For Providers


 We are happy to meet with any of your patients that you wish for us to see and are grateful to you for your referral. The following is a list of some of the high-risk  indications for which we commonly see patients.

 Preconceptual Counseling

Medical Illnesses Medication Exposures
Genetic Issues Habitual Abortion
Obesity Adverse Obstetrical History
Advanced Maternal Age Difficult Operative History
Infertility Psychiatric Issues

First Trimester Genetic Counseling and Screening: Fetal Nuchal Translucency, Cardiac Axis and Early Sonographic Assessment

History of Familial Genetic Disease East Asian Descent
Advanced Maternal Age Women seeking Cell-Free DNA screening
Ashkenazi Jewish Women seeking Broad-based genetic screening (i.e. Counsel test).
African American Mediterranean Descent

Counseling, Assessment and Management for Women with Medical Issues

Diabetes Type I and II Breast cancer, cervical cancer History of Adverse Perinatal outcome
Chronic Hypertension Stroke, migraine Congenital Uterine Malformations.
Hyperthyroidism Degenerative disc disease Family History of Congenital fetal malformations.
Hypothyroidism Crohn’s disease Family History of Fetal aneuploidy.
Thyroid Nodule Ulcerative Colitis Urinary Tract infection
Asthma Cardiac Arrhythmia Pyelonephritis
Epilepsy Cardiac Arrhythmia Gynecologic and non-gynecologic cancer
Psychiatric Disorders Gallbladder disease Ulcerative Colitis
Obesity Thrombocytopenia Celiac Disease
Substance Abuse-drugs, alcohol Hemoglobinopathies Peptic Ulcer Disease
Cigarette Smoking Renal Disease Gastric Bypass
HIV/Hepatitis/Herpes Infection Renal Transplant Bariatric Surgery
Lupus, Sjogren’s Immunosuppression History of IUFD
Antiphospholipid Antibody Syndrome Congenitial and Acquired Cardiac Disease Habitual Abortion
Anemia Cardiac Arrhythmia Cystic Fibrosis
Gall Bladder Disease Systemic Lupus Erythematosus Multiple Sclerosis

Counseling, Assessment and Management for Women with Fetal Issues

Increased Nuchal Translucency Fetal Pericardial Effusion
Fetuses with soft markers for fetal aneuploidy Fetuses measuring clinically small or large for dates
Fetal Structural Malformations Small for gestational age fetuses
Fetal Hydrops Large for gestational age fetuses

Counseling, Assessment and Management for Women with Pregnancy-Related Issues

Advanced Maternal Age Uterine Fibroids Dermatologic conditions of pregnancy
First Trimester Bleeding Multiple prior c/s Fetal Malpresentation
Hyperemesis Gravidarum Gestational Hypertension Group B Strep
Teratogen Exposure IUGR Perinatal Viral Infection
Prior Cesarean Section(s) Fetal Macrosomia Decreased fetal movement
Incompetent Cervix Gestational Diabetes Abdominal trauma
Risk factors for Cervical Insufficiency Gestational Thrombocytopenia Thrombophilia
Placenta previa PPROM Bleeding disorders
Placental abruption Isoimmunization Oligohydramnios
Placenta Accreta TORCH and Parvovirus infections Polyhydramnios
Vasa Previa Molar Pregnancy Circumvallate Placenta
Single Umbilical artery Gestational Hypertension Thrombophilia
Velamentous cord insertion. Peripartum cardiomyopathy Venous Thromboembolism
Preterm Labor Cholestasis of Pregnancy Bleeding disorder
Multiple Gestation Acute Fatty Liver of Pregnancy Trauma
Twin-Twin Transfusion Monochorionic Gestation Preeclampsia

Level II Ultrasound
Fetal Echocardiography

Suspected Cardiac Malformation Family History of Congenital Heart disease Diabetes
Fetal Arrhythmia In Vitro Fertilization Medication Exposure
Fetal Chromosome Disorder Fetal Anomaly Anti-Ro (SSA), Anti-La (SSB) antibodies
Hydrops Increased Nuchal Translucency Monochorionic Twins


Assessment of fetal aneuploidy Fetal Lung Maturity Testing Therapeutic Amniocentesis

Inpatient Consult
Any patient admitted for observation, assessment or management
Operative Assistance
Non-stress testing, Fetal Biophysical Profile Assessment
Any patient at risk for adverse pregnancy related to placental function.