Maternal-Fetal Medicine
Definition
Maternal-fetal medicine (MFM) is a subspecialty of obstetrics that focuses on the diagnosis, treatment, and management of high-risk pregnancies. MFM specialists work closely with pregnant women and their primary obstetricians to address complications and optimize the health of both the mother and the fetus throughout pregnancy, labor, and delivery.
Related Fact Sheets
Related Departments
Showing 3 of 5
Maternal-Fetal Medicine
Treating complicated pregnancies is our priority. We provide care for the entire spectrum of conditions related to high-risk pregnancy, and for women whose pregnancies require special testing, monitoring, treatment, and care. We offer state-of-the-art approaches to caring for women with high-risk pregnancies related to diabetes, hypertension, heart disease, and genetic disorders, among other medical conditions that can complicate a pregnancy. Maternal-Fetal Medicine (MFM) at Yale pioneered the development of chorionic villus sampling (CVS) and fetal blood sampling (FBS), and has the most experienced team for these procedures in New England. In addition, our skilled specialists, who are internally recognized for their expertise, conduct fetal echocardiography to diagnose congenital heart disorders of the fetus. We offer a variety of services for our patients across the following specialty programs: High-Risk Pregnancy Program, which supports ongoing care and management for women with a history of pregnancy risks or current medical complications. Prenatal Genetic Diagnostic Program, which provides expert genetic screening and testing for MFM patients. Available tests include first-trimester screening, CVS, amniocentesis, and FBS. After diagnosis, we provide counseling and connect patients when necessary to appropriate support networks to help parents adjust to and prepare for their child's special needs. Recurrent Pregnancy Loss Program, offered in conjunction with Yale’s Reproductive Endocrinology and Infertility Section. Our multidisciplinary team of pathologists, geneticists, and perinatologists uses a whole-patient approach to help couples with recurrent miscarriages and/or pregnancy losses. Other services offered in our MFM section include: First-trimester risk assessment for Down Syndrome Targeted ultrasound Fetal therapy, including percutaneous umbilical blood sampling (PUBS) and intrauterine transfusion Antenatal testing Diabetes management MFM physicians can also co-manage patients with high-risk pregnancies with referring practitioners. We can develop care plans with community obstetricians for cases that require intensive oversight by the team, or consultative guidance alone.Obstetric Specialties & Midwifery
We specialize in the care of women throughout pregnancy, childbirth, and their reproductive years. We offer holistic, family-centered, physiologic, and natural approaches to childbirth combined with evidence-based and appropriate medical care. Our mission is to support and empower all women and families to become active participants in decisions about their health, while providing safe, comprehensive care. At Yale, there is a special relationship between obstetricians and midwives. Because of the long history of midwifery in the Yale community, certified nurse-midwifery is embraced and considered an integral part of the care we provide. A certified nurse-midwife is a highly trained practitioner with a master of science degree in nursing, with further training and certification through an accredited nurse-midwifery program. Nurse-midwives specialize in the care of women in a holistic manner and recognize when additional support and consultation are necessary. An obstetrician is a physician who has earned a medical degree followed by a four-year residency in obstetrics and gynecology, focusing on the female reproductive system, including diseases and disorders that may require medical or surgical management. Obstetricians specialize in the management of pregnancy complications, labor, childbirth, and the postpartum period. The nursing staff and providers support individualized care for women based on their unique needs and preferences, supporting natural childbirth with water immersion and aromatherapy, while also providing easy access to modalities such as narcotic and epidural analgesia, as desired.Obstetrics, Gynecology & Reproductive Sciences
Yale’s Department of Obstetrics, Gynecology and Reproductive Sciences is dedicated to helping women at all stages of life. A global leader in women’s health, Yale is known for its innovative contributions to diagnosis and treatment, including: Developing the first fetal echocardiography Pioneering the first obstetrical ultrasound Developing the first fetal blood sampling and first fetal transfusion Offering the first chorionic villus sampling in New England Co-authoringthe firstU.S. study for first-trimester risk assessment Developing the first comprehensive first-trimester risk assessment program in New England Inventing fetal monitoring and many prenatal diagnostic and treatment techniques Our physicians tap into the broad expertise of our entire institution to provide compassionate, customized care for all of our patients, from adolescence through adulthood. Through eight subspecialty areas, we offer the most advanced diagnostics and therapies that harness the latest advances in technology. Recent clinical research includes a new emphasis on therapeutic vaccines in gynecologic oncology, novel treatments for endometriosis and menopause, a comprehensive patient safety program in maternal-fetal medicine, and an advanced fetal therapy program. Specialized care is offered in the following areas: Family planning Gynecologic oncology Gynecologic specialties Maternal-fetal medicine Obstetric specialties & midwifery Pediatric & adolescent gynecology Reproductive endocrinology & infertility Urogynecology & reconstructive pelvic surgery Maternal-fetal medicine service offers 24-hour on-site dedicated space for complex pregnancies and fetal care First in Connecticut to perform in-utero laser therapy in pregnancies complicated by twin-to-twin transfusion syndrome Outstanding survival outcomes for all types of gynecologic surgery, from open to robotic Pioneer in caring for patients with sexual intimacy issues after cancer surgery Fetal therapy program Midwifery and birthing center