High-Risk Pregnancy

Consult with the maternal-fetal medicine team.

A high-risk pregnancy may require additional monitoring, specialized testing or treatment to support your health and your baby’s. The Norton Children’s Maternal-Fetal Medicine team provides specialized care for patients with high-risk pregnancies while you remain under the care of your current OB/GYN.

Our maternal-fetal medicine specialists work closely with your OB/GYN and specialists in diabetes, cardiology, fetal care, neonatology, pediatric specialties — including cardiology — and other areas to provide care tailored to your pregnancy and your baby.

Maternal-fetal medicine specialists are obstetricians with additional training managing health conditions, pregnancy complications and issues that may affect a developing baby. Whether you need a consultation, advanced testing, closer monitoring or ongoing care, Norton Children’s Maternal-Fetal Medicine providers will help you understand your condition throughout your pregnancy journey.

Being referred to a maternal-fetal medicine provider does not necessarily mean something is wrong with you or your baby. Some pregnant patients need specialized care because of a preexisting health condition or pregnancy complication, while others may benefit from additional testing or monitoring because of certain risk factors.

Maternal-fetal medicine specialists are part of your larger pregnancy care team. Your OB/GYN will continue to provide your routine prenatal care, while your maternal-fetal medicine specialist provides consultation, specialized testing or additional monitoring. 

From management of maternal health conditions to fetal diagnosis, delivery planning and newborn care, the collaboration between Norton Children’s Maternal-Fetal Medicine, Norton Women’s Care, Norton Children’s and more helps connect you with the care you and your baby need.

Our goal is to make it easier for you to access specialized expertise while keeping you informed about your care. Your maternal-fetal medicine team will help coordinate with your OB/GYN and other specialists so you can understand your options and make decisions that are right for you and your baby.

When Might You Need Maternal-Fetal Medicine Care?

There are many reasons your OB/GYN or other health care provider may recommend a maternal-fetal medicine (sometimes called MFM) consultation. These can include:

Your health history, current pregnancy and your baby’s needs will help determine whether additional maternal-fetal medicine care is appropriate.

Specialized Maternal Care

Our multidisciplinary team provides specialized care for patients whose medical conditions increase pregnancy risk, including:

Pregnancy can place additional demands on the heart, particularly for women who have cardiovascular conditions or develop high blood pressure or other heart-related concerns during pregnancy. The Norton Heart & Vascular Institute Women’s Heart Program provides specialized care for women with heart conditions and works with maternal-fetal medicine specialists when cardiovascular concerns affect pregnancy.

This collaboration can help coordinate care for women with conditions such as high blood pressure, preeclampsia, arrhythmias and other cardiovascular conditions that may require specialized attention during pregnancy.

Diabetes can require additional attention during pregnancy. Norton Children’s Maternal-Fetal Medicine works with specialists across Norton Healthcare and Norton Children’s to help women manage diabetes and other endocrine conditions before and during pregnancy.

The Wendy Novak Diabetes Institute Perinatal Program brings together diabetes specialists, diabetes educators and other healthcare professionals.

The Norton MOST Program is the only program of its kind in Louisville and Southern Indiana, helping pregnant people get treatment for substance use disorders while receiving pregnancy care. Services include hospital care to manage withdrawal symptoms, outpatient treatment, medication and individual and group therapy. Our team also provides recovery and parenting resources, with support before and after your baby is born.

Advanced Fetal Care and Delivery Planning

When an ultrasound or other testing identifies a potential genetic condition or other fetal concern, the Norton Children’s Fetal Care Center brings together maternal-fetal medicine specialists, pediatric specialists, neonatologists, genetic counselors, other specialists and nurse navigators.

The team can help diagnose fetal conditions, explain treatment options and coordinate care before and after your baby’s birth. When appropriate, your care team also can plan for delivery and specialized newborn care based on your baby’s needs.

Specialists and Locations

If you’ve been referred to a maternal-fetal medicine specialist, it can prompt a wave of emotions. Try to remember that whatever has come up with your pregnancy, you are in the right place.

Classes and Tours

Norton Women’s Care offers classes and tours that can help families prepare for delivery after a complex pregnancy.

Fetal Care Center

Care for children with congenital anomalies starts when your baby’s condition is diagnosed, whether while you’re pregnant or shortly after birth.

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