CALIFORNIA MATERNAL FETAL MEDICINE
----------------------- High Risk Pregnancy Experts -----------------------
Specializing in the un-routine.
We are high-risk pregnancy experts. For pregnant women with chronic health problems, our Maternal-fetal medicine (MFM) subspecialist works to keep the woman as healthy as possible while her body changes and her baby grows. Our MFM subspecialist also cares for women who face unexpected problems that develop during pregnancy, such as early labor, bleeding, or high blood pressure. Our MFM is the go-to for pregnant women who arrive in the hospital for any reason, whether after an accident or at the onset of a kidney infection. In other cases, it’s the baby who faces the un-routine. If an OB care provider finds a birth defect or growth problem, our MFM can start treatment before birth, providing monitoring, blood transfusions and surgery to support the fetus until it is ready to arrive in the world.
Our MFM subspecialist treats two patients at the same time. We partner with the mom-to-be, her family, and her medical team to navigate the un-routine and achieve the best possible outcome. We see families who have experienced high-risk pregnancies in the past, women with chronic health conditions, and women who develop unexpected problems during their pregnancy.
We are a California State-approved Prenatal Diagnostic Center (PDC)
The California Prenatal Screening (PNS) Program focuses on detecting birth defects during pregnancy.
The PNS program works to ensure that prenatal screening services and follow-up diagnostic services, where indicated, are available to all pregnant women in California. Prenatal screening identifies individuals at increased risk for carrying a fetus with a specific birth defect. The PNS Program provides pregnant women with a risk assessment for open neural tube defects (NTD), Down syndrome (trisomy 21), trisomy 18 and SLOS (Smith-Lemli-Opitz Syndrome) through one or two blood tests.
The program currently offers three types of prenatal screening tests to pregnant women in order to identify individuals who are at increased risk for carrying a fetus with a specific birth defect. The fee for the Prenatal Screening Program is $221.60, whether a woman has one or two blood tests.
The screening test indicates risk, but does not diagnose fetal birth defects. For women with screening results indicating a high risk for a birth defect, the Program provides free follow-up diagnostic services at State-approved Prenatal Diagnostic Centers. Services offered at these Centers include genetic counseling, ultrasound, and amniocentesis. Participation in the screening tests and follow-up services is voluntary.
PRECONCEPTION AND PREGNANCY CONSULTATION
Consultation and Co-Management
Our Maternal-fetal medicine (MFM) subspecialist treats two patients at the same time. We partner with the mom-to-be, her family, and her medical team to navigate the un-routine and achieve the best possible outcome. We see families who have experienced high-risk pregnancies in the past, women with chronic health conditions, and women who develop unexpected problems during their pregnancy.
Before and during pregnancy, our MFM can provide advice for women with chronic health conditions or those who have experienced a high-risk pregnancy in the past. At a consultation, our MFM reviews a woman’s medical and pregnancy history and helps to map out an optimal strategy for her pregnancy.
A window into the womb
We use ultrasound to look inside the womb and evaluate the developing fetus. We use advanced skills in 3D and 4D ultrasound and fetal echocardiogram to screen for birth defects and chromosome problems.
We offer obstetric ultrasound imaging to all pregnant women, for both low and high risk pregnancies.
Our genetic counselor is available for patients with:
Interest in genetic carrier screening for themselves and/or their partner
Interest in discussing risks for chromosomal abnormalities, such as Down syndrome
History of a previous child with a birth defect, developmental delay, or other genetic condition
History of multiple unexplained miscarriages or cases of unexplained infant deaths
Consanguineous union (cousins or otherwise blood related)
Maternal age of 35-years-old or older at time of delivery for a single pregnancy; 33-years-old or older at time of delivery for twin pregnancy
Current pregnancy with anomalies identified by ultrasound
Current pregnancy with an abnormal genetic screening test
Current pregnancy with risk of or concern for maternal exposures, such as medications, radiation, drugs/alcohol, or infections
Our MFM may use the following procedures to evaluate the developing fetus:
Guided by ultrasound, our MFM uses a needle to collect a small amount of amniotic fluid. We use this fluid to test for genetic diseases, fetal lung maturity, or infection.
When a fetus has too much amniotic fluid, our MFM can place a needle in the uterus, guided by ultrasound, and remove extra fluid. This process can reduce the risk of early birth and treat certain fetal diseases
Chorionic villus sampling (CVS):
In a CVS, our MFM uses a thin tube or a needle to sample the placenta during the first third of the pregnancy. Our MFM uses ultrasound to perform a CVS, either through the cervix or the abdomen. We can test the placental sample for certain fetal diseases and health conditions.
Diabetes and Pregnancy Program (DAPP)
Diabetes is a complication for up to 7-14% of pregnant women. Our Diabetes and Pregnancy Program (DAPP) provides consultative and co-management services to assist in promoting improved pregnancy outcomes for high-risk pregnant women with pre-existing diabetes and women who develop diabetes while pregnant; gestational diabetes mellitus (GDM).
We perform a variety of tests to check the effectiveness of certain treatments as well as monitor fetal well-being.
Antepartum fetal monitoring
We use 2D ultrasound to monitor fetal heart rate, fetal movement, and levels of amniotic fluid, and we use Doppler ultrasound to measure blood flow through the umbilical cord and the fetal brain and heart. These tests help sort out whether the fetus is getting what it needs in the uterus, or might be better off being born.
Ultrasound assessment of amniotic fluid
Healthy babies have enough fluid around them, but not too much. Using ultrasound, we can estimate whether a baby has too little fluid (oligohydramnios) or too much (polyhydramnios). Both too much and too little fluid can be associated with birth defects and placental problems.
Fetal blood sampling and transfusion
Guided by ultrasound, our MFM can insert a needle into the umbilical cord to collect a fetal blood sample to diagnosis certain diseases. We can also give the fetus a blood transfusion to treat severe anemia.
We are located across the street from Mercy Hospital of Folsom
1645 Creekside Drive, Folsom CA 95630