Maternal & Fetal Medicine Care
Every delivery is special, and some need a little more help than others.
Maternal-fetal medicine is a specialty that focuses on helping expecting mothers and their expected babies who have special health conditions and needs.
In the mother, these conditions include:
For mothers with any of these problems, our priority is to manage her condition. Helping to control blood sugar, manage diabetes or appropriately treat pre-existing conditions is important to ensuring the best possible outcomes for the mother and her developing baby.
One of the keys to maternal-fetal medicine is being able to analyze and understand the needs of the mother and the baby before the baby is even born. To do that, we use a technique called ultrasound, where high-frequency sound waves are used to give us diagnostic images of the uterus and the fetus inside. We look for issues that can affect the health of mother and baby before and after birth. This allows us to plan for and treat the mother’s and baby’s needs both before and after the baby is born.
Issues we look for include:
- Developmental problems
- Structural problems
- Problems which require early delivery of the baby
In certain cases, we may discover issues that require surgery, because they can pose a risk to the baby, the mother or both. Diagnosing these cases using ultrasound allows us to plan a surgical intervention to correct any problems that cannot wait until after the baby is born. This type of surgery is commonly performed to help babies develop and be born with increased chances of a positive outcome.
Continuum Of Care
Owensboro Health can offer support and care for mothers and babies at every step of the way. Our capabilities include:
- One Health Obstetrics & Gynecology: This is our main outpatient practice for women’s health, pregnancy and maternity care. We work closely with this practice and with other OB/GYN providers throughout the region.
- One Health Maternal & Fetal Medicine: This is our specialty care clinic focused on dealing with high-risk and special-needs pregnancies.
- Specialty services at Owensboro Health Regional Hospital:
- Fetal echocardiogram: In collaboration with physicians at the University of Louisville, we can perform diagnostic imaging on a fetus to determine any needs for advanced care, with review of these images by specialists in Louisville. We can then determine if the baby can be born close to home or if delivery should take place at a facility which can deliver highly specialized care. This offers peace of mind to parents and families, as well as timely access to the right level of care.
- Antepartum care: For mothers with high-risk and/or special-needs pregnancies, such as mothers needing minimal activity or bed rest during their pregnancy, we have staff trained and equipped to monitor and meet their needs.
- Level III NICU: Our neonatal intensive care unit (NICU) is the largest of its kind in Western Kentucky. We can offer advanced supportive care to babies born at any weight and as early as 27 weeks of gestation.
- OBED: Our Obstetric Emergency Department is specially equipped to help mothers with urgent needs and issues. This includes close access to dedicated maternity operating rooms and staff with advanced training and experience.
- OB Hospitalists: We have round-the-clock coverage from specialists who focus on the care of expecting and new mothers receiving care in our maternity services areas.
About Dr. Thomas Tabb
Thomas Tabb, MD is a board-certified maternal-fetal medicine specialist with more than 30 years of experience. He is renowned throughout Kentucky and the nation for his work in creating and enhancing maternal-fetal medicine programs. Dr. Tabb holds a bachelor’s degree in chemistry from the University of Louisville, a medical degree from the University of Kentucky and completed internship and residency at the University of Tennessee at Memphis. He also completed advanced fellowship training in maternal-fetal medicine at UT-Memphis and post-doctoral fellowship training at McMaster University in Hamilton, Ontario. His skillset includes not only clinical work but also extensive teaching experience and published research.
How To Access This Care
Your OB/GYN provider can refer you to One Health Maternal & Fetal Medicine if there are concerns that you need more specialized care. If you have concerns or questions before or during your pregnancy, talk to your OB/GYN provider about a referral.