Maternal-Fetal Medicine

You will be trained to manage high-risk obstetrical patients by learning how to evaluate common genetic, terato­logic and metabolic problems that complicate pregnan­cies.

You will serve as the primary physician for inpatients, under direct supervision of faculty in the Division of Maternal-Fetal Medicine. Additionally, you will act as a consultant to other hospital services for a wide range of complicated pregnancy issues.

You also will be responsible for attending daily sign‑in and sign‑out rounds with the other residents and, whenever feasible, for managing high‑risk patients in labor.

Through your work in the Fetal Care Center, you will receive broad exposure to prenatal and postnatal care and will observe firsthand the many types of lethal and non-lethal fetal anomalies. You will learn their genetic and physiological bases and learn how to manage such anomalies.

You will also conduct consultations for family history of congenital or genetic mutations. You will be responsible for signing out the antepartum service to the covering team at night.

Procedures Learned

You will learn how to perform:

  • ultrasounds
  • amniocentesis
  • chorionic villus sampling
  • fetal shunt placement
  • intrauterine transfusions

Conditions Seen

  • diabetes (pre-gestational and gestational)
  • hypertensive complications
  • Marfan syndrome
  • lupus
  • thyroid disease
  • hepatitis
  • cytomegalovirus
  • parvovirus
  • liver disease
  • cerebrovascular accident
  • myocardial infarction
  • preterm labor
  • cervical insufficiency
  • uterine abnormalities
  • higher-order multiple gestations
  • preterm premature rupture of membranes
  • abruption or bleeding in pregnancy


  • 8 to 10 patients per day

Clinical Site

Year Taken

Patient Population

  • the majority will be second- and third-trimester patients, including those in the ICU with complicated medical conditions
  • you will occasionally provide care for some first-trimester patients