Maternity Services

High-Risk Pregnancy Services (Perinatal Center)

Women who develop or have certain medical conditions may be considered at “high risk” during their pregnancy. These women need to be regularly monitored and evaluated throughout their pregnancy by a team of maternal-fetal medicine physicians and other specialists in addition to their OB/GYN.

At St. Anthony’s Perinatal Center, we have a highly experienced team of specialists who care for women with high-risk pregnancies resulting from

  • Diabetes
  • Thyroid disorders
  • Hypertension (high blood pressure)
  • Blood clotting disorders
  • Multiple births (up to triplets)
  • History of pregnancy loss or complications with previous pregnancies
  • Mature Age (over age 35)

Our Perinatal Team

Maternal-fetal medicine specialists — These board-certified physicians (also called perinatologists) specialize in the care of mother and baby during pregnancy. They work in conjunction with your obstetrician to help you achieve a successful pregnancy and birth. You also may consult with these specialists prior to starting a pregnancy.

Diabetes Nurse Educators — Our diabetes nurse educators work with pregnant women with Type I, Type II or gestational diabetes and discuss the impact of diabetes on pregnancy. These educators, along with a dietitian, offer weekly classes focused on diet, blood sugar monitoring and the importance of maintaining medication (if prescribed by a physician). Learn more about St. Anthony's Nutrition and Diabetes Education Program.

Genetic Counselors — St. Anthony’s has board-certified genetic counselors who provide information about genetic screening and testing options for your baby. They also can provide detailed information relating to hereditary disorders and fetal anomalies.

Perinatal Testing Services

Amniocentesis — This test, performed by a maternal-fetal medicine specialist, involves taking a small amount of amniotic fluid from your uterus. It is primarily performed to check for chromosomal or genetic disorders, such as Down syndrome, Trisomy 13, Trisomy 18 and others, but may also be used to assess the baby’s lung maturity or check for amniotic infection. Genetic amniocentesis results are reviewed by a genetic counselor. All other results are reviewed by the perinatologist or ordering physician.

Genetic Screenings — Board-certified genetic counselors offer first trimester and quad screenings, chromosome testing by amniocentesis or chorionic villous sampling (CVS).

Non-stress test (modified biophysical profile) — This is a simple, painless procedure done during pregnancy to monitor a baby’s heart rate over a period of time. Two devices placed on your abdomen will monitor your baby’s heart beat and movement as well as your own uterine contractions. The procedure provides valuable information about your baby’s wellbeing and is typically used in the third trimester as part of an overall evaluation of your baby.

3D/4D ultrasound — St. Anthony’s Perinatal Center was the first in St. Louis to offer 3D/4D ultrasound, an advanced technology that provides high resolution, dimensional images of a developing baby. The technology is used as a screening tool to check for structural problems, such as heart defects or cleft lip/palate, or for placental problems such as placenta previa.

Perinatal Center Patient Forms

Prior to your appointment in the Perinatal Center, you will be asked to complete some paperwork related to your medical condition and history. You may complete the paperwork at the Center (please arrive 20 minute before your scheduled appointment).

To save time, you also may print out the appropriate forms below and fill them out at home before coming to the Perinatal Center.