Maternal Fetal Medicine
We specialize in providing care for those with high-risk pregnancies. We offer pre-pregnancy planning consultations, full spectrum prenatal diagnosis, and personalized care when pregnancy complications arise.
We specialize in providing care for those with high-risk pregnancies. We offer pre-pregnancy planning consultations, full spectrum prenatal diagnosis, and personalized care when pregnancy complications arise.
Our providers collaborate with your local health care providers, a team of genetic counselors, neonatologists, pediatric and other adult specialists to provide comprehensive individualized maternal fetal medicine services.
Our focus is the highest quality of care. We are fully accredited by the American Institute of Ultrasound in Medicine with highly qualified sonographers with an expertise in perinatal ultrasound.
Elliot’s Screening Plus (ESP) Program provides the highest level of screening currently available. Your wishes and goals for screening are discussed and the ESP is tailored to your needs.
As part of the ESP Program, you will first meet with a genetic counselor to review the process and options for screening. The genetic counselor will coordinate your testing and report all results to you and your obstetric provider.
The ESP Program will typically include:
First trimester screening (FTS) and sequential screening (SEQ) combine the nuchal translucency ultrasound with analysis of markers in a mother’s blood to screen for Down syndrome, trisomy 18 and spina bifida. This screening is currently the standard of care in lower risk women. It is less sensitive than NIPT, but still identifies over 85 percent of babies with these conditions.
Non-invasive prenatal testing (NIPT) allows us to analyze pieces of DNA from the pregnancy in a mother’s blood. Currently, NIPT can screen for Down syndrome, trisomy 18, trisomy 13 and other chromosome conditions. NIPT is far more sensitive and accurate than traditional screening. As with any new technology, there are considerations that are unique to NIPT and are important to discuss with a genetic counselor prior to testing.
Carrier screening looks for conditions that are inherited from both parents. A blood test is done to look for common mutations in a particular gene that are known to cause a disease. Traditional carrier screening analyzes one gene or condition per blood test. Cystic fibrosis screening is an example of traditional carrier screening. Expanded carrier screening allows us to look for common mutations in multiple genes with a single blood test.
The nuchal translucency is a measurement of a pocket of fluid under the skin at the back of a baby’s neck. It is performed at 11-14 weeks of pregnancy. Babies with Down syndrome and other chromosome conditions often have extra fluid, resulting in an increased measurement. Nuchal translucency is also an early predictor of birth defects, other rare genetic syndromes and overall pregnancy health.
As the only Level III Neonatal Intensive Care Unit (NICU) in southern New Hampshire, our Elliot Hospital NICU is a leader in caring for the tiniest of patients.
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As the area’s only Level III Neonatology program, we have the experienced specialists and advanced high-tech resources to care for sick newborns and premature infants.
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As the only birthing center in the area with a full suite of labor and delivery rooms and postpartum rooms to support your recovery, we have the expertise and flexibility to manage all your birthing needs in one location. Lactation support is available whenever needed, and our team is committed to supporting parents throughout their birthing experience.
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Our specially trained pediatric surgical team has the expertise to diagnose and assess whether your child may need surgery, therapy or just more time.
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Pediatric palliative care is provided by a team of doctors, nurses, and other specialists, such as social workers, counselors, and pastoral care who work together with a pediatric patient’s other doctors to provide an extra layer of support.
Elliot Hospital Medical Office Building
4 Elliot Way
2nd floor
Manchester, NH 03103