High-risk pregnancy

Good Samaritan Hospital provides comprehensive care for high-risk pregnancies in the Bay Area.

A pregnancy may be considered high-risk for many reasons, including existing health conditions, maternal age, lifestyle, multiple pregnancy, and health issues that happen before or during pregnancy. If these complications occur, our multidisciplinary team has the training and experience to support you through every step of your pregnancy journey.

Our team includes maternal-fetal medicine specialists, board-certified obstetricians, gynecologists, neonatologists, perinatal navigators and other high-risk pregnancy specialists.

San Jose high-risk pregnancy services

Good Samaritan Hospital is committed to keeping mom and baby healthy. Our services include prenatal care and diagnosis, comprehensive assessment and treatment of pregnancy, maternal, and fetal disease, and follow-up care after birth to ensure you and your baby are recovering and doing well.

Our hospital has a dedicated antepartum unit with private rooms for expectant mothers who require bed rest and close monitoring. A woman may be admitted to our antepartum unit prior to labor and delivery to monitor her and her baby's health or after delivery to care for high-risk mothers with a child in our NICU.

Women in our antepartum unit benefit from:

• 24-hour on-site obstetrician gynecologist (OB/GYN) hospitalists and anesthesia providers
• Consultations from maternal-fetal medicine specialists
• Diabetes education
• Dietary consultations
• Prenatal neonatologist consultations for your newborn

Perinatal navigation

Sometimes, navigating a high-risk pregnancy can feel overwhelming. At Good Samaritan Hospital, we provide our high-risk patients with a dedicated perinatal navigator to help guide you through your unique pregnancy journey. A perinatal navigator is a registered nurse who partners with you, your family, and obstetrician to provide the safest possible outcome for you and your baby.

A perinatal navigator can:

• Answer questions related to your prenatal, pregnancy or postpartum experience
• Assist you with coordinating and preparing for various subspecialty appointments
• Direct you to resources at our facility such as parent education classes and facility tours
• Facilitate communication between physicians, nurses and other members of your care team
• Follow-up after delivery with subspecialists or other needs

High-risk pregnancy, maternal and fetal conditions managed

Our high-risk OB/GYNs have experience with a wide range of high-risk conditions, including but not limited to:

Pregnancy conditions:

• Preterm birth
  • preterm labor, short cervix, cerclage both abdominal and vaginal
• Bleeding
  • placenta previa, placenta accreta, placental abruption
• Blood pressure problems
  • gestational hypertension, preeclampsia

Maternal conditions:

• Heart disorders
  • congenital heart disease, arrhythmias, hypertension, coronary artery disease, cardiomyopathy, valvular disease
• Lung problems
  • asthma, pneumonia, restrictive lung disease, cystic fibrosis
• Obesity
• Endocrine disorders
  • diabetes, thyroid disease, parathyroid disease, addison’s disease
• Digestive disorders
  • inflammatory bowel disease, gallbladder disease, pancreatitis
• Blood disorders
  • hemoglobinopathies, sickle cell disease, Von Willebrand disease, platelet disorders, venous thromboembolism, inherited thrombophilia
• Kidney disorders
  • pregnancy after kidney transplant, nephropathy, chronic renal insufficiency
• Brain disorders
  • seizure disorders, headache, AV malformation, aneurysm, multiple sclerosis, myasthenia gravis, pseudotumor cerebra, spinal cord injury
• Immune disorders
  • systemic lupus erythematosus, rheumatoid arthritis, antiphospholipid syndrome
• Non-obstetric abdominal surgery in the current pregnancy
• Bone, Cartilage, and Skin Disorders
  • marfan syndrome, skeletal dysplasia

Fetal conditions:

• Congenital anomalies
  • ventriculomegaly, cleft lip/palate, pierre robin sequence, ventricular septal defect, coarctation, atrioventricular septal defect, congenital pulmonary airway malformation, gastroschisis, omphalocele, abdominal/pelvic mass, renal anomalies, skeletal anomalies - club foot
• Chromosome problems
  • Down syndrome (trisomy 21), Trisomy 13 and Trisomy 18
• Genetic syndromes
• Twins and higher order multiples
• Monochorionic twin complications
• Umbilical cord issues such as vasa previa
• Fetal growth restriction
• Alloimmunization
• Neonatal alloimmune thrombocytopenia
• Nonimmune fetal hydrops
• Fetal demise

If you are considering delivering at Good Samaritan Hospital, we invite you to learn more about our labor and delivery services, tour our women's services facility or find an OB/GYN for high-risk pregnancy.