Maternal Fetal Medicine

Obstetrics

We provide comprehensive obstetric care at Boston Medical Center and at our affiliated Neighborhood Health Centers. Prenatal care is provided by a variety of fully trained practitioners including: Ob/Gyn physicians, Family Medicine Specialists, and Certified Nurse Midwives. Dedicated Anesthesiologists are present full time on Labor and Delivery. Every woman delivering a baby at Boston Medical Center is eligible for labor support from our Birth Sisters program.

Maternal Fetal Medicine Division

We provide a depth and breadth of obstetric services for women with maternal and/or fetal complications of pregnancy. We offer consultative services as well as primary obstetrical care for women. Maternal Fetal Medicine specialists are available for consultation 24/7. Our 15 bed Neonatal Intensive Care unit is staffed full time by pediatric newborn specialists (Neonatology).

We have special expertise in the following areas:

Pregnancy complicated by:

Cervical insufficiency
Preterm labor
Fetal abnormalities
Multiple Gestation

Complications to Mother's health including:

Mother's age over 35
Diabetes
Hypertension
Cardiac Disease
HIV
Lupus
Sickle Cell Disease

History of pregnancy complicated by:

Recurrent Miscarriage
Stillbirth
Preterm Delivery
Fetal growth abnormality

We offer multidisciplinary ambulatory programs for:

Diabetes in Pregnancy
HIV in pregnancy (Positive Hope program)
Addiction in Pregnancy

Our Antenatal Testing Unit offers the following services:

First and Second trimester screening for fetal abnormalities*
Chorionic Villus Sampling
Amniocentesis
Antepartum testing (non-stress testing, biophysical profiles)
Fetal echocardiography
Genetic counseling

Reasons for Genetic Counseling

• Advanced Maternal Age (>35y)
• Personal or Family History of a Birth Defect, Genetic Disorder, or Mental Retardation
• Abnormal Maternal Serum Screening
• Ultrasound Anomalies
• Ancestry-based Carrier Screening (i.e. sickle cell and cystic fibrosis carriers)
• Consanguinity (couple is related by blood)
• Exposure to Medications, Drugs, Alcohol, Radiation or Infections (Teratogens)
• Recurrent Pregnancy Loss or Infertility