Pregnancy can be a stressful and emotionally challenging time for many families. We have the expertise and resources to help, whether you have an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with your baby (fetus).

Our high-risk pregnancy-related services include preconception planning, consultative pregnancy management (co-management) and delivery.

You may be a candidate for our services if you:

  • Are carrying a baby with a birth defect or other suspected problem
  • Will be 35 years old or older at the time of conception
  • Have a family history or previous child with birth defects
  • Have a family history of a genetic disorder
  • Have a history of poor pregnancy outcomes (recurrent miscarriage, stillbirth, premature delivery)
  • Have a history of pregnancy-related complications (premature delivery, preeclampsia, gestational diabetes)
  • Have a serious medical condition (high blood pressure, diabetes, heart disease, inflammatory bowel disease, autoimmune disorders, etc.)
  • Have a multiple gestation (twins, triplets, or even higher order)

 


Our unique team-based approach gives women who seek care for pregnancy-related complications many advantages. Patients will have immediate access to experts in the care of high risk pregnancy.

Our maternal-fetal medicine specialists or perinatologists primarily provide consultative services to obstetricians throughout the Treasure Coast to manage a wide variety of problems that can arise during pregnancy.

Understanding the importance of the bond between patients and their physicians, our perinatal team strives to keep in close contact with the referring physician by communicating regularly over the course of the pregnancy. In certain situations, depending on the severity of the underlying condition, a patient’s care may need to be transferred so that mother and / or baby can receive the appropriate level of care and have the necessary resources available at the time of delivery.

Our team in maternal-fetal medicine consists of:

  • Maternal-Fetal Medicine Subspecialists (Perinatologists)
  • Genetic counselors and medical geneticists
  • Ob Gyn Hospitalists
  • Neonatologists (experts in the care of newborns)
  • Licensed sonographers
  • Perinatal nurses

 

Comprehensive High-Risk Pregnancy Services

Amniocentesis. Amniotic fluid is withdrawn from the womb by inserting a needle through the abdomen under ultrasound guidance.  Genetic testing can then be performed on the fluid to provide information about the developing fetus.

Cerclage. Some mothers have cervical insufficiency which can lead to premature dilation of the cervix and pregnancy loss.  A cerclage can help prevent these complications. This procedure, which involves placing a suture to close the cervix, helps reduce the chance of miscarriage or premature birth.

Diabetes management and nutritional counseling. Approximately 10 percent of all pregnancies are complicated by diabetes.  The majority of these women have gestational diabetes, which is diagnosed during pregnancy, while others have diabetes prior to pregnancy.  These pregnancies require more intensive management, including dietary modification and close monitoring of blood sugars to prevent complications and increase the chances for a healthy baby.

Fetal anatomy screening. We offer a detailed ultrasound of the baby performed at 18-20 weeks gestational age to look for major birth defects and other problems with the pregnancy.

Fetal antenatal testing. We offer a full array of antenatal (prenatal) testing to meet the needs of your pregnancy.  You may be a candidate for antenatal testing, such as non-stress testing and biophysical profile, if your pregnancy is complicated by:

  • Diabetes (gestational and pre-existing)
  • Fetal growth restriction – Some babies measure small for their gestational age.  Sometimes, this can be a normal finding, but in other cases, it can be associated with maternal disease, fetal abnormalities, or abnormal placental function. These pregnancies are at an increased risk for complications and need closer monitoring through delivery.
  • History of adverse pregnancy outcomes
  • Hypertension
  • Oligohydramnios (Low amniotic fluid)
  • Polyhydramnios (High amniotic fluid)
  • Other medical conditions in the mother or the fetus

Genetic Counseling. The prenatal diagnosis process begins with a meeting with one of our genetic counselors. Your genetic counselor is the person who will guide you through the entire process, explain the various tests available and the risks associated with each, interpret the results and discuss your options at each step. At your first meeting, the counselor will ask you about your family’s health history, as well as your personal medical history and that of the baby’s father. You should feel comfortable in raising any questions or concerns that you might have with your counselor.

Preconception counseling. Our team provides guidance for women with pre-existing medical conditions or a history of adverse pregnancy outcomes.  We will work with you to improve your health prior to conceiving and make a plan for management of future pregnancies. For example, women with a history of pregnancy loss (miscarriages or stillbirth) may benefit from more specific evaluation and treatment prior to pregnancy.

Preterm birth prevention. Women who have previously delivered prematurely or are deemed at a higher risk may require closer surveillance and treatment during pregnancy.

 

Screening for Chromosome Abnormalities in Pregnancy

About the Program

Cleveland Clinic Indian River Hospital offers options for women who are interested in determining the risk for chromosome abnormalities and certain birth defects in their baby during a pregnancy. These tests allow patients the opportunity early in pregnancy to find out if their baby has one of these conditions.

While the risk for having a baby with a chromosome abnormality increases with a women’s age at the time of delivery, the majority of these babies are born to younger women. Thus, screening is an option for everyone. Having this testing performed is optional and should only be done after a thorough discussion of available tests. In some instances, your provider may refer you for genetic counseling to see which, if any, test is best for you.

 

Reasons for Having Prenatal Testing

The decision to undergo prenatal testing and diagnosis is a personal one. Your doctor can make recommendations, but you must make the decision. Prenatal testing can lead to early detection of certain birth defects or other problems that may require special care. This testing offers parents the opportunity to learn about these conditions and make decisions and plans long before the baby is delivered. Prenatal testing helps parents and doctors work together for the best management of a pregnancy known to be at risk.

 

Locations

Partner’s in Women’s Health
1050 37th Place Suite 101-102
Vero Beach, FL. 32960
772.770.6116

Tradition Health Park 2
10080 SW Innovation Way Suite 201
Port St. Lucie, FL 34987
772.345.5280