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Pregnant woman getting ultrasound from doctor

Maternal-Fetal Medicine

Our mission: to provide excellence in clinical care, education, research, innovation, quality, and patient safety in the field of Maternal-Fetal Medicine.
Felipe Moretti

Message from the Division Head

The Division of Maternal-Fetal Medicine (MFM) provides comprehensive obstetrical care  in complicated high-risk pregnancy addressing the special needs of both mother and fetus at The Ottawa Hospital (TOH).

We offer comprehensive, specialized clinics including but not limited to:

  • Preterm Prevention Clinic
  • Fetal Anomalies Clinic
  • Medical Disorders in Pregnancy and Cardio-Obstetric Clinic

Additionally, we provide advanced obstetric ultrasound, invasive prenatal diagnostic testing, and fetal therapy.

Our care involves a multidisciplinary approach in collaboration with Genetics, Neonatologists, Pathology, Pediatric Specialists at CHEO, Internal Medicine, Social Work, Dieticians and Mental Health Specialists.

The Division comprises seven MFM Specialists at the General Campus and five MFM Specialists at the CIVIC Campus. The MFM team at the General Campus also provide advanced gynecological ultrasound at the Shirley Greenberg Women鈥檚 Health Centre at the Riverside Campus of TOH.

Felipe Moretti MD, Associate Professor, Faculty of Medicine, Dept. of OBS/GYN Head, Division of Maternal-Fetal Medicine

Education

The MFM division has a robust and internationally recognized post graduate medical education program in Maternal-Fetal Medicine and Advanced Obstetric and Gynecological Ultrasound.  The MFM Fellowship has trained over 100 OB/GYN Trainees from 14 countries.

Our faculty members are heavily involved in undergraduate and post graduate medical education.

Research

The division has a substantial research portfolio, with the  (OHRI) and Obstetrics, Maternal and Newborn Investigations () with over 650 peer reviewed publications.

Our division has produced clinical, epidemiological, basic science and innovative research, results of which are recognized nationally and international.

Faculty

A

Amily, Noor

B

Bonin, Brigitte

E

El-Chaar, Darine

F

Fung-Kee-Fung, Karen

J

Jones, Griffith

M

Moretti, Felipe

O

Okonkwo, Maureen

Oppenheimer, Lawrence

S

Smithies, Mila

T

W

Walker, Emily

Walker, Mark

Wen, Shi-Wu

Werlang, Ana S.

Clinical services

Maternal Fetal Medicine Team鈥檚 approach to care includes a multidisciplinary team of perinatologists, specialized nurses, sonographers, a dietitian, a social worker and a psychologist.  We provide consultations and on-going prenatal care to women with high-risk pregnancies from both campuses of The Ottawa Hospital.  Pre-pregnancy consultations are provided to women who have medical problems and/or have had a history of complicated pregnancies or bad outcomes.

  • Obstetrical Ultrasound / MFM provides 2D and 3D services from first trimester (gestational age, viability, fetal heart, identify multiples);  NT scan at 11 to 14 weeks if  indicated in conjunction with NIPT testing for Trisomy 18 and 21,  etc;  ultrasound guided amniocentesis  between 14 to 16 weeks, morphology U/S at 18 to 22
  • Genetics counseling with the Medical Genetics team at CHEO; 1st and 2nd trimester genetics screening, amnio and CVS.
  • Fetal diagnosis and treatments in consultation with neonatology and NICU
  • Management of complex multiples pregnancy, with triaging of complications for more complex treatments and then follow up.
  • Management of fetal isoimmunization and other conditions leading to fetal anemia or thrombocytopenia requiring intrauterine sampling and transfusions.
  • Prevention of preterm birth /cervical assessment and cerclage.  Management of placenta previa, placenta accreta and IUGR
  • Management of complex maternal conditions in pregnancy and collaboration with other specialties to optimize outcomes for both mother and baby