We provide maternal-fetal medicine and obstetric services with demonstrated expertise in the following areas. To learn more about any of these services, click on the links below.

Preconception Consultation

High-Risk Prenatal Care

Expert Obstetric Ultrasound

3D/4D Ultrasound

Doppler Ultrasound

Maternal Fetal Medicine Consultation

Genetic Consultation

First and Second Trimester Prenatal Screening

Chorionic Villus Sampling


Routine OB/GYN Services

Research Studies

Preconception consultation – If you are thinking of becoming pregnant and have concerns regarding existing medical conditions and/or past obstetrical history, you can make an appointment to consult with a maternal fetal medicine specialist to discuss conditions such as:

  • Preterm delivery
  • History of previous cesarean section
  • History of pregnancy loss
  • Maternal medical conditions
  • Medication use
  • Advancing maternal age

You will discuss a pre-pregnancy and pregnancy management plan that will assist you and your family in achieving the best possible outcome in your next pregnancy.

High-risk prenatal care – Our team of maternal-fetal medicine specialists and certified nurse midwives provide comprehensive prenatal care to our high risk patients whose pregnancies are complicated by issues such as diabetes mellitus, chronic hypertension, autoimmune disorders, endocrine disorders, maternal heart disease, prior poor pregnancy history, fetal abnormalities and multiple gestations.

Expert obstetric ultrasound – The anatomy of the developing baby is assessed to determine if there are any visible abnormalities. In addition, ultrasound evaluations are used to assist in determining the gestational age, amniotic fluid level, position of the placenta and fetal presentation. If your primary care pregnancy doctor has questions or concerns, our providers are readily available for immediate consult. In some cases, self-referral is possible.

3D/4D ultrasound – 3D ultrasound imaging can be helpful in the diagnosis of a fetal anomaly. The 3D imagery can assist in determining the existence and/or severity of a fetal anomaly. 4D ultrasound imaging demonstrates movement in real time. This can be useful in diagnosis of cardiac anomalies.

Doppler ultrasound – Doppler ultrasound of the middle cerebral artery is used to help evaluate a fetus at risk for fetal anemia. This type of ultrasound is commonly used for evaluation of Rh incompatibility. The Doppler ultrasound is also used to evaluate blood flow in cases of placental issues, uterine anomalies and to assess fetal well being.

Maternal-fetal medicine consultation – A maternal fetal medicine physician will consult with you to create a management and treatment plan. The physician will review your past medical, surgical, social and family histories, as well as previous and current medical/obstetrical records to determine the best course of action for your health and the health of your baby.

If you are experiencing complications or a high-risk pregnancy, TMCObstetrics will coordinate with your primary care provider to ensure you receive the best care before, during and after the immediate postpartum period.

Genetic consultation – Genetic consultation can help you understand the risk of birth defects or genetic disorders for your current pregnancy. Genetic consultation can also assist parents in determining if they wish to pursue prenatal screening and/or diagnostic testing by thoroughly discussing the risks, benefits, limitations and available alternatives.

The test we discuss and can offere, depend on the situation, including nuchal transluecency, CVS, amniocentesis, sequential screen and non-invasive parrenatal testing.

Our board-certified genetic counselor will examine family, health and exposure histories to assess the potential increased risk to your developing baby.

First and second trimester prenatal screening – The Nuchal translucency/sequential screen is a non-invasive test to determine risk of a pregnancy/patient-specific Down syndrome, trisomy #18 and open neural tube defect. The test uses a first-trimester ultrasound measurement at two different points during the pregnancy to determine risk.

Amniocentesis – Amniocentesis is a proven technique for the prenatal diagnosis of chromosome abnormalities and other fetal issues. This procedure is typically performed at 16 weeks gestation. External ultrasound guidance is used during the procedure.

Depending on the individual case, a variety of diagnostic studies can be performed through the use of amniocentesis. Our maternal-fetal medicine specialists have performed more than 8,000 genetic-amniocentesis procedures.

To ensure that our patients fully understand this procedure and what to expect, a genetic consultation is scheduled prior to the amniocentesis.

Routine OB/GYN services – We provide all level of pregnancy services for high-risk and routine pregnancies, as well as some general gynecology services.

Research studies – As experts in the field of obstetrics, maternal-fetal medicine specialists are committed to education and research in order to remain abreast of the latest developments in our specialty. We pursue this goal through the initiation and participation in several research protocols, community education outreach, and medical student and resident instruction designed to benefit the health and well-being of pregnant patients