Referral Criteria

Criteria for Care at Maternal Fetal Medicine

Women at Risk During Pregnancy and may Qualify for Care with a Perinatologist

  • Severe pulmonary disease requiring multiple hospitalizations, intubations, or oral steroids
  • Severe cardiac disease (Class 2 or greater, requires individual review)
  • Renal disease requiring dialysis (all others require individual review)
  • Maternal genetic conditions such as Ehlers-Danlos, Marfan, Osteogenesis Imperfecta, and PKU
  • Collagen vascular disorders such as lupus or scleroderma
  • Aneurysms
  • Hemoglobinopathy
  • Current maternal cancer or chemo use
  • Poorly controlled diabetes
  • Uncontrolled gestational diabetes requiring insulin
  • Chronic hypertension with associated renal or cardiac disease
  • Fetal anomaly
  • Fetal arrhythmia
  • Thrombophilia with a history of prior deep vein thrombosis, pulmonary embolism, and/or the need for chronic anticoagulation
  • Severe systemic disease that affects pregnancy
  • Symptomatic HIV or HIV with low CD4 count
  • Certain types of isoimmunization (C, D, E, Kell)
  • Monochorionic twins
  • Triplets or greater
  • Organ transplant
  • Placenta accreta

Women Who may Qualify for a Consult with a Perinatologist include Those Who

  • Are exposed to dangerous substances during pregnancy
  • Severe or early intrauterine growth restriction
  • Cardiac disease (Class 1)
  • Family history of a genetic condition
  • Prior fetal anomaly
  • Pregestational diabetes
  • History of prior deep vein thrombosis or pulmonary embolism without thrombophilia
  • History of cervical insufficiency
  • History of spontaneous preterm birth
  • Polyhydramnios, greater than 30 cm
  • Maternal thrombocytopenia
  • Rheumatoid arthritis
  • Uterine fibroids
  • Chronic hypertension, uncomplicated
  • Seizure disorders
  • Placenta previa
  • Multiple cesarean sections (three or more)
  • Severe hyperemesis
  • Recurrent loss (three or more)
  • History of preeclampsia

We thoroughly screen each referral we receive to determine the appropriate plan of care and do not automatically accept patients based on the referral. It is very important that prenatal care is continued until it is determined that the patient qualifies for high risk care AND is scheduled with one of our physicians. Patients should not be directed to contact our office prior to receiving the determination of acceptance to MFM.