Center for Complex Obstetric Medicine

The UCSF Center for Complex Obstetric Medicine provides specialized care before and during pregnancy to patients with medical concerns that may affect their health or the health of their baby. We also offer consultation services to doctors.

Whether you're planning a pregnancy or currently pregnant, our goal is to help you achieve the best possible outcome, for both your child and your overall health. We have the expertise to care for patients with a wide variety of conditions, including:

• Congenital and acquired heart conditions (such as mechanical heart valves and tetralogy of Fallot)
• Neurological conditions (such as myasthenia gravis and multiple sclerosis)
• Blood disorders (such as hemophilia)
• Diabetes and other endocrine disorders (such as Graves' disease and hyperparathyroidism)
• Gastrointestinal conditions (such as ulcerative colitis and Crohn's disease)
• Autoimmune conditions (such as lupus and Sjögren's syndrome)
• History of organ transplantation
• Liver conditions (such as cirrhosis and hepatitis)
• Substance use disorders
• Complex psychiatric conditions
• Pregnancy-related conditions (such as placental issues and preeclampsia)

For fetal concerns, we'll refer you to the UCSF Fetal Treatment Center.

Our team includes perinatologists (OB-GYNs who specialize in complicated pregnancies, also known as maternal fetal medicine specialists), obstetric anesthesia experts, nurses and social workers. We will coordinate all parts of your care – from consultations to testing and diagnosis to treatments – throughout your pregnancy, delivery and postpartum period. Each year, at our state-of-the-art, family-oriented Birth Center, we deliver hundreds of babies for patients with high-risk pregnancies.