Every pregnant woman must be healthy during the gestation. There are many treatments that must be undertaken by the mother to have a healthy pregnancy. However, if there is a problem that might cause a high risk for both mother and baby, it can be handled by maternal fetal medicine or commonly called as perinatology. It is the obstetrics’ branch that has a focus on critical condition that might happen in time span of before and after the birth. The specialist who takes this field is called as perinatologist. So, here are brief explanation about perinatology and how the perinatologists do their job.
What is Maternal Fetal Medicine or Perinatology?
As you know that obstetrics is study of childbirth and any processes that to deal with it. It is good for women with healthy pregnancy. However, there are many pregnant women who must face high risk problems that can endanger their and the baby’s health and safety. Then, there is a branch of obstetrics that specially focuses on surgical and medical procedure of the pregnancies with high risk. Commonly, it is called as perinatology, but it is also known as maternal fetal medicine or MFM. Moreover, the obstetrician who works for this procedure is the perinatologist.
The management or procedure that is done by perinatologist includes the fetal treatment or surgery, comprehensive ultrasound, genetic amniocentesis, and many more. Moreover, according to the research and statistic, there are a lot of pregnancies that have led for maternal morbidity and mortality. That is why maternal fetal medicine study becomes one of the medical fields that has been mostly evolving rapidly and particularly for the fetus concern. Then, to decrease the number of maternal mortality and morbidity, the high risk pregnancies are recommended to be handled by perinatologist. Based on www.smfm.org, more than 2000 Maternal-Fetal Medicine physicians care for complex pregnancies in the US.
There are many conditions that can be treated and evaluated with perinatology. First is maternal diseases, like hypertension, maternal lupus, infectious diseases, toxemia, platelet all immunization and the other mother’s history of high risk obstetrical. Second is suspected or known fetal anomaly like macrosomia, abnormal growth of fetal, and many more. Third is multiple gestations that may be twins or even more multiples. Fourth is history of maternal family, such as renal disease, cystic fibrosis, cardiac disease, gastrointestinal disease and many more. Then, the maternal fetal medicine specialist will handle and take care the patients with those conditions of high risk pregnancy to keep both mother and the baby healthy.
Furthermore, there is no woman who wants to have such problem during the gestation and have high risk for the delivery. Then, there is also community of maternal fetal medicine that try to decrease the risk through the prevention, research of treatment and diagnosis, training, and education. If the perinatologists become more competent, they can handle the condition with higher percentage of success to decrease the maternal death rate. That is why perinatology has important role to confront any conditions before and after the baby delivery procedure. Then, what does perinatologist actually do to help this kind of pregnancy problem?
How Does Maternal Fetal Medicine Specialist Work?
Not all women can deliver their baby with fine and healthy condition. The women who have high risk of pregnancy like disease history during the pregnancy and the other developing problems really need a care of maternal fetal medicine specialist. Besides, the job of perinatologist is not only to help the woman with problem in her pregnancy, but also to give a care for the problems immediately since the problem emerge. Then, here are some procedure taken by the specialist to treat the women with high risk pregnancy.
First, the specialist or doctor will collect the basic information of the baby. It is done through some treatments like ultrasound screening that is conducted routinely. Besides, the doctor also will interview the patient to obtain some information about mother’s history and the background of pregnancy. Moreover, that is not enough to find about the problem that might happen to the baby. So, the doctor also can do additional diagnostic procedures and some prenatal testing to get more data. It is important for maternal fetal medicine to take a right treatment for the patient, both before and after the delivery process.
Then, after the result of testing and basic information has been revealed, the doctor will explain and discuss about the situation of pregnancy with the patients. He or she will tell about the approach of treatment can be used for the problems. The treatment and solution must be able to protect both of baby and mother. The maternal fetal medicine specialist will ensure the patients to keep them as healthy as possible. Then, the patient will not be worried of delivery process and trust the doctor to handle the problems.
Moreover, the job of the specialist has not finished yet with the treatment approach. The patients also must do some particular medical procedures to take care the baby before the birth. The patient should conduct a procedure of medications for the baby that is done through the placenta. This treatment should be done to treat the fetus and keep it healthy until the delivery process and manage the pregnancy from higher risk. Besides, the maternal fetal medicine specialist also should monitor the patients routinely to make sure that the treatment is properly done. Furthermore, the doctor also can give another treatment when it is needed like an order for patient to bed rest and give recommendation of the best place to deliver the baby.
At the heart of the matter, the perinatologist’s job focuses on how to keep both of mother and baby healthy. Besides, the baby also should be kept inside during the pregnancy to prevent it from prenatal birth that can cause more serious problems. In the delivery time, the perinatologist and team keep monitoring the process and deal with the other complication problem that might happen. Maternal fetal medicine specialist will do the treatment if it is needed like congenital abnormality that need immediately surgery. Together with the team members, the perinatologist plan and do the further treatment like surgery to keep the baby and mother as healthy as possible.