High-Risk Pregnancy Care

Whether you’re planning a pregnancy or currently expecting, you may experience challenges we need to address prior to or throughout pregnancy.

Your pregnancy may be considered high risk if you expect multiple babies or have an existing medical condition, including diabetes, heart disease, high blood pressure or certain infectious diseases. Other factors that may contribute to a high-risk pregnancy include genetic disease, a history of pre-term labor and delivery, and the loss of a previous pregnancy. 

If you have a high-risk pregnancy, our maternal-fetal medicine specialists at Vanderbilt University Medical Center will be a part of your healthcare team. This will help to ensure you and your baby are safe and healthy throughout pregnancy and delivery.

High-Risk Pregnancy Care: Why Choose Vanderbilt

  • Top specialists: Our maternal-fetal medicine specialists complete advanced training to focus exclusively on treating complications of pregnancy. Our doctors have extensive experience working with pediatric specialists to perform complex procedures. Together, we have performed more than 300 in-utero spina bifida repairs.
  • Collaborative team: Our maternal-fetal medicine specialists work closely with your doctor or nurse midwife to develop a personalized care plan for you. We collaborate with the Junior League Center for Advanced Maternal Fetal Care to ensure your baby receives the most advanced pediatric care available.
  • Personalized care: We partner with pediatric specialists at Children’s Hospital to create a comprehensive care plan for you and your baby based on each of your unique needs.
  • Recognized care: The Level IV Neonatal Intensive Care Unit (NICU) at Children’s Hospital provides the highest designated level of neonatal care in Tennessee. This comprehensive care team has the expertise and experience to care for the most complex and critically ill newborns.
  • 24/7 access to specialists: At Vanderbilt, you have access to a maternal-fetal medicine specialist 24 hours a day, seven days a week. If you require immediate care, our on-call specialist will ensure you and your baby receive the care you need.
  • Genetic counselors: Our genetic counselors are experts in prenatal assessment and testing. We work with families planning a pregnancy or expecting a baby who may have birth defects or a genetic condition.

High-Risk Pregnancy Care: Services We Offer

Genetic Counseling

Genetic counseling can help you understand if your baby is at risk for a birth defect or inherited disorder. Risk factors can include abnormal test results, environmental exposures, family history, medication and ultrasound findings.

Our genetic counselors are experts in prenatal assessment and testing. We help women who are currently expecting or are planning a pregnancy in which the baby may have birth defects or a genetic condition.

Genetic counseling begins with an initial visit to discuss your health history, your family's and your partner's. Your genetic counselor will help you understand your risks, any recommended tests, and the meaning of any test results. Your counselor will work closely with your doctor to develop a care plan for you and your baby.

Universal Carrier Screening

Genetic diseases can be passed down to babies from healthy parents who are “carriers,” but do not show symptoms of the disease. Therefore, the majority of babies born with a genetic disorder often do not have a known family history of the disease.

If you are pregnant or planning a pregnancy, we offer universal genetic carrier screening, which involves a simple blood test. The screening informs us if you and your partner carry genes associated with genetic diseases. This allows you to learn if you are at risk of having a child with a genetic disorder. To learn more, download our patient handouts:

High-Risk Pregnancy Care: Locations

Vanderbilt Center for Women's Health One Hundred Oaks
719 Thompson Lane, Suite 27100
Nashville, TN 37204
(615) 343-5700
Map and Directions

Vanderbilt Center for Women's Health Clarksville
800 Weatherly Dr., Suite 201
Clarksville, TN 37043
(615) 343-5700
Map and Directions

Vanderbilt Franklin Women's Center
4155 Carothers Parkway
Franklin, TN 37067
(615) 794-8800
Map and Directions

Vanderbilt Center for Women's Health at NorthCrest Medical Center
500 NorthCrest Drive, Suite 522
Springfield, TN 37172
(615) 382-2619
Map and Directions

Meet Our High-Risk Pregnancy Care Team