Pregnancy is an exciting time, but some pregnancies develop special concerns. At Community Medical Center, we are prepared if your situation turns out to be a high-risk pregnancy due maternal age, genetic risk factors, diabetes, or other issues. In fact, Rocky Mountain Perinatal Associates at Community has the only physician who is board certified in perinatology in Western Montana, Dr. Utter.
Your OB, midwife, or other caregiver will discuss any risks and options with you and determine if you should be referred to us for consultation or testing. Rocky Mountain Perinatal Associates will work with your obstetrical caregiver to develop a pregnancy management plan for your high-risk pregnancy. This allows you to remain under the care of your primary caregiver in most cases. Sometimes, if your obstetrical caregiver feels that your pregnancy is at enough risk, he/she may transfer you to Rocky Mountain Perinatal Associates for your entire OB care, including delivery.
Reasons you might be referred to us
Rocky Mountain Perinatal Associates offers a full spectrum of prenatal tests and diagnostic procedures including:
- Obstetrical ultrasound—detailed, high-resolution ultrasound for prenatal detection of birth defects and other abnormalities.
- First-trimester Down Syndrome screening—trisomy 13/18/21 screening using nuchal translucency/PAPP-A/free beta hCG. CLICK HERE for more information.
- Chorionic villous sampling—microscopic placenta biopsy for early detection of a number of chromosomal disorders. CLICK HERE for more information.
- Amniocentesis—sampling of amniotic fluid to detect a number of chromosomal abnormalities. CLICK HERE for more information.
- External cephalic version—procedure to externally rotate the baby to a “head-first” position to facilitate vaginal delivery.
- Prepregnancy consultations (before pregnancy)—to discuss existing maternal medical risk factors or issues from prior pregnancies.
- Prenatal consultations (during pregnancy)—to discuss complications or potential complications that might happen during pregnancy.
- Genetic counseling—to discuss any increased genetic risk factors and possible tests that might be appropriate to determine whether or not your baby has the problem associated with the risk.
Not all patients are candidates for these tests. Your obstetrical caregiver will review the availability of these tests with you during your prenatal care, in order to determine whether any of these tests would be appropriate for you.