The Perinatal Center: High Risk Pregnancy

The Perinatal Center at MedStar Washington Hospital Center is a unique clinic site focused on prenatal evaluation and care. This clinic provides one stop shopping for all evaluation needed to identify a healthy pregnancyor support a complicated one. Our experienced and multicultural staff speaks English, Spanish, French, Urdu, Punjabi, Farsi, Arabic and Mandarin Chinese. We are committed to providing information about pregnancy and fetal health in an informative and compassionate manner. Services provided by the Perinatal Center include:

Maternal Fetal Medicine Counseling Reproductive Genetics Counseling Fetal Diagnosis Cancer Genetics

Maternal Fetal Medicine Counseling Board certified/eligible maternal-fetal medicine specialists provide detailed evaluation, management and supervision for high-risk pregnancies with ongoing maternal disease, such as diabetes, hypertension, autoimmune or renal disease. Services are available for preconception counseling or ongoing pregnancies. In addition to comprehensive, one-on-one evaluations and recommendations for referring providers, our maternal-fetal medicine specialists will also co-manage with the referring physician. Because of the excellent referral services available within MedStar Washington Hospital Center, no problem is too complicated for usalthough patients with extremely complex medical conditions are advised to seek counseling prior to considering pregnancy. We specialize in the management of pregnant women with congenital diseases themselves. In particular, the Washington Area Congenital Heart Program and the maternal fetal medicine service of the Perinatal Center have a long and successful history of working together to care for pregnant women with a congenital heart disorder. Learn more about our Special Moms/Special Babies program. Reproductive Genetics Counseling With two board certified medical geneticists on staff, the Perinatal Center is unique in its focus on genetic issues. Consultation for preconception options for at-risk couples, or for a family history of genetic disorders, previous children with abnormalities, maternal age concerns, abnormal serum screening, recurrent pregnancy losses, or diagnosis of a existing or

past abnormality in pregnancy is available in English, Spanish or French. When the diagnosis of an abnormality has been made, our team of specialists can find the right approach to determine if a future pregnancy is at risk, and determine if genetic testing is available. Fetal Diagnosis Our team of specialists has performed thousands of fetal diagnostic procedures, such as

First trimester screening and nuchal translucency Detailed fetal ultrasound (Level II or targeted), including Doppler waveform studies Transabdominal and transcervical chorionic villus sampling Placental biopsy Amniocentesis Fetal monitoring with biophysical profiles and non-stress tests

These tests can identify fetal chromosomal abnormalities, congenital anomalies and fetal growth abnormalitiesas well as confirm a healthy and beautiful baby. Tests are performed using the latest, top-of-the-line Phillips IU-22 equipment, with 2D/3D capabilities and expanded range for all maternal body types. Cancer Genetics Our board certified medical geneticists provide confidential, sensitive genetic counseling and testing, for patients at risk for inherited cancer syndromes of the breast, ovary, colon or skin. We can determine if insurance coverage is available for testing, and blood for genetic testing can be drawn on site, with results available in two to three weeks. Patients with Medicaid may be eligible for genetic testing through participation in an on-going research program, which will cover the expense of the test.