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fetal care

Fetal Care Center

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The Fetal Care Center brings together a team of leading experts in maternal-fetal medicine, neonatology, genetics, pediatric surgery, and an array of other top-ranked pediatric subspecialties. This network of excellence from throughout our health system comes together to provide an elite level of care at the Fetal Care Center. Together, a comprehensive care plan is devised for pregnant patients and their developing babies who require specialized medical and surgical care while in the womb or expected interventions after birth. Our expert physicians and surgeons have ensured successful births for thousands of babies.

As leaders in complex in-utero surgery, we are proud to be the first in Connecticut and the region, to perform utero myelomenigocele repair. Myelomeningocele is a condition where the baby’s backbone and spinal canal do not close before birth. The condition, a type of spina bifida, is a congenital defect of the spine and spinal cord. The surgery is performed before the baby is born (prior to 26 weeks gestation) as this provides the best outcomes.

Why Choose Us

  • For more than 40 years, we have provided world-class fetal therapy services.
  • YNHH is proud to have pioneered the nation’s first Neonatal Intensive Care Unit.
  • We are one of only a few hospitals in the country to offer couplet care, where mothers and their babies are cared for together in the same room.
  • Many procedures available to women with high-risk pregnancies were first developed by our partners at Yale School of Medicine’s department of Obstetrics, Gynecology and Reproductive Sciences including noninvasive fetal anemia assessment, percutaneous umbilical blood sampling (PUBS), in utero fetal blood transfusion and therapies such as fetoscopy and fetal surgery.
  • Our physicians are leading researchers in the field of fetal medicine.

For more information or to request an appointment, please call 855-433-8252, or submit a Fetal Care Center Information Request. Someone is available to answer your call from Monday through Friday, 8 am – 4:30 pm.

A coordinator to help you navigate

A fetal therapy coordinator is available to help patients through the process. The coordinator is there throughout the patient’s care journey; from pregnancy through delivery, and often beyond. They guide patients through testing, meeting with specialists, scheduling appointments and coordinating the elements of the care plan based on the patient’s needs.

Conditions We Treat

Here are some of the common conditions we treat

View the full list of conditions

  • Abnormal sexual differentiation
  • Airway lesions
  • Bronchopulmonary sequestration
  • Cleft lip/palate
  • Clubbed feet
  • Congenital cystic adenomatoid malformations
  • Congenital diaphragmatic hernia
  • Congenital heart defects
  • Conjoined twins
  • Fetal anemias
  • Gastroschisis
  • Fetal arrhythmias
  • Fetal obstructive uropathy (posterior urethral valve)
  • Hydrocephalus
  • Hydronephrosis
  • Hydrops fetalis
  • Myelomeningocele/spina bifida
  • Polyhydramnios
  • Intra-abdominal masses
  • Intracranial abnormalities
  • Omphalocele
  • Renal conditions
  • Sacrococcygeal teratoma
  • Selective fetal growth restriction
  • Twin reversed arterial perfusion sequence
  • Twin-to-twin transfusion syndrome
  • Twin Anemia polycythemia sequence
  • Fetal Cardiology

    As part of the Fetal Care Center, fetal cardiologists care for babies in the womb who may be at risk for or are affected by congenital heart disease or abnormal heart rhythms. They collaborate with a multidisciplinary team at the Fetal Care Center, including physicians from maternal-fetal medicine, neonatology, and pediatric cardiothoracic surgery, as well as social work and genetic counselors. This special team will help identify causes and customize treatment options. Learn more about our fetal cardiology services including fetal echocardiograms.

    Fetal Surgery

    In the event a developing baby requires surgery to treat a condition, either while in the womb or after birth, families can rest assured knowing that they’ll receive the greatest of care. Our expert surgical team is comprised of a renowned fetal surgery team and pediatric specialists in cardiology, craniofacial and plastic surgery, gynecology, neurosurgery, ophthalmology, orthopedics, otolaryngology, pediatric general surgery, transplantation and urology. Additional members of the team include anesthesiology, advanced practice providers, nurses, social workers, nutritionists and child life specialists. Yale New Haven Children’s Hospital is the only hospital in Connecticut offering in utero fetal surgery.

    Advanced Prenatal Genetic Testing and Counseling

    Genetic counseling and prenatal testing are among the most valuable tools to help prospective parents make important decisions regarding a current or future pregnancy. Many things are taken into consideration including family medical history, blood test results, ultrasound measurements, age and ethnicity to name a few. Our board-certified genetic counselors help families understand their test results and the impact on their current or future pregnancies. They also provide education on which tests are available and explain results. If there is a detection of a structural abnormality or there are concerns about a genetic syndrome, the genetic counselor will ensure the family understands the potential prognosis and provide counseling based on the family’s preferences.

    Advanced testing options

    • Amniocentesis
    • Chorionic Villus Sampling (CVS)
    • Karyotype
    • Microarray
    • Specific Gene Testing
    • Whole Exome Sequencing

    Neonatal Care

    Neonatologists are pediatricians with advanced training and expertise in the care of sick newborns, and play an integral role on the Fetal Care Center medical team. They offer comprehensive consultations following diagnoses and assist the family in establishing an individualized care plan for their newborn. We recommend infants requiring special medical attention be delivered at Yale New Haven Hospital to facilitate immediate access to Yale New Haven Children’s Hospital’s Neonatal Intensive Care Unit (NICU), one of the most advanced in the country. Neonatologists oversee the care of all patients in the NICU, in coordination with a full range of pediatric subspecialists.

    Perinatal Palliative Care

    At times, a pregnancy may result in a life-limiting condition or families are confronted with the difficult decision to end the pregnancy. Our Perinatal Palliative Care program is here to support you and your family through these challenging times. Our compassionate team works with pregnant patients and their families to develop a culturally sensitive and individualized care plan that respects the wishes of the family. Families receive palliative care beginning with the medical diagnosis, throughout and following pregnancy. Learn more about our Perinatal Palliative Care program.