High-Risk Obstetrics & Foetal Medicine

High-risk obstetrics and foetal medicine at SilverOak Health provides expert care for pregnancies complicated by maternal medical conditions or foetal abnormalities requiring specialist surveillance and management beyond routine antenatal care. Our maternal-foetal medicine (MFM) specialists — obstetricians with subspecialty training in high-risk pregnancy — work closely with cardiologists, nephrologists, haematologists, endocrinologists, and neonatologists to provide integrated, multidisciplinary management for complex pregnancies.

Maternal conditions managed in our programme include pre-existing diabetes, hypertension and chronic kidney disease, cardiac disease, autoimmune disorders including lupus and antiphospholipid syndrome, haematological conditions, obesity, and previous obstetric complications including recurrent miscarriage, pre-eclampsia, and preterm birth. Early and frequent specialist surveillance, optimised disease-specific management, and structured delivery planning minimise the risk of maternal and foetal complications.

Foetal medicine services include detailed anatomy scanning at 20 weeks, foetal echocardiography, growth and Doppler surveillance for suspected intrauterine growth restriction, and invasive testing including amniocentesis and chorionic villus sampling for chromosomal or genetic diagnosis. In utero interventions available at SilverOak include laser therapy for twin-to-twin transfusion syndrome, foetal thoracocentesis for pleural effusions, and selective foetal reduction in higher-order multiple pregnancies. Our multidisciplinary foetal anomaly MDT — meeting weekly with paediatric surgeons, neonatologists, and clinical geneticists — ensures comprehensive counselling and delivery planning for pregnancies with significant structural or genetic foetal diagnoses.