High-Risk Pregnancy Care

Perinatal Clinics in Durham, Raleigh, and Cary

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If you've been told you're having a high-risk pregnancy, or a medical complication puts you at risk, our highly skilled team of perinatologists will guide your care. Our team counsels women before birth and provides them ongoing pregnancy care at our clinics throughout the Triangle. We use our years of training and experience and our extensive resources to ensure you and your fetus receive the highest level of personalized care before and during your pregnancy and delivery to ensure the best possible outcome. 

Our Locations

Duke Health perinatal clinics are in Durham, Raleigh, and Cary.

High-Risk Care Before Pregnancy

Our perinatologists are board-certified obstetricians-gynecologists who complete additional years of fellowship training in maternal-fetal medicine. They provide care for both the mother and fetus before and during high-risk pregnancies and deliveries.

High-Risk Pregnancy Consultations
If you have an existing medical concern that may complicate your pregnancy, our team will perform a high-risk pregnancy consultation. In addition to our perinatologists (also referred to as maternal-fetal medicine specialists), you may meet with our certified nurse midwives and nurse practitioners, genetic counselors, and other specialists. They work with your doctors to plan for conception and ensure you can achieve a healthy pregnancy. 

Existing Medical Concerns
These conditions would be discussed during a high-risk pregnancy consultation:

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Identifying Fetal Medical Concerns

Advanced Imaging and Screening
If a concern is suspected, advanced imaging may be recommended to help doctors detect and monitor issues that can occur as your baby develops. Imaging options include targeted fetal ultrasound, fetal echocardiography (ultrasound that studies your baby’s heart and blood flow), and MRI. They are performed and interpreted by our specially trained technicians and specialists.

Counseling and Guidance
Our genetic counselors are available to women whose babies may be at risk for certain chromosomal disorders, such as Down syndrome or trisomy 18, or inherited diseases, such as Tay-Sachs disease. We help you make educated decisions about your pregnancy and prepare for your child’s birth. Our goal is to pinpoint the cause of your child’s condition as quickly as possible, then guide the development of your child's treatment plan to possibly prevent, delay, or minimize future complications. Our genetic counselors walk you through your baby’s risk factors and screening options and help you decide whether to undergo one of our advanced screenings. If you receive a positive diagnosis, they offer information on the latest research on these diseases and connect you with support programs and community resources.

Amniocentesis Experience
We understand that expectant moms may worry about the risk of miscarriage that comes with amniocentesis (less than 0.5%) and chorionic villus sampling (0.5% to 1%), which test for chromosomal disorders. Because our center performs many of these procedures each year, our high levels of experience and skill can lower your risk for complications.

Care for Medically Complex Pregnancies, Transition to Neonatal Medicine

High-Risk Pregnancy Care
In addition to caring for pregnant women with medical conditions, our perinatologists manage high-risk pregnancies in women carrying multiples (twins, triplets, and more), as well as women with placenta previa, placenta accreta, and other placental implantation defects, conditions that refer to the abnormal placement or attachment of the placenta that can lead to significant complications.

Expertise in Blood Conditions Unique to Women
Our obstetricians work closely with hematologists to coordinate the special care required by women with platelet disorders, clotting disorders, bleeding disorders, and sickle cell disease. We have the expertise and experience to help you manage the increased risks associated with pregnancy and childbirth.

Additional Team Members
High-risk pregnancy care may also be provided by our registered dietitians, clinical social workers, and psychologists.

Level IV NICU - Neonatal Nursery
Babies with congenital defects or who require medical or surgical care after birth are transitioned immediately to our Level IV neonatal intensive care unit (NICU) and cared for by neonatologists and other pediatric specialists.

Recognized Among the Best Maternity Hospitals in the U.S.

Duke Regional Hospital is recognized among the best hospitals in the U.S. for maternity care by U.S. News & World Report for 2023-2024. The recognition notes our low rates of C-sections in people at low risk for pregnancy complications and other factors. Duke University Hospital's nationally-ranked obstetrics and gynecology program is the highest-ranked program in North Carolina, according to U.S. News & World Report for 2023-2024.

This page was medically reviewed on 05/19/2020