High-Risk Pregnancy Care

Maternal Fetal Medicine care for high-risk pregnancies in Winchester, VA 

Many turn to the team at Valley Health Maternal Fetal Medicine to ensure safety for moms and babies in complicated and high-risk pregnancies. We work collaboratively with obstetricians, family physicians, and midwifes to ensure the best possible pregnancy care.

Services Offered

Genetic Counseling

The goal of prenatal genetic counseling is to support patients in decision-making, provide information about how conditions might affect their pregnancy, and interpret results based on personal, family, and pregnancy history.

Our genetic counselors review patients’ medical, pregnancy, and family history information and partner with our Maternal Fetal Medicine physicians to determine potential risks. They discuss the benefits, risks, and limitations of testing options to help patients make informed decisions based on their needs and values, then interpret what results mean for patients and their families

Services include:

  • Cell-Free DNA testing
  • Carrier Screening

Genetic counselors have training in medical genetics and counseling to provide emotional support and guidance during complex medical situations.

Prenatal genetic counseling can assist people who are interested in knowing the chances of their child having a genetic condition or birth defect, especially if they meet any of the following criteria:

  • Will be 35 years or older at the time of delivery
  • Had abnormal results from prenatal screening
  • Had abnormal findings on ultrasounds
  • Were exposed to certain medications, drugs, or infections
  • Have a personal or family history of a genetic condition
  • Have a history of multiple miscarriages or pregnancy losses
  • Conceived via in vitro fertilization (IVF)
  • Are related to their partner by blood (e.g. cousins)

Our genetic counselors provide:

  • Information about benefits and limitations of available screening and testing options
  • Information about fetal conditions
  • Coordination of genetic screening and testing
  • Communication and explanation of results
  • Resources and educational materials
  • Collaboration with other specialists as needed

Ultrasound

  • Fetal echocardiogram
  • Level II obstetric ultrasound/Detailed second trimester
  • 3D/4D ultrasounds for medical indications
  • Nuchal translucency
  • Detailed first trimester

Antenatal Testing

Medical testing to evaluate the health of the fetus before or during pregnancy.

  • Biophysical profile
  • Nonstress testing
  • Fluid check (AFI)

Diagnostic and Therapeutic Procedures

  • Amniocentisis
  • Cervical cerclage placement

Diabetes Management During Pregnancy

Our certified diabetes care and education specialist works closely with our Maternal Fetal Medicine physicians to support patients with gestational and pre-existing diabetes. They review each patient’s medical and pregnancy history to develop an individualized plan focused on blood glucose management, nutrition, and lifestyle adjustments. 

Patients are educated on the benefits, risks, and goals of diabetes management during pregnancy, helping them make informed decisions that support healthy maternal and fetal outcomes. With specialized training in diabetes education, our educator provides ongoing guidance, monitoring, and encouragement to help patients feel confident and supported throughout their care.

Contributing factors to a high-risk pregnancy can include:

  • Diabetes
  • Autoimmune disorders
  • Advanced maternal age (35 at delivery)
  • Family history of abnormalities
  • Medication exposure
  • High blood pressure
  • Obesity
  • Maternal/paternal carrier status
  • Twins, triplets or more
  • Abnormal ultrasound findings

We see and treat patients for a wide variety of reasons. We offer pre-pregnancy counseling. Our services also include prenatal genetic tests such as amniocentesis/CVS.

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