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Maternal-Fetal Medicine

When you’re told that you or your baby needs extended monitoring during a pregnancy complicated by a congenital anomaly or fetal diagnosis, it can feel overwhelming. This is especially true when you are cared for within a fetal center. Perhaps you came in for a routine appointment, or maybe something unexpected happened that brought you to the hospital. Either way, the news that you’ll need to stay longer can stir up a whirlwind of emotions — worry, frustration, loneliness, and uncertainty about what lies ahead. If you’re reading this, you may be facing this reality as an expectant parent within a fetal center right now, or perhaps you want to be prepared just in case. In a fetal center, the need for extended monitoring varies greatly, but it’s a precaution that helps ensure both you and your baby receive the specialized care you need, and there are ways to make […]

Discovering you’ve been referred to a maternal-fetal medicine (MFM) specialist can feel overwhelming at first, but understanding this pivotal step in your prenatal care journey can transform uncertainty into empowerment. Whether you’re facing a high-risk pregnancy, managing a chronic condition, or simply need specialized monitoring, an MFM specialist brings advanced expertise to support both you and your growing baby. Here’s what that referral means and what you can expect next. What is Maternal-Fetal Medicine (MFM)? Maternal-fetal medicine specialists are dual-board-certified obstetricians with advanced training in high-risk pregnancy, and many people also use the term high-risk obstetrician for MFM specialists. There’s an additional layer to the MFM meaning beyond just the acronym. The hyphen in maternal-fetal medicine represents medicine that treats maternal and fetal health as fundamentally linked. It’s an approach to care that recognizes you can’t truly focus on outcomes for the baby without also caring for the mother, and […]

Pregnancy nausea is a common symptom and it’s usually called morning sickness. But when is it something more serious? An “hg pregnancy” refers to hyperemesis gravidarum, a pregnancy complication characterized by severe nausea, vomiting, and dehydration. This condition is more intense than typical morning sickness. The difference between morning sickness and hyperemesis gravidarum (often just called “hyperemesis”) mainly comes down to severity and impact, but it can have an impact — on both mother and baby. It’s rare, but your doctor can help. What is morning sickness? Morning sickness is extremely common in that it affects up to 70–80% of pregnancies. It usually starts at around 4–6 weeks and eases by about 12–14 weeks. The symptoms are mild to moderate nausea, sometimes with occasional vomiting. It may be uncomfortable, but most people can still eat, drink, and maintain hydration. Most expectant parents treat it at home with diet adjustments (small […]

The advanced delivery unit (ADU) at Nemours Children’s Hospital, Delaware recently reached a major milestone — welcoming 300 babies into this world! Expectant parents can take comfort in the comprehensive multidisciplinary care model of the Nemours Advanced Delivery Program, which is designed for babies diagnosed with medical conditions before birth that require a post-delivery intensive care unit stay. This planning ensures that newborns’ medical needs are met, allowing access to nationally renowned pediatric specialists and providing families with necessary support and guidance during a critical time. The story of baby Ricky’s family illustrates the program’s benefits, as they chose to plan his arrival at the Nemours Children’s ADU after he was diagnosed with a congenital heart defect (CHD) before birth. When a Family Learns Their Baby Needs Extra Care Most commonly, families learn their unborn baby will need specialized care during a routine prenatal ultrasound. Ultrasounds during pregnancy are often […]

Nico’s cardiac journey began before he was born. Going into her pregnancy with Nico, Sierra shared her concern about a family history of heart defects with her midwife. This led to a referral to Nemours Children’s Hospital, Florida. At 17 weeks, Dr. Claudia Taboada, a Maternal Fetal Medicine Specialist, suspected a complex congenital heart defect during an ultrasound. Later, at 22 weeks, a fetal echo confirmed that Nico had the same defect as his father: Dextro-Transposition of the Great Arteries (D-TGA). A congenital heart defect where the aorta and pulmonary artery are switched, resulting in abnormal blood flow and oxygenation. “Once we found out that Nico had D-TGA, we were told that he would have to have open heart surgery and it would have to be done in Orlando, which is about 6 hours away from home,” shares Sierra. “Preparing for the relocation and his birth/surgery was stressful, but we […]

Discover how twin sisters Ava and Emma overcame twin-to-twin transfusion syndrome (TTTS) thanks to the expert and advance care at Nemours Children’s Health.