sees patients for abnormal placentation, cardiac conditions, and neurologic disorders. We are firmly committed to bringing The Mothers Center to the forefront of pregnancy care in New York. Our goal is to make pregnancy safe for every mother and child. We believe that this will be achieved through regionalization of complex care and a strong multidisciplinary team approach. Accreta Program NewYork-Presbyterian is well-known as a referral center for placenta accreta, a complication in which the placenta attaches itself too deeply into the wall of the uterus. Approximately one in 2,500 pregnancies experience placenta accreta nationally. Women with this condition are at risk for premature birth and life-threatening postpartum blood loss. Our multidisciplinary team has the technology, expertise and resources to diagnose this condition early in pregnancy, and coordinate a delivery plan that maximizes the safety of both mother and child, relying on the expertise of our surgical personnel and blood bank resources to deal with any complications. Since 2013, 156 suspected abnormal placentation cases were referred to The Mothers Center for consultation. Of those, 75 (48.7%) accreta cases were diagnosed and successfully managed for placenta accreta and other types of abnormal placentation. The Mothers Center Our innovative Mothers Center is dedicated to improving care and outcomes for the sickest, most medically complicated pregnant women. The Mothers Center Primary Diagnoses 2013 - 2016 5 Women’s Cardiac Program Maternal cardiac disease is the most frequent medical disorder prompting referral to The Mothers Center. Our Maternal-Fetal Medicine team works closely with a team of experienced cardiologists and cardiothoracic surgeons to care for patients with congenital heart disease, valvular heart lesions, and pulmonary hypertension and heart failure. Patients with these conditions are seen and evaluated by cardiologists with specific expertise in managing these issues through pregnancy. Each patient’s ongoing care and delivery plan are created and reviewed by a multidisciplinary team which includes obstetric anesthesiology and critical care nursing, in addition to MaternalFetal Medicine and medical subspecialty teams. Surgical Program The new Mothers Center surgical program integrating gynecologic surgery and obstetrics has enjoyed considerable growth since its mid-2014 inception. Since 2013, 65 referrals for incompetent cervix procedures have resulted in 48 qualifying cases for transabdominal cerclage, a procedure to prevent miscarriage or premature labor. Women With Epilepsy The Mothers Center is a center of excellence for managing maternal seizure disorders. Maternal-Fetal Medicine specialists work closely with neurologists whose clinical and research expertise in the field of epilepsy are unmatched. Together, the team develops an ongoing care and delivery plan focused on ensuring maternal safety while minimizing fetal risk. The team also counsels patients about treatment exposures and long-term outcome, while facilitating postpartum care and therapy. 6% HEMATOLOGY 7% RHEUMATOLOGY 10% NEUROLOGY INFECTIOUS OPHTHALMOLOGY ORTHOPEDIC CARDIAC PLACENTAL SURGICAL 1% OBESITY 1% PSYCHIATRY 1% PULMONOLOGY 1% VASCULAR 3% GASTROENTEROLOGY 4% NEPHROLOGY 5% ENDOCRINE 5% ONCOLOGY 26 21 23 11 18 1 Cardiac 26% 21% 1% Obesity 1% Psychiatry 1% Pulmonology 1% Vascular 3% Gastroenterology 5% Endocrine 5% Oncology 4% Nephrology 23% 6% Hematology 7% Rheumatology 10% Neurology Surgical 11% Placental 18% (stet) 1% Infectious Ophthalmology Orthopedic 26% 21% 23% 11% 1% 18% What We Treat Cardiovascular Disease Endocrine Disease Gastrointestinal Disease Hematologic Disease Infectious Disease Neurologic Disease Oncologic Disease Ophthalmologic Disease Orthopedic Disease Placental Disease Psychiatric Disease Pulmonary Disease Renal Disease Rheumatologic Disease Surgical Vascular Disease 6 Advanced Interventional Diagnostic & Monitoring Capabilities • Chorionic villus sampling (CVS) • Amniocentesis • Multifetal and selective reduction • Percutaneous umbilical blood sampling (PUBS) • Fetal blood transfusion • Fetal biopsy • Diagnostic fetoscopy • Placental biopsy – when fetal blood and amniotic fluid are unobtainable • Radiofrequency ablation • Fetoscopic laser photocoagulation For patients whose pregnancies are affected by significant fetal complications, we coordinate care with our MaternalFetal Medicine (MFM) specialists at our Carmen and John Thain Center for Prenatal Pediatrics. Our comprehensive prenatal program offers expectant mothers and their babies one of the nation’s largest, most experienced teams of physicians specialized in detecting, diagnosing and treating complex conditions. Our patients have access to virtually any maternal-fetal, obstetric or pediatric subspecialty that may be required. Each year, 500- 600 patients and their families are cared for at the Carmen and John Thain Center for Prenatal Pediatrics. The Center for Prenatal Pediatrics brings together teams of multidisciplinary experts to diagnose, manage and treat pregnancies complicated by multiple births and fetal, genetic, or developmental abnormalities. We have more than 20 Maternal-