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Your pregnancy care
Your pregnancy care
Our MFM specialists work closely work closely with haematologists who are specialists in blood-related conditions during pregnancy.
You will have prenatal appointments at the Medical Disorders of Pregnancy Clinic. Depending on your specific condition, you will also have appointments with a haematologist at Mount Sinai or at a nearby hospital.
If your blood condition could be inherited by your baby, you may be directed to our Prenatal Genetic Diagnosis Clinic for testing and counselling. You might also meet with our Pediatrics team to decide on a plan for newborn care after birth.
Patients may also visit our High-Risk OB Anesthesia Clinic to plan for pain management during labour and childbirth.
Treatment
Treatment
Pregnancy challenges can vary based on your specific condition.
Pregnancy care will focus on managing your haematologic condition, while closely monitoring the health of both you and your baby.
It is important to us that you actively participate in decision-making about your care. We will help you understand your treatment options so that you can make the best possible decisions for both you and your baby.
Your care plan may include any of the following:
- Anticoagulants (blood thinners) for patients at risk of blood clots
- Steroids or intravenous immunoglobulin (IVIG) for some patients with immune thrombocytopenia
- Low-dose aspirin for patients at risk of pre-eclampsia, a pregnancy-related blood pressure condition
- Blood transfusions for patients with beta-thalassemia or aplastic anaemia
- Exchange transfusions for patients with sickle cell disease (in specific circumstances)
- Increased fetal monitoring
- Birth planning that considers factors introduced by your blood condition
Labour and delivery
Labour and delivery
Our recommendations for your labour and delivery care may include any of the following:
- Meeting with our Obstetric Anesthesia team
- Planning a delivery date, which may include induction of labour or Caesarean section
- Having a haematologist provide specific instructions for tests or medications around the time of birth
- Monitoring your health throughout labour
- Monitoring the health of your baby during labour and after birth, if necessary