High-Risk Pregnancy and Genetics

The maternal-fetal medicine physicians in the High-Risk Pregnancy and Prenatal Genetics Program at UT Southwestern Medical Center are recognized for their care and management of women with complicated pregnancies.

UT Southwestern began performing fetoscopic laser procedures to correct twin-twin transfusion syndrome (TTTS) in 2010.

In addition to consultative services, our subspecialists accept obstetrical patients and operate a regional maternal transport service for obstetricians who want to transfer patients to our care.

With specialists to address all situations – 
including maternal-fetal medicine, neonatology, pediatric surgery, cardiology, and other pediatric subspecialties – we use the latest diagnostic modalities to evaluate and treat both maternal and fetal complications.

These include:

  • High-resolution, 3- and 4-dimensional ultrasound to visualize the baby’s development
  • Intrauterine transfusions and fetal shunt placement
  • Preconceptional counseling and genetic testing to identify inherited and antenatal risks
  • Prenatal diagnostic procedures such as amniocentesis, chorionic villus sampling (CVS), and fetal blood sampling

Treatment of fetal complications using techniques such as fetal blood sampling, intrauterine transfusions, and fetal shunt placement can be performed before birth. In other situations, the baby is transferred to the care of pediatric specialists after delivery.

Coordinated Care

This team coordinates delivery at Parkland Memorial Hospital or St. Paul University Hospital, if complex postnatal issues are anticipated. St. Paul University Hospital has a level III Neonatal Intensive Care Nursery, staffed by pediatric neonatologists and neonatal nurse practitioners. A level III Neonatal Intensive Care Unit at nearby Children’s Medical Center Dallas cares for infants who require surgery soon after birth.

Care in Collin County

The high-risk pregnancy and prenatal genetics program has a regional office in the Children’s Medical Center Ambulatory Care Pavilion in Plano. The team at UT Southwestern Maternal-Fetal Medicine at Children’s Medical Center at Legacy works with community obstetricians to provide the full spectrum of ambulatory and inpatient diagnostic and consultative services to women of Collin, Denton, and Dallas counties. We welcome referrals from throughout Texas and the surrounding states.