High-Risk Pregnancy Care
Vanderbilt Health's high-risk obstetrics team, known as maternal-fetal medicine (MFM) specialists, provides the region’s most advanced care for you and your little one.
Our care involves two specialized teams, one dedicated to you and one to your baby (or babies), to ensure the best possible outcome and experience. From the beginning, our nationally ranked teams work closely with your regular obstetrician, carefully coordinating you and your baby's care to reduce delivery complications and enhance communication.
High-risk pregnancies may include:
- a pre-existing medical condition, such as high blood pressure
- a new pregnancy-related medical condition, such as gestational diabetes
- complications in past pregnancies or recurrent losses
- a new diagnosis of fetal or placental abnormality
High-risk pregnancies often require more frequent appointments and additional testing. Our goal is to help guide you through them, paving the way for a healthy pregnancy and safe delivery in your home community.
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Conditions We Treat
We treat pregnant persons with pre-existing medical conditions that may complicate pregnancies, including patients with a history of pregnancy complications and new conditions related to your pregnancy. For fetal-related care for your baby, we may see you in our Reed Family Maternal Fetal Clinic located in Monroe Carell Jr. Children’s Hospital at Vanderbilt.
Some conditions we treat include:
- Chronic kidney disease
- Diabetes
- Heart disease in pregnancy
- Inflammatory bowel disease (IBD)
- Risk of genetic disorders in offspring
Meet Your Care Team
Kelly A. BennettMD, MS
- Fetal Anomalies in Pregnancy, Gynecology, High Risk Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy)
Luke A. GattaMD
- Consult for Maternal Fetal Medicine, Gynecology, Maternal Cardiac Disease in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy), Obstetrics and Gynecology
Matthew R. GraceMD, MMHC
- Diabetic Care in Pregnancy, Fetal Anomalies in Pregnancy, Gynecology, High Risk Pregnancy, Maternal Cardiac Disease in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy)
Andrea W. JohnsonMD
- Consult for Maternal Fetal Medicine, Diabetic Care in Pregnancy, Gynecology, High Risk Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy), Multiple Pregnancy, Obstetrics and Gynecology
Soha S. PatelBS, MSPH, MSc, MD
- Diabetic Care in Pregnancy, Fetal Anomalies in Pregnancy, Gynecology, Maternal Cardiac Disease in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy), Multiple Pregnancy, Obstetrics
Martha E. DudekMS
- Fetal Anomalies in Pregnancy, Genetic Counseling, Genetics, Gynecology, Maternal Fetal Medicine (High Risk Pregnancy), Reproductive Endocrinology and Infertility
Kelsey N. HazelbergMGC
- Consult for Maternal Fetal Medicine, Genetic Counseling, Genetics, Gynecology, Infertility, Maternal Fetal Medicine (High Risk Pregnancy)
Caitlin M. MannMS, CGC
- Fetal Anomalies in Pregnancy, Genetic Counseling, Gynecology, Infertility, Maternal Fetal Medicine (High Risk Pregnancy)
Jill R. SlamonMS, MA, BS
- Fetal Anomalies in Pregnancy, Genetic Counseling, Gynecology, Infertility, Maternal Fetal Medicine (High Risk Pregnancy)
Samantha StoverMS
- Fetal Anomalies in Pregnancy, Genetic Counseling, Genetics, Gynecology, Infertility, Recurrent Miscarriages
Emad A. ElsamadicyMD, MS
- Consult for Maternal Fetal Medicine, Diabetic Care in Pregnancy, Fetal Anomalies in Pregnancy, Gynecology, High Risk Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy), Obstetrics and Gynecology
Etoi A. GarrisonMD, PhD
- Diabetes and Endocrinology, Gestational Diabetes and Endocrine Disorders in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy)
Luke A. GattaMD
- Consult for Maternal Fetal Medicine, Gynecology, Maternal Cardiac Disease in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy), Obstetrics and Gynecology
Matthew R. GraceMD, MMHC
- Diabetic Care in Pregnancy, Fetal Anomalies in Pregnancy, Gynecology, High Risk Pregnancy, Maternal Cardiac Disease in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy)
Laura E. HoustonMD, MSCR
- Fetal Anomalies in Pregnancy, General Obstetrics, Gynecology, High Risk Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy)
Andrea W. JohnsonMD
- Consult for Maternal Fetal Medicine, Diabetic Care in Pregnancy, Gynecology, High Risk Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy), Multiple Pregnancy, Obstetrics and Gynecology
Dennis T. McWeeneyDO, MS
- Gynecology, High Risk Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy)
Soha S. PatelBS, MSPH, MSc, MD
- Diabetic Care in Pregnancy, Fetal Anomalies in Pregnancy, Gynecology, Maternal Cardiac Disease in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy), Multiple Pregnancy, Obstetrics
Amelie PhamMD
- Consult for Maternal Fetal Medicine, Fetal Anomalies in Pregnancy, Gynecology, High Risk Pregnancy, Maternal Cardiac Disease in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy)
Jennifer ThompsonMD
- Gynecology, High Risk Pregnancy, Maternal Cardiac Disease in Pregnancy, Maternal Fetal Medicine (High Risk Pregnancy), Obstetrics and Gynecology
Megan R. WebbAPRN
- Diabetic Care in Pregnancy, Gynecology, High Risk Pregnancy, Obstetrics and Gynecology
Why Choose High-Risk Pregnancy Care at Vanderbilt
- Personalized delivery and neonatal care
We collaborate closely with your primary obstetric provider by regularly sharing updates, images and test results. We encourage co-managed care when possible so you may deliver in your community. When needed, your obstetrician can transfer your care to our team.
- Dedicated maternal-fetal care
If your baby needs special monitoring or tests, you will see the care team at the Reed Family Maternal Fetal Medicine Clinic at Monroe Carell Jr. Children’s Hospital. Our high-risk obstetricians, genetic counselors, care coordinators and pediatric specialists provide care for your unique needs throughout your pregnancy. Some babies may need care in our Level IV NICU, which is the most advanced in the region. This means your baby won’t be transferred to another facility if they need higher level care.
- Telehealth
When possible, we’re happy to meet with you through telehealth. This makes receiving expert care more convenient than ever before.
- Highly skilled doctors
Providing care for a high-risk pregnancy requires a special set of skills, knowledge and expertise. Our team features doctors who are board certified in obstetrics and in gynecology and maternal-fetal medicine, with training and experience from leading institutions around the country. You may be experiencing a health-related issue that might affect your pregnancy, or your unborn child may have a medical issue that needs to be addressed prior to birth. In either case, you can be confident in knowing you will receive the very best treatment from doctors who have been specifically trained in managing complex pregnancies.
- Recognized pediatric care
If your baby needs fetal diagnosis and care, our pediatric subspecialists will see you at the Reed Family Maternal Fetal Medicine Clinic located inside Monroe Carell Jr. Children’s Hospital. Our high-risk obstetricians, genetic counselors, care coordinators and pediatric specialists provide care for your unique needs throughout your pregnancy. They’ll be right by your side for delivery too to help ensure your baby’s safety.
- Most advanced NICU in the region
After delivery, if your baby needs care in our Level IV NICU, you can rest assured that we have the highest level of care available. You don’t need to worry about your baby being transferred to another facility for care. While you recover, you’ll be able to visit your new baby through the skybridge to Monroe Carell, our pediatric hospital.
- Team approach
Each patient and pregnancy are unique, so their treatment should be too. We assemble a team dedicated to your care based on your specific needs. This may include specialists from endocrinology for diabetes, psychiatry for substance use or cardiology for pregnancy-related hypertension. We will coordinate any referrals to ensure you get the care you need.
- Innovative research and treatment options
We’re always looking for new and better ways to help ensure the health of both you and your baby. Our team is known worldwide for successfully developing and performing complex procedures, including in-utero spina bifida repairs. We participate in multicenter trials and research studies to continue providing the most advanced care possible.
Evan's Story
Tests, Treatments and Services
For tests, treatments and services for your baby, we will refer to Monroe Carrell Jr. Children’s Hospital providers.
We offer a full range of tests, treatments and services, including:
- Coordination with your local obstetrician
- Direct admission to our regional nurseries and NICUs
- Fetal blood sampling and transfusion
- Genetic counseling
- High-risk birth plans
Support Resources
Learn more about in-person and virtual classes we offer to moms and partners, as well as other resources such as breastfeeding and lactation support.