Stony Brook Maternal-Fetal Medicine provides unparalleled care and compassion for women with high-risk pregnancies. We specialize in caring for women with preexistent medical disorders and obstetrical or fetal complications. Maternal-Fetal Medicine at Stony Brook provides care for women who are pregnant with twins, or higher order of multiples, as well as those with a history of pregnancy loss or other problems during pregnancy.
Stony Brook Maternal-Fetal Medicine understands the fetus as a patient and provides a multidisciplinary approach to the management of complicated maternal and fetal conditions. Obstetric Anesthesiologists are available “around the clock” in the labor and delivery unit at Stony Brook. Neonatologists, Pediatric Cardiology, Pediatric Surgery, and a host of other medical specialists work together to care for mother and baby at Stony Brook.
Maternal-Fetal Medicine services at Stony Brook University Hospital include:
PREGNANCY LOSS
- Recurrent miscarriage
- Fetal demise (stillbirth)
- Known existence of acquired or genetic thrombophilia (coagulation disorder)
- Cervical insufficiency
- History of premature rupture of membranes between 24 and 36 weeks gestation
ULTRASOUND SERVICES
- General pregnancy assessment
- First-trimester genetic ultrasound
- Nuchal translucency and nasal bone
- Ductus venosus Doppler
- Targeted fetal anatomical ultrasound
- Fetal biophysical profile (assessment of fetal well-being)
- Uteroplacental Doppler assessment
- Fetal Echocardiography (detailed assessment of the fetal heart)
FETAL THERAPY
- Fetal infections
- Fetal intrauterine intravascular transfusion / fetal blood sampling
- Amniotic fluid removal
- Management of early-onset fetal growth restriction
GENETIC PROCEDURES
- Chorionic villous sampling (CVS)
- Amniocentesis
- Fetal blood sampling
DIAGNOSIS OF GENETIC DISORDERS
- Chromosomal defects
- Gene disorders
- Fetal anatomical / structural defects
GENETIC COUNSELING
- Women with family history of genetic conditions
- Women with abnormal genetic screening tests
HIGH-RISK PREGNANCY CONSULTATION
- Hypertensive disorders
- Chronic hypertension
- Preeclampsia
- Diabetes
- Gestational diabetes mellitus (GDM)
- Pre-gestational or diabetes prior to pregnancy
- Nutritional counseling
- Glucose lowering agents: metformin, insulin
- Immunologic and autoimmune disorders in pregnancy
- Renal disorders in pregnancy
- Thyroid disorders in pregnancy
- Maternal cardiac disorders
- Preterm labor and preterm delivery
- History of child with growth restriction or low birth weight baby in previous pregnancy
- Placenta abruption in previous pregnancy
- Premature rupture of membranes in previous pregnancy
- Management of twin / triplet / quadruplet pregnancies
SUBSTANCE USE DISORDERS IN PREGNANCY
- Maternal Opioid Management Support (MOMS) for opioid use in pregnancy
- Smoking cessation counseling
- Maternal social work services
- Polysubstance use management in pregnancy
- Medication exposure counseling
We also provide counseling and support for many other maternal and fetal conditions