The maternal fetal medicine (MFM) specialists at Riley Children’s Health offer comprehensive high-risk pregnancy consultation for women with medical and obstetrical issues, including preexisting diabetes, chronic high blood pressure, preeclampsia, preterm labor and other complex medical conditions that affect pregnancy. MATERNAL FETAL MEDICINE
RESEARCH HIGHLIGHTS
Intensive glycemic targets in overweight and obese women with gestational diabetes mellitus: A multicenter randomized trial (iGDM trial) – National Institutes of Health-funded study evaluating the impact of standard versus intensive glucose targets in overweight/obese women with GDM at four clinical sites in the U.S. Multimodal fetal and placental imaging and biomarkers of clinical outcomes in opioid use disorder study – Indiana University School of Medicine-led observational study to learn about the long-term effects of prenatal opioid exposure Gastroschisis Outcomes of Delivery (GOOD) study – Multicenter randomized clinical trial evaluating timing of delivery in pregnancies complicated by gastroschisis Leading-edge diagnosis and treatment ■ Fetal surgery program, including laser treatment for twin- to-twin transfusion syndrome, insertion of bladder and chest shunts and therapy for amniotic band syndrome ■ Transcervical and transabdominal cerclage for women with history of preterm birth ■ Percutaneous umbilical cord blood sampling and intrauterine transfusion for pregnancies impacted by anemia ■ Comprehensive care for women with cervical and cesarean scar ectopic pregnancies, including directed injection of methotrexate and surgical management with fertility-preserving options, if desired ■ Collaboration with gyn-oncology physicians to safely deliver women with morbidly adherent placenta
DIVISION CHIEF Christina M. Scifres, MD Professor of Obstetrics and Gynecology, IU School of Medicine > Connect with Dr. Scifres on Doximity.
PROGRAM DISTINCTIONS
Specialized programs Fetal Center
■ Largest group of MFM specialists in Indiana
■ Multidisciplinary counseling for pregnancies complicated by fetal health concerns diagnosed prior to delivery Diabetes in Pregnancy Program ■ Comprehensive care for women with diabetes, including management with continuous glucose monitoring and insulin pumps, and an on-site diabetes educator Maternal Cardiac Care Program ■ Collaboration with cardiologists to provide on-site care throughout pregnancy for maternal patients with cardiac disease Maternal Recovery Program ■ Social work, mental healthcare, counseling, opiate replacement therapy and continuity of care in the first year postpartum
13 board certified physicians
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■ Partner in the Fetal Center at Riley Children’s Health, which supports management of high-risk or complex fetal conditions ■ One of the few health systems in the Midwest to offer laser treatment for twin-to-twin transfusion syndrome ■ Maternal Recovery Program provides opioid replacement therapy, counseling and group prenatal care ■ Education and training of four fellows through an ACGME-accredited Maternal Fetal Medicine Fellowship The maternal fetal medicine ultrasound program at Riley Children’s is accredited by the Association for Medical Ultrasound .
See full team member list
NOTABLE PUBLICATIONS JAMA: December 2023 Metformin Plus Insulin for Preexisting Diabetes or Gestational Diabetes in Early Pregnancy: The MOMPOD Randomized Clinical Trial JAMA Network Open: May 2023 Outcomes Following Extracorporeal Membrane Oxygenation for Severe COVID-19 in Pregnancy or Post Partum Prenatal Diagnosis: August 2023 Fetal Cardiac Intervention in Hypoplastic Left Heart Syndrome With Intact or Restrictive Atrial Septum, Systematic Review and Meta-Analysis American Journal of Obstetrics and Gynecology MFM: September 2023 Impact of the Dobbs v Jackson Women’s Health Organization Decision
Maternal Fetal Medicine Volume: 2021 – 2023
New patient appointments 3,632
4,294
4,652
2021
2022
2023
All provider appointments 10,054
11,463
11,870
2021
2022
2023
Ultrasounds
8,324
9,603
10,049
36 research publications in 2023
2021
2022
2023
on Retention of Indiana Medical Students for Residency
Genetic counseling encounters 1,565
1,674
1,654
2021
2022
2023
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Annual Report 2023 – 2024
317.944.7010
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