OhioHealth Maternal-Fetal Medicine provides personalized care for women who are at risk for pregnancy-related problems. We provide special tests to monitor the health of you and your baby and help manage your pregnancy to give you the best possible chance of a healthy outcome.
You will receive superior care from our highly trained and experienced team of ultrasound technologists, nurse clinicians, genetic counselors and Maternal-Fetal Medicine Specialists OB/Gyn physicians with advanced training and experience in caring for women with a high-risk pregnancy.
Maternal-Fetal Medicine is accredited by the American Institute of Ultrasound Medicine.
On this page:
Maternal-Fetal Medicine services
- Advanced diagnostics, including 3-D/4-D ultrasound technology
- State-of-the-art ultrasound equipment
- Amniocentesis and chorionic villus sampling (CVS)
- Non-stress testing
- Percutaneous umbilical blood sampling (PUBS) and fetal blood transfusions
- Fetal echocardiography with onsite pediatric cardiologist
- Ultra-Screen,® including Instant Risk Assessment
- Genetic and pre-pregnancy counseling
- Medical consultations and obstetric management
- Maternal-Fetal Medicine Specialists available 24 hours a day for consultation or maternal transport services
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Your physician may refer you to Maternal-Fetal Medicine for a special type of ultrasound exam. Ultrasound is a technique that uses sound waves to visually examine the fetus in the mother's uterus. Our specially trained ultrasound technologists will perform the exam using state-of-the-art ultrasound equipment.
The following chart summarizes the various types of ultrasound available.
| EXAMINATION|| TIMEFRAME|| METHOD|
| First Trimester Ultrasound|| up to 12 weeks|| abdominal/vaginal|
| UltraScreen®|| 11 weeks, 1 day to 13 weeks, 6 days|| usually abdominal|
| Advanced Ultrasound|| 14 to 40 weeks|| abdominal|
| Cervical Ultrasound|| as indicated|| vaginal|
| Doppler Ultrasound|| as indicated|| abdominal|
| Biophysical Profile|| 24 to 42 weeks|| abdominal|
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Prenatal testing options
Pregnancy can be an exciting, joyful time, but it is common for expectant mothers to have concerns about the health of their unborn babies. Prenatal testing can assess the risk of certain birth defects and can be helpful to you and your physician in planning your prenatal care and preparing for delivery.
Prenatal tests can be divided into two groups: screening tests and diagnostic tests.
Screening tests can calculate the risks of certain birth defects or other complications occurring in a pregnancy, but they cannot diagnose or rule out a problem with the baby with certainty. Women who receive abnormal screening results are offered the option of diagnostic testing. Screening tests have no risk to the baby or pregnancy and are available to all pregnant women of any age.
Diagnostic tests can diagnose or rule out certain types of birth defects and genetic disorders of the baby with certainty. However, there is a small risk of miscarriage associated with amniocentesis or chorionic villus sampling. Diagnostic tests are only offered to women at an increased risk for certain birth defects and women who will be age 35 years or older at the time of delivery.
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Prenatal testing methods
These charts summarize the different types of prenatal testing available. We provide all of the testing options.
Screening tests (PDF)
Diagnostic tests (PDF)
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What is Down Syndrome (Trisomy 21)?
Down syndrome is the most common chromosome condition in human births. Children with Down syndrome usually have mild to moderate mental retardation and about half of the children are born with a heart defect. Children with Down syndrome are also at risk for other health problems. Many people with Down syndrome live to age 50 and beyond.
What is Trisomy 18 and Trisomy 13?
Trisomy 18 and trisomy 13 are the second and third most common chromosome conditions. Trisomy 18 and 13 are much more severe than Down syndrome and cause profound mental retardation and multiple birth defects. With these conditions, most babies die within the first few weeks or months of life.
What is Open Spina Bifida?
Open spina bifida is a birth defect where a part of the baby's spine does not close properly. This occurs very early in pregnancy by the fourth week after conception. The risk of open spina bifida does not increase with mother's age.
Children born with open spina bifida may experience paralysis, lack of bowel and bladder control, curvature of the spine and water on the brain. The severity of the problems depends on the location of the opening and whether or not the area is covered with skin.
What happens when a birth defect is found?
If the diagnostic tests show that your baby does have a birth defect or chromosome condition, the genetic counselor and our Maternal-Fetal Medicine Specialist will talk with you about these findings. Further testing may be recommended to obtain more information. Once all information is obtained, a discussion of your options will take place. Ultimately, any decision about the course of pregnancy is yours.
Coordination of care
It is important for you to get as much information about your baby's condition as you can so that you can prepare yourself and your family for birth. We will assist you in coordinating visits with the neonatologist (doctors who take care of babies after birth) or other specialists that may be involved in the care that may be required after birth at Riverside Methodist or with our partners at Children's Hospital.
Genetic counseling and pre-pregnancy counseling
A genetic counselor with specialized training in medical genetics and inherited disorders can help you learn about your risk for having a child with genetic disorders or birth defects. This information can help you, your physician and your family make informed decisions about your pregnancy, prenatal testing options and your pregnancy care.
Genetic counseling is appropriate if:
- you are pregnant and will be age 35 or older at the time of delivery
- your ultrasound and/or blood screening test indicated increased risk of fetal abnormality
- your ultrasound indicated a fetal abnormality
- you have a family member with a birth defect, chromosome condition or genetic disorder
- you have an ethnic origin known to be at higher risk for a certain genetic disorder such as Ashkenazi Jewish ancestry with Tay Sachs disease
- you are a blood relative of your partner
Pre-pregnancy (preconception) counseling is for couples who have concerns about a future pregnancy. A genetic counselor will meet with you to:
- review your medical and family history
- identify potential risks to the future pregnancy and how they can be managed
- provide information on what prenatal testing options are available in your future pregnancy
- refer you to educational resources and literature to enhance your knowledge about your concerns
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Our team provides services at Riverside Methodist Hospital, Dublin Methodist Hospital, Grant Medical Center and Doctors Hospital. Each of these locations includes state-of-the-art facilities and exam rooms, in-patient care and amenities, outpatient care hours and additional testing options.
For more information, please visit www.ohiohealthmfm.com or call (614) 566.4378.
Your physician's office will make an initial appointment for you. If further visits are needed, we will arrange convenient times for you. It is important to the health of your baby that you keep your scheduled appointments.
Please call (614) 566.4378 if you need to change the day or time of your appointment.
A representative from the Registration department at Riverside Methodist will call to pre-register you before your scheduled appointment. If you do not receive a call to pre-register, please arrive at least 30 minutes before your scheduled appointment.
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