{"id":1235,"date":"2026-06-18T16:41:50","date_gmt":"2026-06-18T20:41:50","guid":{"rendered":"https:\/\/www.toplinemd.com\/associates-in-advanced-maternal-fetal-medicine\/?page_id=1235"},"modified":"2026-06-18T16:42:05","modified_gmt":"2026-06-18T20:42:05","slug":"co-management-of-high-risk-pregnancies","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/associates-in-advanced-maternal-fetal-medicine\/services\/high-risk-pregnancy-co-management\/","title":{"rendered":"Co-Management of High-Risk Pregnancies"},"content":{"rendered":"

High-Risk Pregnancy Care, Side by Side With Your OB<\/span><\/h1>\n

Co-management means your maternal-fetal medicine (MFM) specialist and your OB care for you as a team. Your OB continues to lead your day-to-day pregnancy care, while your MFM specialist adds high-risk expertise: extra monitoring, advanced ultrasound, and a tailored plan for conditions like gestational diabetes, high blood pressure, or being over 35. The two doctors communicate directly, so nothing falls through the cracks.<\/span><\/em><\/p>\n<\/div>

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Specialized expertise, without leaving the OB you trust<\/b><\/p>\n

Hearing that your pregnancy needs extra attention can feel daunting. It helps to know what co-management actually means: you’re not being handed off. Your OB stays at the center of your care. We work alongside them, adding a layer of high-risk expertise and closer monitoring for both you and your baby.<\/p>\n

Who benefits from co-management<\/b><\/p>\n

We’re most often brought in for conditions like gestational diabetes, high blood pressure, or an elevated BMI during pregnancy. Pregnancies at age 35 and older are also frequently co-managed, simply because closer monitoring offers added reassurance.<\/p>\n

How it works: your team, defined<\/b><\/p>\n

Think of it as two specialists with two clear roles. Your MFM specialist develops recommendations for monitoring and delivery, based on ongoing surveillance of you and your baby. Your OB carries out your regular pregnancy care and delivery. We provide updates at each ultrasound and follow-up consultation, so your OB always has the full picture.<\/p>\n

The part most patients don’t realize<\/b><\/p>\n

Many patients don’t know that their MFM specialist and OB are in direct communication about their care. That ongoing conversation between your two doctors is exactly what makes co-management work. It’s coordinated, not fragmented, and it means decisions are made with everyone’s input.<\/p>\n

A partnership, start to finish<\/b><\/p>\n

A high-risk designation is a reason for closer attention, not a reason for alarm. With a specialized care plan and a team that talks to each other, this is something we navigate together, every step of the way.<\/p>\n<\/div>

FAQs<\/b><\/h2><\/div>

<\/i><\/i><\/span>What makes a pregnancy high-risk?<\/span><\/a><\/h4><\/div>
Common reasons include gestational diabetes, high blood pressure, an elevated BMI, carrying multiples, a previous pregnancy complication, or being age 35 or older. Your OB may refer you to an MFM specialist for added monitoring.<\/div><\/div><\/div>

<\/i><\/i><\/span>Will I have to stop seeing my regular OB?<\/span><\/a><\/h4><\/div>
No. In a co-management plan, your OB continues to lead your care and delivery. Your MFM specialist works alongside them, adding high-risk expertise and closer monitoring.<\/div><\/div><\/div>

<\/i><\/i><\/span>What is a maternal-fetal medicine (MFM) specialist?<\/span><\/a><\/h4><\/div>
An MFM specialist, sometimes called a perinatologist, is an OB-GYN with additional fellowship training in high-risk pregnancy, advanced ultrasound, and complex maternal and fetal conditions.<\/div><\/div><\/div>

<\/i><\/i><\/span>Do I need a high-risk specialist if I'm over 35?<\/span><\/a><\/h4><\/div>
Many pregnancies at 35 and older are co-managed for added reassurance through closer monitoring. Your OB can advise whether a referral is right for you.<\/div><\/div><\/div>

<\/i><\/i><\/span>How do my two doctors stay coordinated?<\/span><\/a><\/h4><\/div>
Your MFM specialist and OB communicate directly, with updates provided at each ultrasound and consultation. This direct line is what allows for seamless, coordinated care.<\/div><\/div><\/div><\/div><\/div>
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Patient Feedback<\/h2><\/div>
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\u201cBest of the best. So happy i had these two doctors to guide me through the last trimester of my pregnancy; their techs and office staff were absolutely wonderful as well, truly made my pregnancy all the better.\u201d<\/em><\/p>\n<\/div>

Carolina O.<\/strong><\/p>\n<\/div>

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\u201cJust amazing! Felt confident with both Dr. De La Torre and Dr. Quintero. I would recommend both Doctors to anyone. Office Administration very organized and welcoming! Thank you for helping me through my twin pregnancy!\u201d<\/em><\/p>\n<\/div>

Jennifer A.<\/strong><\/p>\n<\/div>

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\u201cSaw them with my first pregnancy in hospital and they were great. When I got pregnant with my 2nd son 2 years later needed to be followed by a high risk dr and saw them again and they remembered me. Very compassionate and knowledgeable. If I decide to have a 3rd will definitely see them again. Great office staff too.\u201d<\/em><\/p>\n<\/div>

Judy C.<\/strong><\/p>\n<\/div>

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