UConn Health's Maternal-Fetal Medicine Associates practice is the only high-risk physician practice in the Hartford area providing ongoing care and management for women with a history of pregnancy complications or current medical complications. We follow our patients from the time of referral to delivery and through postpartum care. Our perinatal nurse provides patients with individualized attention, and continuity of care throughout the pregnancy, ensuring the healthiest pregnancy possible for both you and your baby.
Our evaluation and management of high-risk pregnancies includes comprehensive care and medical services for mothers and their unborn babies. Our maternal-fetal medicine physicians (perinatologists) have undergone advanced training in fetal evaluation and in-utero diagnostic and treatment procedures. They have advanced training in the evaluation and management of mothers with medical conditions that may impact or be affected by the pregnancy.
To visit the Maternal-Fetal Medicine website in Chinese, please click here.
TODAY'S MOST ADVANCED TECHNOLOGIES
We offer all of today’s most advanced resources, including first trimester screenings, to meet the needs of mother and baby in this important time. Learn more >
Other services include:
- High-risk maternal prenatal care
- Genetic counseling
- First trimester aneuploidy screening
- Detailed fetal ultrasound and prenatal diagnosis
- Fetal echocardiography
- Antenatal testing
- High-risk maternal transport management
- Preconception and pregnancy management office consults
PEACE OF MIND
Our maternal-fetal medicine team works closely with the on-site level III Neonatal Intensive Care Unit, which provides the highest level of care for infants born premature or with medical or surgical conditions that need special care.
Prior to delivery pediatric and surgical consultation is available.
Ultrasound uses sound waves to determine if your infant is developing as expected. You may be referred due to a current or past medical or obstetric problem or as the result of other screening tests that require further evaluation of your baby. You will be seen by a sonographer and a physician.
Chorionic villi sampling (CVS). A physician will take a biopsy of the placenta. The placenta tissue can be used for genetic diagnosis.
Amniocentesis. A physician will remove a sample of amniotic fluid (baby’s urine) from the sac around the baby. The sample can be used for diagnostics (test for genetic abnormalities, maturity of the baby’s lungs, infections, anemia), or to treat excess fluid around the baby.
Fetal Well-Being Tests (FWB) are used to determine how well your baby is being supported by the placenta. Common FWB tests are the non-stress test (NST) and bio-physical profile (BPP). NST uses a monitor to record the fetal heart rate and its response to fetal movement. BPP uses ultrasound to monitor fetal activities (movement, tone, breathing), and assess amniotic fluid volume.
First Trimester Aneuploidy Screening: Between 11 and 13 weeks gestation, you can learn your baby’s risk for Down syndrome and other abnormalities with our safe, non-invasive first-trimester risk assessment. These include:
- Ultrasound assessment of nuchal translucency, which measures the fluid collection at the back of the baby’s neck.
- Genetic Counseling: our genetic counselors will review the patient’s family history and provide detailed screening and testing options.
- Invasive tests such as chorionic villus sampling and amniocentesis.
After diagnosis, we provide counseling and support networks to help parents adjust to and prepare for their child’s special needs and to promote informed planning and decision-making (this applies to all prenatal abnormalities including genetic abnormalities and structural abnormalities, NOT JUST for first trimester).
Prenatal Genetic Services: Genetic counselors are medical professionals who can guide you through the complex information about your chances of having a child with a genetic disorder or birth defect – as well as through the testing, treatment, and other options available. The counselor’s role is to translate all the technical and scientific information and to help you sort out your feelings so that you can make informed choices and decide what’s right for you and your family. If you have one of the following condition, you should see a genetic counselor
- You are pregnant and you would like to know if your baby has Down syndrome or not
- Any one of you and your husband’s family member has genetic disorder, birth defect, or developmental delay
- You or your partner has had genetic carrier screening indicating that your child could inherit a genetic disorder.
- Your ethnic background puts your baby at a higher risk for a condition such as cystic fibrosis
- Your ultrasound indicated a possible problem on the baby.
Detailed Ultrasound: Detailed ultrasound (formerly known as Level II ultrasound) is an important function of our practice. We utilize with current advanced technology including 3D/4D ultrasounds to provide detailed anatomic information about your baby.
Fetal Echocardiography: This is specialized ultrasound exam is performed around 22 weeks of gestation to screen for any potential major cardiac malformation.
When an abnormality (either genetic abnormality or structural abnormality) of your baby is diagnosed, we provide counseling and support networks to help parents adjust to and prepare for their child’s special needs and to promote informed planning and decision-making.
COMBINED FIRST TRIMESTER ULTRASOUND
AND SERUM SCREENING FOR BIRTH DEFECTS
A combination of an ultrasound examination and a blood test is available to all pregnant women in Connecticut. These tests are carried out between 10 1/2 weeks and 14 weeks of pregnancy (counting from the first day of the last menstrual period). The purpose of this test is to identify pregnancies with an increased chance for a birth defect, especially Down syndrome.
The ultrasound examination is performed only by specially trained individuals who measure the amount of fluid accumulation behind the neck of the developing baby (“nuchal translucency” measurement). The blood tests are carried out in the Genetics laboratory at UConn Health where they measure the concentrations of two specific substances: human chorionic gonadotropin (hCG) and pregnancy-associated plasma protein A (PAPP-A). In order to interpret the results, information is needed about the pregnant woman, including her age, weight, race and duration of the pregnancy at the time of testing.
The combined screening test provides information early in pregnancy. If the test result is normal, women and their partners can be reassured that the chance for Down syndrome is small. This reassurance can help relieve the anxiety experienced by many pregnant women.
APPOINTMENT SCHEDULING, INSURANCE, AND BILLING
Monday to Friday, 7:30 a.m. to 4:30 p.m.
Call to speak to a patient services representative about insurance authorization or coverage; billing issues; scheduling, verifying, changing or canceling appointments; notifying us if you will be late; or notifying us that you have delivered.
Please arrive a few minutes early for your first visit to complete some registration information.
PREGNANCY ULTRASOUNDS AND FETAL TESTING
Monday to Friday, 8 a.m. to 4 p.m.
These appointments can be up to 60 minutes, with some being longer.
If you are late for an appointment, it may be necessary to reschedule due to other scheduled appointments.
Monday to Friday, 8 a.m. to 5 p.m.
Call to speak with a prenatal genetic counselor about a genetic consultation for chorionic villus sampling or scheduling an amniocentesis.
PREGNANCY CONSULTS, PRENATAL CARE
Consults: Thursdays, 1 to 3 p.m.
Prenatal Care: Tuesdays, 1 to 4 p.m.
Call to speak with a nurse about your referral for a high-risk condition consultation or prenatal care for a high-risk pregnancy.