Complex Obstetric Medicine

Complex Obstetric Medicine

Pregnant people with health concerns get specialized high-risk pregnancy care from experts in complex obstetric medicine.

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Why choose UCSF Health for complex obstetric medicine?

UCSF Health provides specialized, coordinated care for pregnant people with conditions that may affect their health or their baby's health. We also care for people with pregnancy complications, such as placental issues or preeclampsia.

Our maternal-fetal medicine team includes perinatologists (high-risk pregnancy specialists), nurse practitioners, obstetric anesthesia providers, nurses and social workers. We work closely with your referring provider, giving you seamless, personalized care during pregnancy and postpartum.

Complex obstetric medicine at UCSF Health

Whether you're planning to get pregnant or are already expecting, our complex obstetric medicine providers help you stay healthy throughout your pregnancy, during delivery and postpartum.

When needed, we consult with other UCSF Health experts, such as cardiologists, endocrinologists, nephrologists and pulmonologists. Our collaborative approach gives you and your baby the highest level of care possible.

We care for pregnant people with a range of chronic conditions, including:

  • Autoimmune issues (such as lupus and rheumatoid arthritis)

  • Blood conditions (including sickle cell disease and history of clots)

  • Complex psychiatric conditions

  • Congenital or acquired heart conditions

  • Diabetes or other endocrine disorders

  • Gastrointestinal conditions (such as ulcerative colitis and Crohn's disease)

  • History of organ transplantation

  • Liver conditions (such as hepatitis and cirrhosis)

  • Neurological conditions (including myasthenia gravis and multiple sclerosis)

  • Substance use disorders

  • Conditions that develop during pregnancy (such as preeclampsia and fetal concerns)

Specialized care for babies during pregnancy

We care for your baby even before they are born. Our experts in fetal treatment, prenatal diagnostics and antenatal testing provide extra monitoring, diagnostics and treatments when needed.

Dedicated high-risk pregnancy programs

UCSF Health has several programs providing comprehensive, personalized care during high-risk pregnancies:

Endocrine, Diabetes & Pregnancy Program (EDAPP)

The EDAPP is a skilled team of high-risk obstetricians and endocrinologists who develop a personalized pregnancy plan for you. EDAPP provides preconception, prenatal and postpartum care to people with endocrine conditions, such as diabetes and endocrine gland disorders.

UCSF Multidisciplinary Approach to the Placenta Service (MAPS) Program

People with placenta accreta spectrum (PAS) have an increased risk of severe bleeding after birth. Through our MAPS program, a team of maternal-fetal medicine specialists monitors you closely throughout your pregnancy and works with you to create a birth plan. People with PAS may need a hysterectomy after birth to provide the safest outcome possible.

Pregnancy and Cardiac Treatment (PACT) Program

If you are pregnant and have heart disease, turn to our PACT program for specialized prenatal care. The expert team includes high-risk obstetricians and cardiologists who develop a pregnancy plan tailored to your needs. We care for pregnant people with heart conditions, such as cardiomyopathy, hypertension and arrhythmias.

Locations

    Providers

    Recognized excellence

    UCSF Health is ranked one of the top hospitals in the nation for obstetrics and gynecology by U.S. News & World Report.
    • One of the nation’s best for obstetrics & gynecology

    • A Comprehensive Perinatal Services Program provider

    Related conditions & treatments

    Accreditations & memberships

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      Baby-friendly designation

      UCSF Health is a designated Baby-Friendly Hospital by Baby-Friendly USA (BFUSA). The accreditation means we promote breastfeeding, skin-to-skin contact and mother-baby bonding.

    Neonatal and perinatal care

    Our high-risk pregnancy and infant care experts help you plan for delivery and provide advanced care if your baby needs extra help before and after birth.