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High-Risk Maternal Medicine

Complex conditions need subspecialist co-management.

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Overview

Pregnancy alters the physiology of every organ system. In women with pre-existing medical conditions, this creates bidirectional risk — the condition affects the pregnancy, and the pregnancy affects the condition. Managing this requires subspecialist involvement from the first trimester.

What We Offer

Medical Disorders in Pregnancy

Hypertensive disorders, pre-eclampsia, Diabetes (Type 1, 2, and Gestational), Cardiac disease, Haematologic conditions, and Autoimmune disorders (Lupus, Anti-SSA/SSB).

Placental & Obstetric Complexity

Placenta praevia, Placenta accreta spectrum, Multiple gestations (Monochorionic), and Preterm birth prevention (Cerclage/Pessary).

What to Expect

Integrated care involving MFM specialists and other medical subspecialists. We provide detailed delivery planning and postpartum follow-up to optimize outcomes for both mother and child.

Frequently Asked Questions

What makes a pregnancy "high-risk", and do I need to be seen from the start?

A pregnancy is high-risk when a maternal condition and the pregnancy influence each other in both directions — the condition can affect the baby, and pregnancy can worsen the condition. This applies to diabetes, hypertension, cardiac, renal, autoimmune and haematologic disorders, among others. For these women, subspecialist involvement from the first trimester gives the safest outcomes, so early referral is important.

I have diabetes. How will my pregnancy be managed differently?

Diabetes — whether type 1, type 2 or gestational — needs tight glucose control before and throughout pregnancy to reduce the risk of congenital abnormality, excessive fetal growth and other complications. We provide integrated management with close monitoring, targeted scans and a coordinated delivery plan tailored to your control and gestation.

Can pre-eclampsia be predicted or prevented?

To a significant degree, yes. We screen for pre-eclampsia risk and, in high-risk women, use preventive measures such as low-dose aspirin that reduce the chance of early, severe disease. Throughout pregnancy we monitor blood pressure, kidney function and fetal growth closely so that any developing pre-eclampsia is caught and managed early.

I am expecting twins. Do all twin pregnancies need specialist care?

Twins carry higher risk than single pregnancies, and monochorionic twins (who share one placenta) need particularly close surveillance for complications such as twin-to-twin transfusion syndrome. We provide the structured scan schedule and expert monitoring that multiple pregnancies require, with the fetal therapy capability on hand should a complication arise.

What are placenta praevia and placenta accreta, and how are they managed?

Placenta praevia is a low-lying placenta that covers the cervix, and placenta accreta spectrum is where the placenta grows abnormally deep into the uterine wall — both can cause serious bleeding at delivery. We diagnose and monitor these with detailed imaging and coordinate a carefully planned delivery with the right surgical team and blood-bank support in place.

How is care coordinated with my other doctors, and is this available in Abu Dhabi and Al Ain?

High-risk maternal care is delivered as integrated, co-managed care between our MFM specialists and your other treating physicians, such as cardiologists or rheumatologists. This includes detailed delivery planning and postpartum follow-up. These services are available to patients across Abu Dhabi and Al Ain, and referrals from other specialists are welcome; please confirm insurance coverage in advance.