High-Risk Pregnancy Care for Moms and Babies
Whether your pregnancy is high-risk because of your health or age, or because of a condition with your developing baby, our maternal-fetal medicine specialists offer comprehensive obstetric care — delivered with compassion. We work closely with your primary obstetrics provider and tailor your care to the needs of you and your baby.
Based in Colorado Springs with additional offices in Pueblo and Alamosa, we see patients from southern Colorado, northern New Mexico, and western Kansas. We also arrange consultations with our partners in Denver when necessary.
Obstetric Care & Management
Our maternal-fetal medicine physicians monitor you and your baby throughout your pregnancy. At each visit, you’ll have an ultrasound and be seen by one of our two board-certified maternal-fetal medicine physicians. If there’s a problem with your baby, we’ll compassionately give you information so you and your partner can make important decisions and prepare for your baby’s birth.
Before you try to get pregnant, a preconception visit can help you have the healthiest pregnancy possible and inform you about possible risks to you and/or the baby if you get pregnant. Our maternal-fetal medicine physicians recommend a preconception visit if you:
- Had a previous high-risk pregnancy
- Have a medical condition that could make your pregnancy high risk, such as diabetes, lupus, kidney disease, or high blood pressure
- Have a family history of certain genetic diseases or conditions
- Have a previous child/children with a genetic disease or condition
During the preconception visit, the maternal-fetal medicine physician will review:
- Your medical, family, and obstetric history and medicines you take
- Any previous high-risk pregnancies and miscarriages you’ve had
- Your lifestyle (work or other activities that may increase risks, diet, exercise, and whether you smoke)
The preconception visit may include a physical exam and urine and/or blood tests.
Our maternal-fetal medicine physicians will counsel you on what to expect if you get pregnant and may refer you for genetic tests and/or counseling or evaluation by other specialists if necessary.
High-Risk Pregnancy Consultation
If you’re already pregnant and you or your baby might be at increased risk of health problems during pregnancy, your primary OB/GYN, family medicine doctor, or midwife can request a high-risk pregnancy consultation. Our maternal-fetal medicine physicians also provide second opinions, including when ultrasound results are unclear.
Our maternal-fetal medicine physicians will counsel you on what to expect during your pregnancy and may refer you for genetic tests and/or genetic counseling. A high-risk pregnancy consultation is the first step in your care at our high-risk pregnancy center.
High-Risk Pregnancy Care with Your Obstetric Provider
Our maternal-fetal medicine physicians offer the special monitoring, care, and support you need to have the healthiest pregnancy possible. Throughout your pregnancy, we work closely with your obstetrical provider, whether that is an OB/GYN, family medicine doctor, or midwife. You will continue to see your obstetric provider for your regular prenatal care along with seeing one of our maternal-fetal medicine specialists.
Depending on the risks in your pregnancy, you will see one of our maternal-fetal medicine physicians anywhere from twice a week to once every six weeks. At each visit, you’ll have an ultrasound to monitor your baby. We’ll review your ultrasound results with you and update your plan of care as needed.
Our maternal-fetal medicine physicians give you the information you and your partner need to make decisions about your pregnancy and prepare for your child’s birth. We keep your obstetric provider updated on your pregnancy too, and are always available to help with decisions about your care.
Your obstetric provider will deliver your baby. But we’ll be there to help if needed. Working together, our goal is to help you have the healthiest pregnancy and baby possible.
Cervical Cerclage Procedure
If your cervix shortens or opens too early, your baby could be born prematurely. A cerclage procedure prevents these early cervical changes and decreases the risk that you will deliver your baby too early.
A cerclage can be placed as early as week 12 or as late as week 23, depending on your history. Once you reach week 36, your maternal-fetal medicine physician will remove the cerclage, usually in the office.
Diabetes Education & Management
Diabetes makes a pregnancy high risk for your baby and for you. If your blood sugar is too high, your baby is at higher risk of birth defects, stillbirth, or being injured during delivery.
Whether you had diabetes before you got pregnant or develop gestational diabetes during pregnancy, our maternal-fetal medicine physicians will monitor you closely to help keep your blood sugars at a safe level. This may be as simple as making changes to your diet and lifestyle, or you may need to start insulin and change the dose often.
Our digital imaging system offers the latest technology and allows our maternal-fetal medicine physicians evaluate your baby’s anatomy, growth, amniotic fluid level, oxygenation, and position. Our system also allows us to send pictures of your baby directly to your email or smartphone so you can share with family and friends. Depending on your individual pregnancy, our specialists may recommend ultrasound to:
- Find out how long you’ve been pregnant
- See if you’re pregnant with twins, triplets, or more babies
- Screen for birth defects such as spina bifida or heart defects
- Screen for markers that may indicate your baby may have too many or too few chromosomes
- Help guide procedures such as chorionic villus sampling or amniocentesis
- Check for shortening of the cervix
- Check how well the placenta is delivering the necessary oxygen to your baby
At Southern Colorado Maternal Fetal Medicine, your maternal-fetal medicine physician will review the results of your ultrasound during your visit. We share your ultrasound results with your obstetric provider right away.
Ultrasound technology available with our practice includes:
- Routine Ultrasound
- Level II Ultrasound or Anatomy Scan
- Doppler Ultrasound
- 3D Ultrasound
- 4D Ultrasound
- Fetal Echocadiography
Please be aware that during your ultrasound, you are allowed two guests (which include children age 5 and older). All children under the age of five must be accompanied by an adult other than the patient. An ultrasound is a medical procedure and we do have your best interest in mind. If you do not have another adult with you to care for your child, we will have to reschedule your appointment. We are sorry for any inconvenience this may cause.
Birth Center & Level III NICU at St. Francis Medical Center
Our birth center combines advanced medical expertise with a caring and nurturing touch. We handle all your needs before, during, and after the birth in our family-friendly environment.The Level III Neonatal Intensive Care Unit at St. Francis Medical Center specializes in providing high-level care to premature babies and babies born with serious medical problems. At this specialized NICU, parents can remain with their babies 24/7 with beds and baths in the same room.