Maternal Fetal Medicine

If a condition or complication puts you or your baby at risk during pregnancy, we’ll provide the expert care you need to stay safe.

Request an Appointment

For Obstetrics and Gynecology (OBGYN) related requests:

1-319-356-2294

For all other requests:: 1-800-777-8442

If you’ve been told your pregnancy is considered high risk, it’s natural to have concerns. But you can also have confidence, knowing University of Iowa Health Care is here to keep you and your baby healthy.

Our obstetrics and gynecology team includes providers with expertise in high-risk pregnancies. These providers are called maternal-fetal medicine (MFM) specialists.

Your regular obstetrician or midwife may refer you to an MFM specialist for extra testing, monitoring, or treatment if:

You’re over age 35
You’re carrying multiples, such as twins or triplets
You have a history of pregnancy complications, such as miscarriage or preterm (early) labor
You have a chronic medical condition that can make pregnancy risky, such as diabetes, heart disease, or lupus
You develop a pregnancy-related complication such as preeclampsia, gestational diabetes, or placenta previa
Your baby is diagnosed with a medical problem, such as a heart condition, while in the womb

Iowa’s most experienced maternal-fetal medicine team

Our MFM specialists have cared for every problem that can affect pregnancy. We know what to look for and how to manage it.

We also offer services that aren’t available anywhere else in Iowa. If you or your baby need advanced testing or treatment, you’ll find it here.

Our capabilities include:

Fetal diagnosis: We offer a wide range of tests that can identify medical conditions while your baby is still in the womb. These include fetal ultrasound, fetal echocardiogram, and fetal MRI. By identifying heart problems or other conditions early, we can prepare your baby’s treatment plan ahead of time.
Genetic counseling and testing: As Iowa’s only prenatal genetic counseling service, we can help you understand your baby’s risk of developing certain genetic conditions. We can also perform tests, like amniocentesis and chorionic villus sampling, that confirm whether your baby has one of these conditions. Some of the conditions we can identify early include Down syndrome, trisomy 18, and cystic fibrosis.
Inpatient care: If you or your baby need around-the-clock monitoring during your pregnancy, we’ll admit you to the hospital. This is often referred to as antepartum care. During your stay, you’ll have access to recreational therapy, television, free Wi-Fi, and virtual childbirth classes. And if you need help managing stress or obtaining baby supplies, our psychologists and social workers are also here to help.
Fetal treatments: In some cases, we can treat your baby while they’re still in the womb. For example, if they have an irregular heartbeat (fetal arrhythmia), we may give you medication that controls their heart rate. We also offer procedures like fetal blood transfusion, which treats babies who aren’t producing enough red blood cells (fetal anemia).
Neonatal care: You’ll find the most advanced newborn care available in our Level 4 neonatal intensive care unit (NICU). A Level 4 designation means we’re equipped to care for even the tiniest or sickest babies. This includes babies born as early as 22 weeks, and those with serious medical conditions.

Unmatched care coordination

With some patients, we know you’ll need complex care through pregnancy, during delivery, and immediately after birth. In this case, you’ll meet with a team of experts to plan for any treatments you or your baby will need.

This team typically includes:

The maternal-fetal medicine specialist who is overseeing your care
High-risk pregnancy nurses who will help monitor or provide your care
Your regular obstetrician or midwife, if they’ll continue to be involved in your pregnancy and/or birth
A prenatal genetic counselor
A social worker who can help you with questions about insurance coverage, family medical leave, counseling, and support services
Perinatal palliative care specialists who can help you cope with an unexpected fetal diagnosis
Neonatologists who will initiate and oversee your baby’s NICU care
Pediatric specialists—such as cardiologists, gastroenterologists, or neurosurgeons—who may need to treat your baby soon after birth

You and your care team will discuss the best ways to keep you and your baby healthy. We’ll make decisions about things like:

Whether you may need to be admitted to the hospital for around-the-clock monitoring
If we should schedule an early delivery and, if so, at how many weeks gestation
Whether it’s safe for you to have a vaginal delivery instead of a cesarean section (C-section)
Whether an MFM specialist and/or neonatologist should attend your delivery
What medical or surgical treatments your baby will need, and when

Connecting with you in your community

With several clinic locations in Southeast Iowa, we’ve made it easier for you to receive maternal-fetal care throughout your pregnancy.

Our MFM specialists see patients in Cedar Rapids, Davenport, Muscatine, West Burlington, and our main campus in Iowa City.

Telemedicine visits

We also offer virtual MFM consultations on a case-by-case basis. For example, a telemedicine visit could be an option for you if:

Your pregnancy is considered high risk because of your age, but you’re otherwise healthy
You’ve had a previous preterm delivery, but your current baby’s growth and development are normal
You’re getting ready to start or expand your family, but you have a personal or family history of certain medical conditions

Maternal-fetal medicine tests and treatments

Amniocentesis
Antepartum care
Cervical cerclage
Chorionic villus sampling (CVS)
Cordocentesis
Fetal echocardiogram
Fetal MRI

Fetal ultrasound
Intrauterine transfusion
Preconception counseling
Prenatal genetic testing and counseling
Nuchal translucency (NT) scan
Ultrasound

Maternal-fetal medicine conditions treated

Blood clotting disorders
Congenital heart disease
Diabetes
Fetal anemia
Fetal arrhythmia
Gestational diabetes
Hydramnios
Hypertension
Incompetent cervix (cervical insufficiency)
Intrauterine growth restriction (IUGR)
Molar pregnancy

Multiple gestation
Oligohydramnios
Placenta accreta
Placenta increta
Placenta percreta
Placenta previa
Preeclampsia
Premature rupture of membranes (PROM)
Preterm labor
Stillbirth

Andrea L.

Greiner

MD

Obstetrics and Gynecology (OBGYN)

4.48 out of 5 (471 ratings)

Stephen K.

Hunter

MD, PhD

Obstetrics and Gynecology (OBGYN)

4.40 out of 5 (372 ratings)

Mark

Santillan

MD, PhD

Obstetrics and Gynecology (OBGYN)

4.66 out of 5 (348 ratings)

Alysha

Reese

ARNP, FNP

Obstetrics and Gynecology (OBGYN)

4.68 out of 5 (110 ratings)

Silvia

Villagomez

ARNP-BC, MSN

Obstetrics and Gynecology (OBGYN)

4.45 out of 5 (97 ratings)

Alyssa

Wood

ARNP, DNP

Obstetrics and Gynecology (OBGYN)

Nour

Chanouha

MS, LGC

Obstetrics and Gynecology (OBGYN)

Renata

Thoeny

MS, LGC

Obstetrics and Gynecology (OBGYN)

Need help finding an MFM specialist?

If you need help selecting a maternal-fetal medicine specialist, give us a call. We’ll help you choose a provider based on their location, areas of expertise, years of experience, or other factors.

Call 1-319-356-2294 Request an appointment Refer a patient - records required before scheduling