For high-risk pregnancies

UBMD Maternal-Fetal Medicine is unique in offering comprehensive complex pregnancy care in the same practice as our general obstetrical services. This on-site integration means that patients with high-risk pregnancies, who may require specialized monitoring, advanced diagnostics, or in-depth consultations and management for complex maternal or fetal conditions, no longer need to be referred to external facilities. Patients receive seamless, coordinated care from the same trusted team and in the same familiar location. They can continue to see their general OB provider while having access to a team of nationally recognized complex pregnancy care doctors.

Our team of maternal fetal medicine specialists, led by Thaddeus Waters, MD, Chief of Maternal-Fetal Medicine at the University at Buffalo, takes a multi-disciplinary approach to create a personalized care plan that’s right for both the pregnant person and their baby. Our group also includes two other UB Faculty members who are board certified Maternal-Fetal Medicine providers with over 30 years of combined experience: Dr. Alicia Mandujano and Dr. Michele Lauria. From preconception services to birth, our team of highly trained and experienced pregnancy experts dedicate themselves to ensuring the best possible outcomes during a high-risk pregnancy. Risk factors for high-risk pregnancy can include existing health conditions such as diabetes and high blood pressure, obesity, multiple births, and pregnancy in teens and people over 35.

Our services include:

  • Preconception counseling
  • Genetic evaluation by a certified genetic counselor
  • Prenatal screening and diagnosis
  • Ultrasound screening (targeted anomaly exams, nuchal translucency) including 3D/4D
  • Management of multiple gestation
  • Comprehensive diabetic care (both chronic and gestational diabetes)

  • Nutritional counseling
  • Management of maternal medical conditions (e.g., hypertension, thyroid disease, respiratory problems and cardiac conditions, history of adverse pregnancy outcomes, mental health disorders)
  • Diagnosis and management of fetal anomalies (e.g., congenital diaphragmatic hernia, abdominal wall defects, lung lesions, twin transfusion syndrome, and skeletal dysplasia)

Appointments are available at our Maplemere office. To make an appointment, or if you have questions, call our office at 716-636-8284.