"Dr. El-Azeem, Thank you for giving us this beautiful baby girl. She is here with us today because of everything you did to help us along our bumpy journey. We are truly indebted to you for this gift of life. You are an amazing physician!! "

Anthony & Sam N.

Mahoning Valley
High Risk Obstetrics

Fax: 330-965-6390

What is a Maternal-Fetal Medicine (MFM) sub-specialist?
Most women seek consultation from or care by a Maternal-Fetal Medicine (MFM) sub-specialist because they are considering becoming pregnant and may be "at risk" or because they are pregnant and "high risk", "complicated", or otherwise worried about their pregnancy.

What conditions might create a "high risk" pregnancy?
Women with medical or surgical disorders, such as:

     • Heart disease
     • High blood pressure
     • Preeclampsia (toxemia)
     • Diabetes or other endocrine disorders
     • Kidney or gastrointestinal disease
     • Infectious diseases
Healthy women whose pregnancy includes:
     • Abnormal AFP (alpha fetoprotein) blood test
     • Twins, triplets or more
     • Recurrent pre-term labor and delivery
     • Premature rupture of membranes
     • Recurrent pregnancy loss
     • Suspected fetal growth restriction (baby not growing enough)

Women undergoing diagnostic or therapeutic procedures during pregnancy, such as:
     • Comprehensive ultrasound
     • Chorionic villus sampling
     • Genetic amniocentesis, fetal surgery or treatment

How is an MFM sub-specialist ideally suited to care for women with these issues/pregnancy complications?
A Maternal-Fetal Medicine sub-specialist is an individual who has
     • graduated from Medical School
completed four years of Obstetrics and Gynecology residency
     • completed two to three years of Maternal-Fetal Medicine fellowship
Fellowship training provides additional education and practical experience to gain special competence in various obstetrical, medical, and surgical complications of pregnancy.

By virtue of this training and technical proficiency, the MFM sub-specialist
     • provides care or consultation for both mother and unborn baby in a complicated pregnancy.
     • provides education and research concerning the most recent approaches to the diagnosis and
        treatment of obstetrical problems. He/she thus
promotes awareness of the diagnostic and therapeutic techniques for optimal management of these         complicated pregnancies.

How is care coordinated between your obstetrician and an MFM sub-specialist?
It is recognized that many obstetricians-gynecologist are also qualified by training and experience to manage complicated pregnancies. Maternal-Fetal Medicine sub-specialists are complementary to obstetricians in providing
     • consultations,
     • co-management,
     • direct care for a complicated patients both before (pre-conceptional counseling) and during pregnancy.

Maternal-Fetal Medicine sub-specialists also work with family physicians and certified nurse-midwives. The Maternal-Fetal Medicine sub-specialist will work with you and any other healthcare professional in whatever method is best for you and your baby.


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Mahoning Valley High Risk Obstetrics provides High Risk Pregnancy Management with Obstetrical and Gynecological high resolution ultrasound, with locations in Boardman and Warren, Ohio.