Navigating High-Risk Pregnancies: Insights from Maternal Fetal Medicine Experts

 

Maternal-fetal medicine (MFM), also known as perinatology, is a sub-specialty of obstetrics that focuses on managing and monitoring high-risk pregnancies.

Wellington Obstetrics is very fortunate to have MFM subspecialists and obstetricians with a special interest in high risk pregnancies. It is with their input we can offer personalised, specialised care for everyone who is pregnant, ensuring the best outcome for both mother and baby.


What is Maternal Fetal Medicine?

Maternal-fetal medicine specialists or perinatologists are specialists in this field. Their expertise lies in the diagnosis, management, and care of pregnant women who are at an increased risk of complications during pregnancy or childbirth, as well as monitoring the health of the developing fetus.

When is a Pregnancy Considered High-Risk?

Some of the common reasons for referral to a MFM specialist include:

  • Fetal differences: If an ultrasound, screening tests or other diagnostic tests indicate potential fetal concerns, an MFM specialist can provide further evaluation and counselling and assist in developing a care plan.

  • Genetic Disorders: If there is a concern about genetic or birth differences, they may perform specialised testing and provide counselling regarding the potential risks and options. They also evaluate couples with a history of genetic disorders or chromosomal abnormalities.

  • Infections: They help in monitoring and the management of infections that can affect the mother and the developing baby.

  • Multiple Pregnancies: Women carrying twins, triplets, or more are at an increased risk for complications, and MFM specialists provide specialised care to monitor the health of both the mother and each baby.

  • Maternal Medical Conditions: Women with pre-existing medical conditions such as diabetes, hypertension, autoimmune disorders, or cardiac conditions may require specialised care to manage these conditions during pregnancy.

  • Maternal Pregnancy Complications: Management of conditions that can affect pregnancy, such as preeclampsia, gestational diabetes, or other maternal health issues.

  • Advanced Maternal Age: Pregnancies in women over the age of 35 are considered higher risk, and they can help assess and manage the associated risks.

  • Complications in a Previous Pregnancy: Women who experienced complications in a previous pregnancy, such as preterm birth, preeclampsia, placental disorders or stillbirth, may be referred for closer monitoring and management.

MFM specialists use advanced diagnostic tools, including ultrasound, genetic testing, and other specialised procedures, to assess the health of both the mother and the baby. They work to develop a personalised care plan that addresses the specific needs and challenges of each pregnancy.

It is important to note that the involvement of an MFM specialist does not necessarily mean that there will be complications but rather that the pregnancy requires specialised care and monitoring due to certain risk factors.

Overall, the goal of MFM is to optimise outcomes for both the mother and the baby, ensuring the best possible health for both during and after pregnancy.

Maternal Fetal Medicine at Wellington Obstetrics

Wellington Obstetrics can offer MFM services during your pregnancy should any risks or concerns arise. If you are at high risk at the beginning of your pregnancy, they can offer complete wrap-around care to ensure you and your baby have the best outcome.

Wellington Obstetrics also welcomes single consultations.


While challenging, a high-risk pregnancy can be successfully navigated with the right care and support. The involvement of maternal-fetal medicine specialists is crucial in these types of pregnancy. Our team can provide not just medical expertise but also reassurance and guidance, helping to manage complex pregnancies effectively.

If you're at all concerned about high-risk pregnancy, it's important to engage with a maternal-fetal medicine specialist who can tailor a care plan suited to your unique needs, ensuring the best possible experience for you and your baby. Wellington Obstetrics is committed to providing this specialised, compassionate care to every family we see.