in Maternal-Fetal Medicine About Us The Division of Maternal-Fetal Medicine - High-Risk Pregnancy (MFM) is part of the Department of Obstetrics and Gynecology at Baystate Medical Center. We see patients by referral only through our medical practice, Baystate Maternal-Fetal Medicine. Our staff includes: Perinatologists - board-certified physicians who provide specialized diagnostic, medical and surgical health care to high-risk, pregnant women. A women’s health nurse practitioner Perinatal nurses Sonographers who specialize in high-risk pregnancy services Our Perinatal Diagnostic Center is certified by the American Institute of Ultrasound in Medicine.