What is Maternal-Fetal Medicine?

Maternal-Fetal Medicine (MFM) is a specialty within obstetrics which focuses on the management of the most complicated pregnancies.  In Australia, obstetricians who want to become MFM specialists undertake an additional 3 years of supervised training in high risk units around the country, and are required to complete formal assessments and examinations before they are recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as certified specialists in Maternal-Fetal Medicine. In addition to those certifications, they also undertake advanced training in pregnancy ultrasound. Only those who have completed all of those training requirements are able to call themselves MFM specialists. 

What Does an MFM Specialist do?

MFM specialists are expected to have advanced knowledge and expertise in the most current methods of diagnosis and treatment of complicated, high risk pregnancies.  As such, they are required to keep up to date with advances in pregnancy care, and be able to assess and evaluate the safety and benefits of new treatment options for pregnancy.

An MFM specialist can offer a range of prenatal care solutions, including:

• Procedures that monitor your baby’s development
• Thorough checks for genetic disorders or birth defects by performing a range of tests including umbilical cord sampling, amniocentesis or chorionic villus sampling
• Helping you manage pre existing conditions such as high blood pressure or diabetes
• Monitoring labour and delivery
• Managing your health and care problems after pregnancy ends, including high blood pressure, excessive bleeding or infection. 
• Managing complicated or high risk pregnancies.

The Difference Between an MFM Specialist and an Obstetrician

MFM Specialists are obstetricians that have advanced training and experience in managing complicated pregnancies, including training in ultrasound.  If you have a complicated pregnancy, you should discuss with your doctor whether you should be referred to an obstetrician (OB/GYN), or an MFM specialist.  

How does an MFM specialist work with other doctors and carers? 

An MFM specialist may look after your entire pregnancy or may provide extra support and advice for your OB/GYN, depending on the circumstances.  MFM specialists also work with a range of other doctors, including neonatologists and other paediatric specialists, as well as physicians and surgeons that may already be involved in your care. They also work with geneticists, genetic counsellors, and midwives as needed.  MFM specialists often help to plan a care strategy that includes other doctors and health professionals involved in your care.

When Should I Engage an MFM Specialist?

Seeking expertise from an MFM specialist is helpful to have a healthy pregnancy and delivery - especially if your pregnancy falls into the high risk category. It’s recommended for you to consult an MFM doctor if you meet any of the following criteria:

• You have a chronic health problem or pre-existing medical conditions such as heart disease, hypertension, diabetes, seizure disorders, blood clotting disorders, or viral infections. 
• You have experienced pregnancy problems in the past.
• You or your babies develop serious health problems throughout your pregnancy. 
• An ultrasound scan identifies a birth defect or other abnormality in your babies. 

Can I still see an MFM specialist if my pregnancy is low-risk?

Yes. If you’re a private patient, you can still see an MFM specialist for low risk pregnancy antenatal care and birth.

MFM specialists are obstetricians, and have experience looking after straightforward pregnancies as well as offering support in a range of ways, including:

• Natural or vaginal birth and cesarean sections
• Expert fetal ultrasounds
• Safe handling of unexpected medical problems 

Holistic MFM Care: Dr. Stephen Cole

Whether your pregnancy is low risk or high risk, I aim to provide exceptional and holistic care to expecting mothers. By creating a supportive and trusted relationship where women can take ownership of their pregnancy experience, I can offer you advice and support throughout your pregnancy, and also work with my practice midwifery team to help you develop plans for birthing your baby.

Book a consultation with Dr. Stephen Cole 

Are you looking to engage a trustworthy obstetrician in Melbourne? As a certified MFM specialist, I can provide an antenatal plan to support the simplest through the most complex pregnancies and handle unexpected complications. You can rely on my expertise to feel secure and confident with your pregnancy journey. 

In addition to my private practice in East Melbourne, I also work at different hospitals that include Epworth Freemasons, Frances Perry House, Royal Women’s Hospital, and St. Vincent’s Private Hospital. Choose a location that provides you with the most convenience and book your first consultation with me. Don’t hesitate to contact me with any questions or concerns. Call me on (03) 94162802 to make an appointment, or submit an online contact form on this website and receive online support from our team as soon as possible.