Maternal and fetal medicine in Minnesota Overview

A nurse checks on a mother and her baby after delivery.

At Mayo Clinic, if you have a high-risk pregnancy, you will be cared for by the maternal and fetal medicine team.

You will be cared for by the maternal and fetal medicine team if you are facing a high-risk pregnancy, such as one complicated by genetic, obstetric, medical or surgical conditions. The maternal and fetal medicine experts at Mayo Clinic offer you the most advanced treatment and care for complex maternal and fetal diseases in pregnancy.

Mayo Clinic's multidisciplinary team of doctors includes those trained in treating pregnant women with complex problems (maternal-fetal medicine specialists), experts in treating children with congenital conditions (neonatologists, pediatric surgeons, neurosurgeons, urologists, nephrologists, neonatologists) and specialists with extensive experience in fetal surgery. These specialists complement obstetrical care providers and can co-manage complex conditions before or during pregnancy.

A dedicated team of physicians and nurses ensures the coordinated approach necessary for intrauterine therapy when appropriate and optimal planning for delivery and neonatal care. You will receive support from a compassionate team of providers including dietitians, genetics counselors, social workers and nurse specialists.

Fetal Care Center

The Mayo Clinic Fetal Care Center uses a coordinated, multidisciplinary team approach to help women experiencing high-risk pregnancies. Fetal Care Center staff use imaging techniques to accurately diagnose babies with birth defects prenatally and then connect parents with a neonatologist and a pediatric subspecialist. This team of physicians and nurses helps coordinate any necessary intrauterine therapy, plans the route and timing of delivery, and provides a smooth care transition for the newborn infant.

Conditions treated

Tests and procedures

Fetal surgery

At Mayo Clinic's campus in Rochester, Minnesota, you will find a specialized multidisciplinary fetal surgery team trained to care for women with pregnancies complicated by all forms of fetal distress and abnormalities. Improvements in prenatal testing, imaging and technology have provided maternal-fetal medicine specialists with new tools to address these conditions.

Fetal surgery is a procedure in which surgery is performed on an unborn baby (fetus) in the mother's uterus. It may be an option for some mothers to improve the long-term outcome after delivery. Fetal surgery gives the physician the ability to intervene earlier to treat life-threatening birth defects. In some cases, fetal surgery has better results than surgery after delivery. These procedures are complex and require skilled teams, advanced facilities and comprehensive care for the mother and her unborn baby.

Many birth defects can be treated in utero at Mayo Clinic, including:

  • Amniotic band syndrome
  • Bronchopulmonary sequestration of the lung
  • Congenital cystic adenomatoid malformation (CCAM) of the lung
  • Congenital diaphragmatic hernia (CDH)
  • Congenital high airway obstruction syndrome
  • Fetal anemias
  • Intrauterine transfusion
  • Lower urinary tract obstruction
  • Mediastinal teratoma
  • Neck mass
  • Sacrococcygeal teratoma (SCT)
  • Spina bifida (myelomeningocele)
  • Twin reversed arterial perfusion (TRAP) sequence
  • Twin-twin transfusion syndrome

Methods for treating these conditions at Mayo Clinic include:

Research

Researchers of the maternal and fetal medicine specialty group engage in research on the effective use of health care resources to help people who are pregnant. They have advanced the field with research in preterm labor assessment, fetal assessment during maternal surgery, effective use of blood products during pregnancy, decreasing maternal exposure to radiation, placenta previa and abnormal placentation, integration or acculturation, and fetal surgery.

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July 18, 2018