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Maternal-Fetal Medicine Co-Management

Seamless Team Care for High-Risk Pregnancy Conditions

Maternal-Fetal Medicine Co-Management

Hearing the phrase "high-risk pregnancy" can instantly fill an expectant mother's mind with worry. You might envision endless medical appointments, scary internet searches, or losing the warm, personal birth experience you had envisioned.

At MomDoc, we believe a high-risk designation should never take away your joy or peace of mind. High-risk simply means your pregnancy deserves extra attention, specialized expertise, and a dedicated team watching over every detail [1]. Through our integrated Maternal-Fetal Medicine (MFM) Co-Management program, you receive the best of both worlds: the familiar, compassionate care of your primary MomDoc OB/GYN or Certified Nurse-Midwife paired with the subspecialty expertise of leading Arizona perinatologists.


How MFM Co-Management Works

Co-management is a collaborative medical model where your primary maternity care provider and an MFM specialist share knowledge and coordinate your treatment plan in real time:

  • Primary Care Anchor: You continue seeing your favorite MomDoc doctor or nurse-midwife for routine prenatal visits, routine labs, and hospital delivery.
  • Subspecialty Consultation: The MFM specialist provides focused consultations, high-level diagnostic ultrasounds, and specialized care plans tailored to your specific medical needs.
  • Seamless Communication: Medical records, ultrasound reports, and treatment adjustments are shared instantly between teams, ensuring everyone is aligned on your care.

"High-risk care is not about taking control away from parents; it is about surrounding a growing family with every medical safeguard so they can focus on welcoming their newborn with confidence."



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Conditions We Co-Manage Together

Our collaborative clinical team provides comprehensive co-management for a wide spectrum of maternal and fetal concerns [2]:

  1. Pre-Existing Maternal Health: Chronic high blood pressure, pregestational diabetes (Type 1 or Type 2), thyroid disorders, kidney disease, lupus, or heart conditions.
  2. Pregnancy-Related Complications: Gestational diabetes requiring insulin or medication, preeclampsia or gestational hypertension, placenta previa or accreta spectrum, and cervical insufficiency.
  3. Fetal Development & Genetics: Multiple gestations (twins, triplets), fetal growth restriction (IUGR), structural heart concerns, or abnormal genetic screening results.
  4. Obstetrical History: Previous preterm labor, recurrent pregnancy loss, or prior uterine surgeries.

Advanced Targeted Imaging & Testing

As part of your MFM co-care plan, you may be scheduled for specialized diagnostic testing right here in our comfortable Arizona offices or affiliated maternal centers:

  • Level II Anatomical Ultrasounds: High-resolution 3D/4D ultrasound imaging that examines fetal organs, brain structure, and cardiac chambers in minute detail.
  • Fetal Echocardiogram: A specialized ultrasound dedicated strictly to evaluating the structure and blood flow of your baby's heart.
  • Biophysical Profiles (BPP) & Non-Stress Tests (NST): Gentle weekly or bi-weekly monitoring during the third trimester to verify fetal well-being, movement, and heart rate patterns.

Supportive Care Close to Home

With 17 convenient locations across the Valley, including Chandler, Gilbert, Mesa, Peoria, Glendale, Surprise, and Goodyear, MomDoc ensures that high-risk pregnancy care remains accessible, supportive, and close to home.

You are never just a medical chart or a risk category to us. We are honored to walk beside you through every trimester, protecting your health and celebrating every milestone along the way.

Frequently Asked Questions

What is a Maternal-Fetal Medicine (MFM) specialist?

A Maternal-Fetal Medicine specialist (perinatologist) is an OB/GYN doctor who has completed three additional years of intensive fellowship training dedicated exclusively to high-risk maternal health conditions, fetal complications, and advanced prenatal diagnostics.

If I see an MFM specialist, do I still keep my regular MomDoc doctor or midwife?

Yes! That is the core beauty of co-management. Your trusted MomDoc OB/GYN or Certified Nurse-Midwife continues to provide your primary prenatal visits and deliver your baby at the hospital. The MFM specialist works alongside us as a consulting team member, offering specialized ultrasound scans, targeted testing, and expert medical advice.

What conditions qualify a pregnancy as high-risk?

High-risk pregnancy factors include pre-existing maternal health conditions (such as chronic hypertension, type 1 or type 2 diabetes, thyroid disease, or autoimmune disorders), pregnancy-induced concerns (like gestational diabetes, preeclampsia, or placenta previa), carrying twins or triplets, advanced maternal age (35+), or a history of preterm birth.

Will I need extra ultrasounds during my pregnancy?

In most MFM co-managed care plans, targeted high-resolution level II anatomical ultrasounds, fetal echocardiograms, or routine growth monitoring scans are scheduled at specific milestones to closely track your baby's development and amniotic fluid levels.

Can I still deliver with a Certified Nurse-Midwife if my pregnancy becomes high-risk?

In many moderate-risk situations (such as well-managed gestational diabetes or a history of controlled blood pressure), our MomDoc Certified Nurse-Midwives co-manage your care directly with MFM physicians. This allows you to retain your personalized midwifery birth experience while maintaining complete clinical safety.

Is MFM co-management covered by AHCCCS Medicaid and private insurance in Arizona?

Yes. Maternal-Fetal Medicine consultations, high-risk ultrasound scans, and co-managed specialist care are fully covered medical benefits under AHCCCS Medicaid and commercial insurance plans across Arizona.