High Risk Pregnancy- Maternal Fetal Medicine

What is a High-Risk Pregnancy?

High-risk pregnancies are pregnancies in which the mother or the child’s life or health is threatened. If there is a medical condition present before pregnancy, or a medical condition develops during pregnancy for either you or your baby, your pregnancy may become high-risk. Prenatal screening, ultrasounds, and diagnostic screenings such as amniocentesis and chorionic villus sampling (CVS) can help you understand the condition your baby is in. There are several factors which can contribute to a high-risk pregnancy.

Maternal age:

Mothers over the age of 35 may experience complications with their pregnancy.

Maternal health condition:

Mothers who are obese, have sickle-cell disease, kidney disease (preeclampsia), high blood pressure, HIV/AIDS, lupus, thyroid disease, or Type 1/Type 2 diabetes, are considered high-risk pregnancies.

Lifestyle habits:

Excessive alcohol and drug consumption during pregnancy contribute to high-risk pregnancies, potentially causing birth defects.

Multiple Pregnancy:

The majority of multiples are delivered healthy. However, they are considered high-risk pregnancy. If serious complications occur, multiples are delivered prematurely which may result in health issues.

How We Care for High-Risk Pregnancies

PMC provides you with quality prenatal care, screening, and diagnostics. If you are in a high-risk pregnancy, we provide the testing and diagnosis necessary to determine your child’s condition throughout each term. With our specialized focus, full range of services, and state-of-the-art facilities, our goal is to provide everything you need to achieve the healthiest possible pregnancy, and everything your baby needs for the healthiest possible start to life. We are known for expertly addressing the needs of mothers and babies throughout complex pregnancies, and for the outcomes we achieve. PMC strives to optimize the outcome for high risk pregnancies by working alongside Obstetricians caring for their at-risk pregnant patients.

Meet out Maternal Fetal Medicine Specialist 

Courtney Stevenson, DO, FACOG
Director of Maternal Fetal Medicine and Fetal Intervention

stephensonDr. Courtney Stephenson earned global recognition by becoming one of only a few physicians in the United States who provide the life-saving intrauterine fetoscopic laser surgery to treat Twin-Twin Transfusion Syndrome (TTTS), a condition which can be fatal to the fetuses in nearly all cases if left untreated. Dr. Stephenson was the first woman in the United States to open a de novo fetal care surgery center. Since then, she has treated hundreds of fetuses in utero and surgically treated close to 300 fetuses for TTTS with survival rates of over 92%. Dr. Stephenson and Dr. David Iannitti (hepatopancreticobiliary surgeon) performed the first-ever microwave ablation procedure during pregnancy to save fetuses losing blood to an acardiac mass, known as TRAP sequence.

Over the past decade, Dr. Stephenson has consistently been recognized as a “Top Doctor”, both locally and nationally, with over 30 awards for excellence in patient care, innovations in medicine, and she was noted as one of Mecklenburg’s 50 Most Influential Women.


Special Interests:

  • Prenatal Screening and Diagnosis
  • High Risk Pregnancy
  • Pregnant with Multiples
  • Detailed Fetal Ultrasound
  • Fetal Anomalies
  • Twin Twin Transfusion Syndrome
  • Amniocentesis
  • Chorionic Villus Sampling (CVS)
  • Fetoscopic Surgery
  • Selective Fetoscopic Laser Surgery
  • Thoraroamniotic Shunts
  • Vesicoamniotic Shunt
  • Bladder Outlet Syndrome
  • High Order Multiples
  • Twin Reverse Arterial Perfusion
  • Microwave Ablation Procedure
  • Amnioreduction Caret-Right Amnioinfusion
  • Microseptostomy
  • Fetal Transfusion
  • Umbilical Cord Blood Sampling
  • Heterotopic Pregnancy
  • Cornual Pregnancy
  • Pregnancy
  • Prenatal Care

Neonatal Intensive Care Unit (NICU)

For newborns requiring additional medical care, the NICU at Piedmont is a South Carolina Level III neonatal intensive care unit, allowing us to provide advanced medical treatments for babies born as early or in need of additional medical treatment. This nursery is equipped to provide special care for premature infants and those who are sick or have complications. Infant care is managed and performed by a combination of skilled staff, including board-certified neonatologists, registered nurses and respiratory therapists.

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