天美传媒

The nationally renowned Comprehensive Fetal Care Program at Brigham and Women’s Hospital offers coordinated, advanced care for babies requiring treatment before birth.

We offer consultations within 24 hours and provide a full range of diagnostic testing and prenatal therapies, including fetal blood transfusions, laser procedures, and fetal surgeries. Certain pregnancy complications can be addressed through minimally invasive fetal interventions before birth.

In partnership with the we offer access to a growing range of specialty services for conditions such as:

• Congenital cardiac disease, including hypoplastic (underdeveloped) left heart syndrome
• Twin-to-twin transfusion syndrome (intrauterine blood transfusion from one twin to the other) and other complications of identical twin pregnancies
• Fetal airway obstruction or masses
• Congenital diaphragmatic hernia (hole in the diaphragm)
• Neural tube defects (also known as spina bifida)

For pregnancies involving a congenital condition or genetic disease, you’ll receive continuous care from our maternal-fetal medicine (high-risk pregnancy) specialists, including physicians, nurses, social workers, nutritionists, neonatologists, and pediatric subspecialists.

Fetal Cardiac Intervention

In collaboration with Boston Children's cardiologists, we develop minimally invasive, in-utero approaches to treat fetal heart conditions before birth.

The team specializes in evaluating and treating hypoplastic left heart disease before birth, which is a condition that results in underdevelopment of the left side of the heart. If diagnosed early, our specialists can perform a procedure to open the aortic valve. This dilation allows the left side of the heart to continue to grow.

Expert care for twin pregnancies

We also specialize in the evaluation and treatment of complications in twin pregnancies, especially monochorionic twins (twins that share a placenta). Twin pregnancies may face unique challenges such as:

• A congenital or genetic condition affecting one twin
• Growth disparities
• Twin-twin transfusion syndrome
• Twin reversed arterial perfusion sequence

We provide coordinated care between the Comprehensive Fetal Care Program and your ongoing obstetric care in the maternal-fetal medicine practice to optimize outcomes for both babies.

Coordinated Planning for Before, During, and After Birth

Planning for a safe delivery for a baby with an anticipated complication is an important part of fetal care. Our high-risk pregnancy team works together to coordinate your ongoing pregnancy care, prenatal monitoring, delivery planning, and postpartum support.

Families from across the country often come to Brigham and Women’s for access to our specialized fetal therapy services. We are committed to ensuring a smooth, supportive transition for every family navigating a complex pregnancy.

Who will be on my team?

At Brigham and Women’s Hospital, you’ll be supported by a team of experts who work together to provide compassionate, coordinated care throughout your pregnancy and delivery. Your team may include:

• Maternal-fetal medicine doctors: These high-risk pregnancy experts will care for your obstetrical needs and coordinate specialized testing or monitoring of your growing baby. In many cases, your routine prenatal care can be combined with these visits.
• Fetal care nurses: Our nurses will guide you through every stage of your care, from prenatal visits to delivery. They’ll offer education, support, and help you prepare for the unique needs of a complex pregnancy.
• Genetic counselors: If genetic testing is recommended, our counselors will guide you through your options, provide support, and help you make informed decisions during your pregnancy or delivery.
• Newborn medicine doctors: Also known as neonatologists, these physicians will discuss what to expect in the delivery room, answer questions about bonding with your baby, and collaborate on the plan after birth.
• Social workers: They are here to support your emotional well-being and assist with practical needs like transportation, housing, and coordinating services.

To make care more convenient, we can often arrange for shared management with your referring obstetrician or maternal-fetal medicine specialist. We will communicate closely with your referring provider before and after your delivery.

Our leadership

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  Division of Maternal-Fetal Medicine
• 
  Division of Maternal-Fetal Medicine

What to expect for delivery

• Timing of delivery: Your expected delivery date will be planned based on your and your baby’s medical needs, in collaboration with Boston Children’s Hospital.
• Vaginal or cesarean (c-section) birth: Most patients have a vaginal delivery following an induction around 39 weeks. If a c-section is recommended, your maternal-fetal medicine specialist will guide you through the process.
• Private rooms and family support: All patients have private delivery, recovery, and post-partum rooms, with space for a family member to stay overnight with you. Take a virtual tour >
• Breastfeeding support: Each room includes a breast pump, storage containers, labels, and a dedicated refrigerator to help support lactation. Learn more about lactation support services >
• Bonding with your baby: We prioritize and encourage maternal-family-infant bonding, whether your baby is cared for in our NICU or at Boston Children’s Hospital.

What to expect after delivery

Our state-of-the-art 66-bed Level III Neonatal Intensive Care Unit (NICU) offers advanced technology and expert care for babies born prematurely or with medical complications. It is located on the 6th floor of the Center for Women and Newborns.

Alternatively, if your baby needs specialized care, they may be transferred to Boston Children’s Hospital, which is directly connected to Brigham and Women’s by an indoor pedestrian bridge.

Schedule an Appointment

To be seen in our clinic, a referral from your provider is required.

Steps to get started:

• Ask your provider to refer you to the Center for Fetal Medicine and Reproductive Genetics at Brigham and Women’s Hospital.
• Confirm your insurance coverage for care at 天美传媒l.
• New to Brigham and Women’s? Please call 1-866-489-4056 to complete your registration.

We ask your referring provider share your:

• Prenatal lab work
• Pap smear results
• Genetic testing results
• Obstetric reports

These materials can be faxed to 617-264-6310 or shared electronically through Care Everywhere, if available.

Once we receive your referral and records, our coordinator will call you to schedule your first appointment(s). If you have any questions, please call us at 617-732-4202.

Our Location

Brigham and Women’s Hospital
75 Francis Street, CWN 3rd Floor
Boston, MA 02115

Directions from 75 Francis Street (main entrance):

• Take the elevators on your right (elevator “M”) to the 3rd floor.
• Turn right and then take your second left into the hallway without doors).
• At the end of the hallway, turn right. The maternal-fetal medicine offices will be directly in front of you. The Center for Fetal Medicine and Reproductive Genetics is the second door on the right.