Our Outpatient Services


What is a perinatologist?

A perinatologist (otherwise known as a Maternal-Fetal-Medicine specialist or high risk obstetrician) is a subspecialty trained physician skilled in ultrasound, prenatal diagnosis and the care of complicated pregnancies.  After finishing four years of medical school, a perinatologist must complete a four year residency in obstetrics and gynecology and then an additional three year fellowship in perinatology.  Our perinatologists are each board certified in obstetrics and gynecology and perinatology and fellows of the American College of Obstetrics and Gynecology.

Why am I being referred to a perinatologist for my ultrasound – can’t I have it done anywhere?

A quality fetal ultrasound requires state of the art equipment, specially trained sonographers and perinatologists skilled at both performing and interpreting the images.  Unlike hospital settings where radiology departments read CT scans, chest x-rays, gallbladder ultrasounds, MRIs, mammograms and a host of other studies, we perform only fetal ultrasounds.  In fact, we perform over 12,000 such studies each year with individual attention to each and every one.

I think my pregnancy may be high risk – how do I see a perinatologist?

We are fortunate to have quality, knowledgeable, caring obstetricians in our area – most of who can care for the majority of common pregnancy complications.  Ask your obstetrician if he or she believes your pregnancy to be complicated enough to warrant a perinatal consultation or complete perinatal care.  If they believe your pregnancy requires a perinatologist’s input you will be referred by your obstetrician for a consultation.  Following that consultation, if the perinatologist and/or your primary obstetrician believe your care would be better suited to a perinatal practice – your care will be assumed by Diablo Valley Perinatal Associates.

Which patients might benefit from a perinatal consultation/care?

Any given pregnancy may be complicated by pre-existing maternal, current obstetrical or fetal condition that warrants perinatal care.  Common pre-existing maternal medical conditions routinely seen by our perinatologists include type 1 diabetes, chronic hypertension, autoimmune disorders, collagen vascular disease and maternal heart or pulmonary disease.  Frequent obstetrical complications regularly cared for by our practice include cervical incompetence, gestational hypertension, preeclampsia and preterm labor.    Fetal complications including growth abnormalities, congenital anomalies (birth defects) and high order multiple gestations (triplets and quadruplets) are also common reasons for a woman to be referred for perinatal care at Diablo Valley Perinatal Associates.



Which patients will benefit from perinatal care?

Patients with preexisting medical conditions such as:

  • Type 1 diabetes
  • Chronic hypertension
  • Autoimmune disorders
  • Collagen vascular disease
  • Preexisting heart or pulmonary conditions

Pregnancies affected with obstetrical complications such as:

  • Preterm labor
  • Preterm Premature rupture of membranes (PPROM)
  • Preeclampsia
  • Cervical incompetence

Fetal complications such as:

  • Growth abnormalities
  • Congenital abnormalities
  • High order multiple gestations

To name just a few