Background & Scope

Perinatology is a field of medicine that focuses on the care of pregnant women and their unborn babies. It is also sometimes referred to as maternal-fetal medicine or high-risk obstetrics, and is a subspecialty of obstetrics. Perinatologists are specialists who are highly trained to provide care for high-risk pregnancies, complicated deliveries, and other issues related to the mother’s health and the baby’s development. 

The scope of perinatology encompasses a wide range of topics and conditions. Perinatologists are trained in prenatal diagnosis and management of high-risk pregnancies, including those with multiple fetuses, those with genetic or chromosomal disorders, or those with medical problems such as preeclampsia, gestational diabetes, or preterm labor. Perinatologists also provide extensive counseling to pregnant women regarding the risks associated with their pregnancies and the options available to them. 

In addition to providing medical care, perinatologists may also perform ultrasounds, fetal monitoring, and other tests to monitor the health of the mother and baby. They may also be involved in the delivery of the baby. Perinatologists may work in conjunction with neonatologists (specialists who care for newborn and premature babies) to ensure that any complications that arise during delivery are managed appropriately. 

Perinatology is an ever-evolving field of medicine that combines specialized knowledge with compassion and expertise to provide excellent care for pregnant women and their unborn babies. It is dedicated to providing the best possible outcomes for both mother and child throughout pregnancy, delivery, and beyond.

Qualifications, Training, and Certifications

To become a perinatologist, a physician must first become an obstetrician/gynecologist; after completing a residency in obstetrics and gynecology, a physician can then pursue additional training in perinatology. 

Training requirements for perinatologists vary by country and may require an additional two to three years of fellowship training in maternal-fetal medicine. During this time, the perinatologist will learn about specialized topics such as fetal assessment, high-risk pregnancies, preterm labor, genetic counseling, and neonatal intensive care. The perinatologist will also gain experience performing ultrasounds, fetal monitoring, and other procedures related to pregnancy and delivery. 

Certification for perinatologists is available through the American Board of Obstetrics and Gynecology (ABOG). To become certified, the perinatologist must pass an exam administered by ABOG that covers topics such as prenatal care, fetal assessment, labor and delivery management, neonatal intensive care, and genetic counseling. Certification is valid for 10 years and must be renewed every decade to maintain certification.

Conditions, Diseases, Treatments, and Procedures

Perinatology is a subspecialty of obstetrics and gynecology focused on providing care for pregnant women and their unborn babies. Perinatologists provide comprehensive care for high-risk pregnancies, complicated deliveries, and other issues related to the mother’s health and the baby’s development. 

As noted, perinatologists are trained in comprehensive prenatal diagnosis and management, including the detection and treatment of fetal abnormalities, multiple gestations, preterm labor, gestational diabetes, preeclampsia, and many other medical problems related to pregnancy. They also provide extensive counseling to pregnant women regarding the risks associated with their pregnancies and the options available to them. 

In addition to diagnosis and treatment, perinatologists may perform a wide range of procedures. These can include ultrasounds, fetal monitoring, amniocentesis, chorionic villus sampling (CVS), umbilical cord blood sampling, intrauterine transfusions, and fetoscopic laser ablation. Perinatologists also deliver babies and may be called in by obstetricans due to complications during labor. As noted, they may work in conjunction with neonatologists (specialists who care for newborn babies) to ensure that any complications that arise during delivery are managed appropriately. 

Related Medical Specialties

Perinatology is a subspecialty of obstetrics and gynecology focused on providing care for pregnant women and their unborn babies. Perinatologists are highly trained specialists who provide comprehensive care for high-risk pregnancies, complicated deliveries, and other issues related to the mother’s health and the baby’s development. They work in conjunction with other medical professionals to ensure the best possible outcomes for both mother and child throughout pregnancy, delivery, and beyond. 

There are several medical specialties related to perinatology that provide essential support for pregnant women and their unborn babies. These include neonatology (care for newborn babies), pediatric surgery (care for infants and children), genetics (study of heredity and genetic disorders), obstetrics (care of pregnant women), and gynecology (care of reproductive health in women). 

In addition to these related medical specialties, there are also a variety of allied health professionals who provide important services for pregnant women and their families. These may include midwives, doulas, lactation consultants, nutritionists, social workers, counselors, and therapists. All of these professions play an important role in providing comprehensive care throughout the pregnancy journey.

Medical-Legal Cases Involving Perinatology

Perinatologists may be involved in medical-legal cases involving complications that arise during pregnancy or childbirth. These cases typically involve allegations of malpractice by a healthcare provider, wrongful death, or other legal issues related to the care of pregnant women and their unborn babies. 

One example would be a perinatologist allegedly failing to properly monitor the patient’s vital signs before, during, and after delivery. Others include failure to diagnose a condition like Streptococcus B, HIV, a genetic abnormality, an Rh incompatibility, an incompetent cervix, or a cephalopelvic disproportion (CPD).

Non-medical malpractice cases for which a perinatologist might be needed include fetal death cases. These require assessment of confirmatory ultrasound, timing of fetal loss, pregnancy history, age, and other factors.

IF YOU NEED A Perinatology MEDICAL EXPERT, CALL MEDILEX AT (212) 234-1999.