High Risk Obstetrics at UVM Medical Center
The Maternal Fetal Medicine division at UVM Medical Center in Burlington, VT, provides specialized care for women experiencing complications in pregnancy.
Our fellowship-trained physicians provide state-of-the-art diagnosis and treatment of high-risk pregnancy, including prenatal diagnosis, genetic testing, and ongoing care for women with complicated pregnancies. Recognizing the unique support needed for all pregnancies, there is a commitment to the highest quality pregnancy and birth experience.
Maternal Fetal Medicine: What You Need to Know
Our team includes physicians who are board-certified in Obstetrics and Gynecology and Maternal and Fetal Medicine, nurses with an expertise in high-risk pregnancy, and certified nurse midwives to offer a team approach to complement the care of our physicians. Our nurse-midwives offer education, counseling and support for a family's transition into parenthood. There is an option for co-management with midwives and physicians in select patients.
Experienced, Trusted Expertise
As an academic medical center, we take pride in our responsibility to provide care that is informed by the latest research. All of our physicians are committed to clinical care, education, and research, with active involvement with national specialty societies.
High Risk Obstetrics Services
Our well trained and diversified staff is available to meet the variety of obstetrical problems encountered in all stages of pregnancy.
Components of Maternal Fetal Medicine Service (MFMS) Care include:
- Round-the-clock telephone consultation service
- Ambulatory obstetrical consultation service for management of potential or actual high risk obstetrical problems
- Arrangement for transport of maternity cases with serious complications
- In-home health surveillance services
- Social services
- Dietary services
Early Prenatal and Antepartum Diagnostic Studies
- Genetic counseling with a physician board-certified in both OB/GYN and Genetics
- Chorionic Villus Sampling (CVS)
- Percutaneous Fetal Umbilical Blood Sampling (PUBS)
- Nonstress/Stress testing (NST/CST)
- Doppler Flow Studies
- Biophysical Profile
- Maternal serum testing for fetal chromosome abnormalities
Intrapartum and Postpartum Care
- Remote review of fetal monitor tracings by telephone
- Intensive care during labor and birth
- Emergency cesarean section capability with a short start-up time
- Close proximity of Intensive Care Nursery to Labor Suite
- Close follow-up for high risk obstetrical patients by the MFMS staff during the immediate postpartum period
Guidelines for Consults, Referrals and Transports
There are three primary modalities for interaction with the MFMS
- Consultation - This generally consists of one to two office visits to the MFMS out-patient facility during the antepartum period. Management recommendations are made in writing and/or by phone to the referring physician, who continues to be the primary care provider.
- Referral - At the request of the referring physician, the MFMS may accept primary responsibility for the continued obstetrical care of the patient. This most frequently occurs early in pregnancy or midpregnancy, or in some cases as late as the third trimester.
- Transport - At the request of the referring physician, obstetrical patients may be admitted directly to the Labor and Delivery Unit of the UVM Medical Center Birth Center, generally for emergent reasons which appear during midpregnancy, third trimester or during the intrapartum period.
Guidelines for consults, referrals and transports, which detail the disorders for which a referring physician might seek these services, have been developed and are available for general use.
The MFMS continues to participate in the Vermont/New Hampshire Regional Perinatal Program, the major goal of which is the reduction in maternal and infant death and illness rates. Each of our referring hospitals receives one "transport" conference per year in which patient management issues and outcomes are discussed.Many hospitals also participate in the "Perinatal Statistics Review" where maternal-fetal medicine and neonatology will review selected perinatal outcome statistics. Education programs also include fetal monitoring conferences.
MFMS staff are actively involved in both clinical and basic science research.
Contact UVM Medical Center Maternal Fetal Medicine
For further information about our high-risk obstetrics services, or to schedule an appointment, call 802-847-1400.