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Medical City Healthcare

High-risk pregnancy

A high-risk pregnancy indicates that there is a higher likelihood of a disease or condition that may put you or your baby at risk. This may be because of an existing health condition, a multiple pregnancy or even your age.

High-risk pregnancy care in North Texas

Medical City Healthcare hospitals offer the critical care that high-risk moms and babies need.

We bring together expert maternal-fetal doctors and nurses, leading fetal and neonatal surgeons, hospitals with advanced maternal-fetal technology and dedicated teams providing emergency maternal and neonatal transport services. Our top priority is the health and safety of you and your baby.

When pregnancy is considered high risk

There are many factors that can cause a pregnancy to be considered high risk, including:

  • Age
  • Weight (either too low or too high)
  • Number of babies in the womb (e.g., twins, triplets, etc.)
  • Chronic conditions
  • Complications with previous pregnancies

Advanced maternal age

The primary factor that determines if your pregnancy is "high risk" is advanced maternal age—considered 35 years old and older at time of conception. Advanced maternal age is the leading cause of chromosomal abnormalities (such as Down syndrome) in babies and is strongly correlated with gestational diabetes and gestational hypertension in moms. These babies and their moms need specialty care with hospitals equipped for, and doctors experienced in, treating and managing high-risk pregnancies. This level of care needs to be maintained throughout pregnancy—early in the prenatal phase, during labor/delivery and continuing through the postpartum stage.

Advanced care for high-risk pregnancies

We understand the worries that come along with high-risk pregnancies, so we offer prenatal testing and screening with a combination of ultrasound, blood labs or other genetic tests. Mothers and babies also have access to our specialized, multidisciplinary teams, including:

  • Maternal-fetal specialists
  • Board-certified obstetric hospitalists
  • Pediatric specialists in
    • Neonatology
    • Cardiology
    • Nephrology
    • Urology
    • Genetics
    • Pediatric surgery

Unique maternal-fetal care in Dallas

The Maternal Fetal Institute provides the only labor and delivery program in North Texas with both a full-service adult hospital and a full-service children’s hospital—Medical City Children’s Hospital—in the same location. This allows for optimum maternal-fetal care and means that moms with high-risk pregnancies can deliver in the same hospital where their babies’ special needs can be treated.

Placenta accreta spectrum (PAS)

As a Level IV Maternal Designation hospital, Medical City Dallas provides comprehensive, expert care for placenta accreta spectrum (PAS). PAS occurs when the placenta becomes abnormally attached to the uterine wall — and even to other organs — during pregnancy. If left untreated, the placenta will not detach normally after the baby is born, leaving mom with a high risk of hemorrhage (blood loss) and other severe and life-threatening conditions. Pregnant women diagnosed with PAS will almost always need to deliver via a C-section.

To learn more about placenta accreta spectrum services at Medical City Dallas, call (972) 566-8585.

Emergency maternal transportation

Our Maternal Transport Team provides prompt transport for high-risk fetal and obstetrical patients 24 hours a day, seven days a week. With the goal of improving neonatal outcomes, our focus is keeping baby in the safety of mom's womb (intrauterine transport) as long as possible.

This unique service simplifies the process of transferring mom and baby, and it ensures that you are transferred to a facility with the appropriate subspecialties and equipment to handle your needs.

To request an emergency maternal transport, call (855) XFER-MOM (933-7666).

How an emergency maternal transport works

Our dedicated transport teams provide transfers within Texas and throughout the entire Southwest region of the U.S. Our group of highly skilled and specially trained maternal transport registered nurses can be deployed by ground ambulance, helicopter or fixed-wing aircraft featuring a self-contained mobile intensive care environment.

Following the transport, a member of the Maternal Transport Team will communicate with the referring physician regarding your progress and outcome.

Locations where the Maternal Transport Team operates

The Maternal Transport Team serves all Medical City Healthcare facility in North Texas with applicable advanced maternal care services. These facilities include:

Looking for a location?

We also offer quality care at these other locations in our extended network.
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