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Maternal-Fetal Medicine

High-Risk Pregnancy Care

Specialized, compassionate support for pregnancies that need an extra layer of expertise and attention.

What to expect

A “high-risk” pregnancy simply means you or your baby may benefit from closer monitoring — it doesn’t mean something is wrong. Led by Dr. Sofia Marchetti, a fellowship-trained maternal-fetal medicine specialist, our high-risk program offers more frequent visits, advanced ultrasound imaging, and specialized testing tailored to your specific situation, whether that’s twins, a pre-existing condition like diabetes or hypertension, a history of pregnancy loss, or a fetal anomaly identified on screening.

Your care plan is built around you. Some patients see Dr. Marchetti for the entire pregnancy; others split care between her and Dr. Whitfield, using high-risk visits for specialized monitoring while staying connected to their primary OB. We also coordinate directly with maternal-fetal medicine specialists at Austin-area hospitals when a delivery requires a higher level of neonatal support.

Throughout, we prioritize clear communication. Being told your pregnancy is high-risk can be frightening — our job is to translate the medical complexity into a plan you understand and feel confident in, every step of the way.

Provider drawing blood to monitor a high-risk pregnancy

Who it's for

Pregnancies with twins, triplets, or higher-order multiples
Patients with diabetes, hypertension, or autoimmune conditions
A history of preterm birth or pregnancy loss
Fetal anomalies identified on ultrasound or genetic screening
Advanced maternal age or elevated pregnancy risk factors

Frequently asked questions

Will I need more appointments?

Yes, typically. High-risk pregnancies are monitored more closely, which may mean additional ultrasounds, labs, or non-stress tests depending on your specific risk factors.

In many cases, yes. For some complex cases, we coordinate delivery at a hospital with a higher level neonatal intensive care unit, and Dr. Marchetti stays involved in your care plan throughout.

No. Because Dr. Marchetti is part of our team, we can adjust your care plan in place, without disrupting the relationship you’ve already built with us.

Have questions about a high-risk pregnancy?

Our maternal-fetal medicine team is here to guide you with clarity and compassion.