High-Risk Pregnancy and Maternal-Fetal Medicine
Every pregnancy is unique. In some cases, specialized care is needed to help keep both mother and baby healthy. Maternal-fetal medicine (MFM) specialists provide advanced care for high-risk pregnancies, offering expert monitoring, testing and treatment options in collaboration with obstetricians.
What Is a High-Risk Pregnancy?
A pregnancy may be considered high risk if:
- Certain medical conditions are present, such as high blood pressure or diabetes.
- Complications develop during pregnancy, such as preeclampsia or gestational diabetes.
- There is a history of preterm birth or previous pregnancy complications.
- Multiple babies are expected.
- Concerns arise about the baby’s growth or development.
- The mother is of advanced maternal age.
When a pregnancy is high-risk, specialized care focuses on monitoring both mother and baby, managing complications and planning for a safe delivery.
What are advanced testing and monitoring options offered at Community Medical Center?
Accurate diagnosis and ongoing monitoring are essential for high-risk pregnancies. Services include:
- Genetic testing and counseling: Genetic testing and counseling services are available to address a wide range of issues that can affect conception, pregnancy and delivery. Prior to pregnancy, individuals or couples can meet with a certified genetic counselor to discuss and test for reproductive risks based on a variety of risk factors. After conception, a certified genetic counselor is available to discuss screening and diagnostic options, abnormal ultrasound findings, family history of genetic disorders or conditions, and other risk factors. After the delivery of the baby, the genetic counselor can aid in follow-up for known genetic conditions and help with resources and supportive therapies. And continuing, our certified genetic counselor can help field questions in pediatric, neurodevelopmental, neuromuscular, connective tissue, craniofacial, hearing loss, cancer genetics, adult genetics and genetic testing.
- Screening and targeted OB ultrasounds: Growth and development monitoring
- Fetal echocardiogram: Detailed imaging of the baby’s heart
- Diagnostics and imaging: Specialized tests to assess maternal and fetal health
Managing Complications
Maternal-fetal medicine specialists provide care for conditions that can impact pregnancy, including:
- Preeclampsia and high blood pressure treatment and monitoring
- Gestational diabetes education and blood sugar management
- Maternal mental health screenings and support
- Substance use in pregnancy counseling and care coordination
Fetal Therapies
When concerns about birth defects or growth issues arise, treatment can often begin before birth. Advanced fetal therapy options may include:
- Intrauterine blood transfusions for conditions like Rh disease
- Treatment for twin-to-twin transfusion syndrome (TTTS)
- Specialized monitoring and surgical interventions, as needed
Support for Multiple Pregnancies
Carrying twins, triplets or more requires extra attention. High-risk pregnancy care includes frequent monitoring, nutrition counseling and delivery planning tailored to multiple gestations.
Additional Services
- Licensed addiction counseling
- Diabetes education
- Post-delivery follow-up care
Take the Next Step
Find a maternal-fetal medicine specialist by visiting the Find a Provider tool or by calling 406.602.2008.
CPG Maternal and Fetal Medicine is a department of Community Medical Center. When you see a physician or receive services in a provider-based clinic, you are technically being treated in an outpatient department of the hospital rather than the physician’s office. Please refer to “Understanding your Healthcare Costs” to learn how your bill may be affected when seen by a provider in a provider-based clinic.
Understanding Your Healthcare Costs
Provider-Based Clinics - You may see a charge on your bill for the equipment, supplies, and services provided in one of our provider-based clinics.