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DIVISION

Maternal-Fetal Medicine

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    The mission of the Division of Maternal-Fetal Medicine is to provide comprehensive evidence-based counseling and care for patients at high risk of complications during pregnancy in order to improve patient and neonatal outcomes. We additionally contribute to the growth of our field via education and training of future Maternal-Fetal Medicine physicians and by contributing to advances in diagnosis, treatment and prevention through research.

    Welcome to the Division of Maternal-Fetal Medicine! We are the high-risk pregnancy subspecialists within the Department of Obstetrics and Gynecology, and we serve as consultants to the entire Milton S. Hershey Medical Center, as well as the rest of the Penn State Health system. We specialize in pregnant persons and their fetuses with complex medical conditions such as hypertension, diabetes, heart disease, prior preterm delivery, history of pregnancy loss, multiple gestations, fetal genetic conditions, and fetuses with congenital anomalies. We provide consultative services, obstetrical screening and diagnostic testing, obstetrical ultrasound, as well as antepartum, intrapartum, and postpartum care in both the outpatient and inpatient settings. As a core division in our academic practice, we are committed to excellence in patient care, education of medical trainees and the community, and are productive in multiple areas of research contributing to our field.

    Jaimey M. Pauli, MD, FACOG

    Chief, Division of Maternal-Fetal MedicineProfessor of Obstetrics and Gynecology

    Education in Maternal-Fetal Medicine

    The Maternal-Fetal Medicine division is active on all levels of education at Penn State College of Medicine from medical student core curriculum lectures, Problem Based Learning and clerkship teaching, to residency didactic and clinical teaching, MFM fellowship didactic and clinical teaching, and institutional teaching (invited internal and external grand rounds, NICU fellow rotations and didactics). Our educational activities include:

    • MFM weekly meetings (Wednesdays from 7 to 9 a.m.)

      • includes the MFM fellowship didactic series with lectures by internal and external speakers, high risk case reviews, ultrasound quality reviews, journal club, collaborative patient care meetings (ex. monthly Cardio-Obstetrics meeting).

    • OB/GYN residency rotations in inpatient and outpatient Maternal-Fetal Medicine (PGY-2 and PGY-3)

    • OB/GYN residency Maternal-Fetal Medicine lectures

    • Medical and physician assistant student OB/GYN clerkship rotations in Maternal-Fetal Medicine

    • REP 730 Reproductive Medicine course (MS2)

    • OBGYN 722 Maternal-Fetal Medicine Acting Internship

    • OBGYN 724 Preparation for Residency in Obstetrics and Gynecology Elective

    • Perinatal Conference (weekly clinical review and CME lectures)

    • Complex Fetal Care Center monthly meeting

    • Problem Based Learning facilitation (Dr. William Curtin)

    • Morbidity and Mortality conference facilitation

    • Grand Rounds lecture speakers

    Research in Maternal-Fetal Medicine

    The Maternal-Fetal Medicine division is involved in clinical, basic science and database research, funded through inside and outside grants, and our work has been presented at national meetings and published in peer-reviewed journals. Recent areas of research include fetal growth restriction and ultrasound, COVID-19 and pregnancy, opioid use disorder, exercise and diet in pregnancy, hypertension, childhood development, implementation of cesarean delivery protocols, venous thromboembolism, and many more. The MFM division supports medical student, resident and fellow participation in current research projects as well as the development and implementation of their own research interests.

    Clinical Care in Maternal-Fetal Medicine

    The Maternal-Fetal Medicine division provides outpatient consultations and obstetrical ultrasound services at five Penn State Health locations: Hope Drive (Hershey), Nyes Road (Harrisburg), Camp Hill, Holy Spirit (Camp Hill) and St. Joseph’s (Reading). The Hope Drive, Nyes Road and Camp Hill offices also provide full scope prenatal care for high risk patients that is primarily provided by two dedicated MFM nurse practitioners.

    The MFM ultrasound unit is American Institute of Ultrasound Medicine accredited and provides first trimester pregnancy ultrasounds, routine and detailed anatomic surveys, fetal growth assessments, diagnostic genetic procedures (chorionic villus sampling, amniocentesis), Doppler studies, and antenatal testing services. The MFM fellows’ clinic is a weekly session at the Hope Drive office that focuses on the highest risk patients and includes consults, medication management (insulin, antihypertensive medications, etc.) and delivery planning.

    The inpatient MFM service performs inpatient consults, antenatal care for hospitalized high-risk pregnancies, comprehensive ultrasound services, resident and fellow clinical supervision on Labor and Delivery and antepartum (including deliveries and cerclage placements), and provides L&D OB backup for emergencies. The MFM service has 24/7 availability via beeper call for consults and transfers from outside facilities.

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