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Obstetrics & Gynecology

High Risk Pregnancy

Where to Turn when Mom and Baby are at Risk

Every mom-to-be dreams of a happy, "glowing" pregnancy that results in a cuddly, healthy baby to hold. Sometimes life doesn't go as planned and the mom and unborn baby may be at serious risk. That's when it's time to turn to the maternal-fetal specialists at Barnes-Jewish Hospital in St. Louis.

Our maternal-fetal specialists care for women with high-risk pregnancies through their delivery and beyond. We focus on women who have complications related to their pregnancies or women who have existing medical conditions such as diabetes or kidney disease that make pregnancy more risky. We also care for expectant moms whose baby is at risk due to fetal problems such as a heart defect diagnosed through ultrasound. Multiple gestations (twins, triplets, quadruplets, etc.) comprise a large group of patients the maternal-fetal specialists care for at Barnes-Jewish Hospital. Washington University maternal-fetal specialists at Barnes-Jewish Hospital care for nearly 1,000 high-risk pregnancies each year.

At Barnes-Jewish Hospital, you can have the same type of birthing experience as anywhere else, with the added security of specialized care at your bedside. We offer many amenities such as large, comfortable private rooms for labor and delivery. In addition, our hospital provides physicians specializing in high-risk obstetrics on-site 24 hours a day to care for high-risk pregnancies.

Unequalled Expertise

Barnes-Jewish Hospital is rated by U.S.News & World Report as one of the nation's best hospitals, and our reputation for medical excellence is alive and well in our birth center. Our physicians are the academic faculty of Washington University School of Medicine, ranked as one of the top medical schools in the country by U.S.News & World Report.

Our physicians are dedicated to teaching and recognized nationwide for their expertise. Our experienced nurses are dedicated to providing a high-quality care for patients. We provide a comprehensive prenatal medicine service, including pregnancies with fetal anomalies or multi-fetal gestation, delivering more than half the region's triplets and quadruplets.

We also perform more than 15,000 obstetrical and gynecological ultrasounds, and more than 1,000 genetic amniocentesis and chorionic villus (CVS) sampling procedures each year. The newest generation of ultrasound technology assists perinatal specialists to assess genetic disorders before birth.

Barnes-Jewish Hospital maternal-fetal medicine specialists have a close relationship with St. Louis Children's Hospital neonatal specialists. Neonatologists specialize in newborn care. Maternal-fetal medicine specialists team with neonatologists to establish a care plan long before delivery. Time is critical to the baby's health. At the time of delivery, the neonatologists attending your delivery are already familiar with the baby's needs. They're prepared to take care of the baby immediately while obstetricians attend to the mother's delivery in a well-coordinated effort. Neonatologists from St. Louis Children's Hospital are present in the Barnes-Jewish nursery unit 24 hours a day.

When necessary at delivery, a St. Louis Children's Hospital transport team is available with a group of specialists to immediately take the baby to the hospital's newborn intensive care unit (NICU). This two-minute transport from delivery room to the NICU is less stressful and faster for a baby than a helicopter transport elsewhere.

For intermediate issues that don't necessitate a transfer to the NICU, Barnes-Jewish Hospital has a Level II Special Care Nursery.

Barnes-Jewish Hospital and St. Louis Children's Hospital are both affiliated with Washington University School of Medicine and are located on the same medical center campus. As an integrated perinatal and neonatal center, we're able to provide comprehensive, exceptional care of mothers and babies.

Fetal Care Center

For some babies, treatment begins while still in a mother's womb. These babies are treated at The Fetal Care Center, a comprehensive center in the Midwest that offers a fully integrated patient experience in advanced fetal diagnostics, fetal surgical interventions before and after birth, and newborn medicine -- all on one medical campus. The Fetal Care Center is a unique partnership among Barnes-Jewish Hospital, St. Louis Children's Hospital and Washington University physicians.

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