High-risk pregnancy doctors in Virginia

HCA Virginia's maternal-fetal medicine specialists, or perinatologists, specialize in high-risk pregnancy care. Whether you need preconception counseling to discuss your risk factors or have a known medical condition that requires careful monitoring during pregnancy, our doctors are here for you. We offer a wide range of high-risk pregnancy services to help ensure a healthy pregnancy and birth experience for both you and your baby.

For more information about our high-risk pregnancy services or for help finding a perinatologist, call our free, 24/7 Consult-A-Nurse® line.

When a pregnancy is high-risk

A pregnancy is considered high risk if you and/or your baby have a higher chance of experiencing complications. These complications can be due to your age and/or medical or genetic factors, and they may occur during pregnancy, during labor or after delivery.

High-risk pregnancy conditions we treat

Our maternal-fetal specialists care for women with many high-risk pregnancy health conditions, including:

  • Multiple pregnancy, risks increase when pregnant with twins or triplets
  • Fetal growth or development concerns
  • History of multiple miscarriages, preterm births or other pregnancy complications
  • Pregnancy-related health problems, such as gestational diabetes or preeclampsia
  • Personal or family history of birth abnormalities or genetic conditions
  • Obesity or being overweight while pregnant
  • Placenta problems, including placenta previa, placenta accreta or placental abruption
  • Preexisting medical conditions, such as high blood pressure, diabetes, cancer, asthma, heart disease, epilepsy or lupus
  • Substance abuse during pregnancy

Maternal addiction treatment

We offer maternal addiction programs at Chippenham Hospital and Henrico Doctors' Hospital to address substance use and help you manage your pregnancy. We treat addiction in women of all ages in a nonjudgmental environment where respect, honesty and diversity are valued. Our maternal addiction day-treatment programs provide several hours of medical and behavioral health services up to five days a week.

Comprehensive maternal-fetal medicine services

Our perinatologists provide a broad range of maternal-fetal services, including:

  • Preconception counseling: This service is available to individuals or couples who have concerns about getting pregnant or having a healthy baby. We can counsel you on risk factors, such as advanced age, fertility issues, preexisting medical conditions or a family history of genetic conditions.
  • Genetic testing and counseling: If you choose to have genetic testing, we will thoroughly discuss your results and any possible risks to your baby. We will also explain the benefits and risks of fetal testing.
  • Prenatal ultrasounds:We use advanced ultrasound imaging to closely monitor your baby’s growth and development at your prenatal care
  • Fetal diagnostic procedures: We offer tests to screen for birth abnormalities and inherited conditions. These tests include amniocentesis, nuchal translucency screening and chorionic villus sampling.
  • Postpartum (antepartum) care:If hospitalization during your pregnancy is necessary, you will stay in one of our antepartum rooms. We do everything we can to make your stay here as comfortable as possible, for as long as we need to monitor your health and your baby.
  • Delivery planning: Your perinatologist will work closely with our maternity team to help ensure a smooth, safe labor and delivery. Together, your care team prepares for any medical care you or your baby need immediately after birth.

Neonatal intensive care

If you experience a high-risk pregnancy, it's possible we may need to monitor or care for your baby in the neonatal intensive care unit (NICU) after birth. Our hospitals are equipped with Level II and Level III NICUs where our neonatologists and nurses provide 24/7, advanced neonatal care.

On-site high-risk pregnancy consultants and perinatology specialists

We are proud to offer personalized maternal-fetal medicine services for women with high-risk pregnancies at Spotsylvania Regional Medical Center, Commonwealth Perinatal Services, located at Henrico Doctors' Hospital and The Perinatal Center at Johnston-Willis Hospital. Here, our team of maternal-fetal medicine specialists works closely with your obstetrician to understand your condition and unique medical history. Together, they will establish your treatment and ongoing needs to ensure you and your baby receive the high-quality care you need and deserve.

Perinatal nurse navigators

Providing you comfort, coordination and confidence during your pregnancy journey, our perinatal nurse navigators are your central point of contact for all things mom and baby. Our perinatal nurse navigator can:

  • Provide assistance for those who have been identified as high-risk to coordinate specialist appointments and provide support
  • Answer questions related to your prenatal, pregnancy, or postpartum experience
  • Direct you to resources at our facility such as parent education classes and facility tours
  • Assist you with coordinating and preparing for your appointments
  • Assist you with understanding procedures as necessary
  • Provide emotional support if you’re nervous or scared or lonely or all of these
  • Facilitate communication between the physicians, nurses, and others on your care team

Our perinatal nurse navigators can also provide access to our maternal-fetal medicine experts who specialize in high-risk pregnancies. Nurse navigators can arrange appointments, take time to explain risks and complications, and provide an extra layer of support for you and your baby.

Meet our perinatal navigators

If you are receiving care at Henrico Doctors' Hospital or The Perinatal Center at Johnston-Willis Hospital, our perinatal nurse navigator Kendall Pacoe will be assisting you during your pregnancy. Kendall graduated from South University with her RN, BSN. After completing her senior preceptorship at Henrico Doctors’ Hospital’s Mother Baby Unit, she joined the team. With a lifelong passion for babies, Kendall is thrilled to guide high-risk patients through their pregnancy. Her passion for patient education and care is an asset to the patients and the families.

To reach Kendall directly, email Kendall Pacoe, call (804) 200-7534 or (804) 297-1547.

If you are receiving care at Spotsylvania Regional Medical Center, our perinatal nurse navigator Betti Jo Judge will be assisting you during your pregnancy. Turn learn more about Betti Jo and her role, watch the video below. To reach her directly, email Betti Jo Judge or call (540) 498-4682.