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Center for Complex Obstetric Medicine

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(415) 353-2566

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.

Our locations (1)

    Support services


    Great Expectations Pregnancy Classes

    Get ready for the baby! Choose from a variety of classes that prepare moms and partners for pregnancy, birth, baby care, breastfeeding and parenting.

    Patient Resource

    Lactation Consultant Support

    Get support for all your breastfeeding needs. Troubleshoot with a lactation consultant, find equipment and supplies, join a support group and more.

    Patient Resource

    Women's Health Resource Center

    Access free health resources here, from classes and webinars to support groups and medical referrals, plus pregnancy, birth and breastfeeding services.

    Preparing for your appointment

    What to Bring

    • Photo I.D.
    • Health insurance card
    • Insurance authorization, if required
    • Doctor's referral, if required
    • Recent test results related to your condition
    • List of your medications, including dosages, plus any you're allergic to
    • List of questions you may have
    • Device or paper for taking notes

    International Services

    If you live outside the United States and are coming to UCSF for medical treatment, our patient liaisons can help coordinate all aspects of your visit.

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    Interpreting Services

    UCSF offers interpreters in various languages, including American Sign Language (ASL), as well as services for deaf, hard-of-hearing and visually impaired patients.

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    Hospital Stays

    Make your hospital stay as smooth and comfortable as possible by finding out how to prepare and what to expect.

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    Your Doctor Visit

    See our top 10 tips for making your UCSF doctor’s appointment as stress-free and productive as possible.

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