We work closely with your primary obstetrician, as well as other BIDMC specialists as needed, to provide comprehensive, coordinated care. We also provide second opinions or one-time evaluations as needed.
We perform ultrasounds and consultations in our Prenatal Diagnostic Center. Specialists in endocrinology, anesthesia, genetics, radiology, and perinatal clinical nursing, among others, participate in weekly team conferences to discuss our most challenging obstetrical issues and reach consensus on best practices and next steps.
Comprehensive Maternal-Fetal Medicine Services
Non-Stress Test (NST)/Biophysical Profile (BPP)
- Monitors fetal heartbeat, activity, muscle tone and breathing
- Monitors volume of the amniotic fluid
- Also called a sonogram; uses high-frequency sound waves (not X-rays) to create an image of the developing fetus. Sound waves are safe for the developing baby.
- We offer several types of ultrasound:
- Abdominal (non-invasive)
- Transvaginal, where a small probe is inserted into the vagina
- Doppler, to identify heart or circulation abnormalities in the fetus
- Three-dimensional (3-D), with life-like images
- Four-dimensional (4-D), with photos that move in real time
- Targeted ultrasound, a longer exam that sometimes includes 3-D imaging to investigate fetal abnormalities.
- Aneuploidy screening
- Nuchal translucency measurement to determine if fluid is accumulating in the back of the fetal neck, which can be a marker for Down syndrome
- Used to assess fetal health
- Amniocentesis is performed to obtain a sample of the amniotic fluid
- Chorionic Villus Sampling (CVS) is performed to obtain a sample of the placenta
- Cordocentesis (also called percutaneous umbilical blood sampling) is performed to take a blood sample from the umbilical cord
- Cervical cerclage is a surgical procedure to sew the cervix closed in patients with cervical weakening
New England Center for Placental Disorders
The New England Center for Placental Disorders at BIDMC provides comprehensive, leading-edge care for placenta accreta, placenta previa and other placental abnormalities. Placental disorders are rare, but require treatment from experienced providers and the coordination of many subspecialists.
Prenatal Genetics Program
Our Prenatal Genetics Program provides compassionate genetic counseling for families with concerns about genetic conditions, birth defects and/or cognitive deficits. Our licensed genetic counselors meet individually with you and your family to:
- Provide genetic risk assessments
- Summarize complex genetic information
- Help you decide about additional testing
- Coordinate care with your team of providers
If needed, we offer ongoing supportive counseling, often with the Department of Social Work
Close Collaboration with Social Work
Our maternal-fetal medicine specialists also work closely with social work services and the Neonatal Intensive Care Unit (NICU) at BIDMC. Our OB/GYN social work staff offers individual counseling, support groups, education and emotional support to you and your family. OB/GYN social workers have specialized knowledge pertaining to high-risk pregnancy, pregnancy loss and bereavement, and family and relationship issues.
Each year, BIDMC's Klarman Family Neonatal Intensive Care Unit (NICU) provides leading-edge, family-focused care for more than 900 high-risk newborns and their families. The NICU team works closely with maternal-fetal medicine to track mothers who are likely to deliver a high-risk newborn, in order to prepare for and coordinate multidisciplinary services.
For more information, contact the Center for Maternal-Fetal Medicine at 617-667-2636 (CMFM).