Department of Obstetrics and Gynecology
Division Director, Maternal-Fetal Medicine
Maternal - Fetal Medicine; Obstetrics and Gynecology
I have been a practicing Maternal-Fetal Medicine specialist since 2001, and have an extensive background in many areas relating to high risk obstetrics. I specialize in fetal therapy, such as intrauterine transfusions, and fetal shunt placements for bladder outlet obstruction and other cystic abnormalities of the fetus. I also have an interest in preterm labor and delivery, and in autoimmune diseases and their impact in pregnancy.
I am the Director of the Perinatal Center of Western New York, which takes referrals from Western New York as eastern Pennsylvania. We see patients with a multitude of issues that impact both maternal health, their pregnancy, and overall fetal health as well. We are the quaternary referral center for the community hospitals of Western New York, and will manage patients with complicated medical and obstetrical conditions. We take transports from all the hospitals in the region for obstetrical issues such as preterm labor, as well as for fetal issues that need complicated post delivery care.
I am also the Director of the Fetal Care Center at Women & Children’s Hospital, which is also a quaternary referral center, specializing in prenatal diagnosis and care of major fetal abnormalities. These abnormalities may be either structural, genetic or a combination of both. In the Fetal Care Center, we coordinate care among the Maternal-Fetal Medicine service, the pediatric specialist that will be involved in postnatal care, and the neonatal intensive care unit. We also offer an exciting new service called Shared Decision Making, which is at the forefront of patient care nationally. This service is designed to help families with complicated medical issues of their pregnancy make decisions for their care that is best suited to their family’s wishes and needs.
My research interests include diagnosis of preterm labor, and I am currently involved in a national multi center trial evaluating new testing methods for accurate diagnosis of preterm labor. I am interested in placental research as well, particularly the potential etiology of pre-eclampsia. I am sponsoring obstetrical residents during their research, including a project on a new ultrasound measurement algorithm to assist in determining which patients may be at more risk for shoulder dystocia at delivery.
Resident education in Maternal-Fetal Medicine is one of our most important function, and we have one to two second year residents on the Maternal-Fetal Medicine rotation at all times. I spend a great deal of time working with them in ultrasound, as well as on discussions of the medical management of complicated obstetrical patients in both the inpatient and outpatient settings. These residents are involved in the multidisciplinary rounds held twice a month as part of the Fetal Care Center. I also teach during the medical student rotations, and also at the University at Buffalo School of Medicine. I lecture at the local, statewide, and national level in areas related to high risk obstetrical care.