The MUHC Obstetric Medicine (MOM) program is an outpatient and inpatient clinical service dedicated to the medical care of pregnant women. The MOM clinical service consists of 6 general internists and 1 nephrologist. Other MUHC subspecialists in cardiology, hematology, endocrinology, rheumatology/immunology, gastroenterology/hepatology, genetics, and psychiatry with expertise in managing various complex medical disorders during pregnancy are also involved in the multi-disciplinary care of these patients, along with Maternal-Fetal Medicine (MFM) and Obstetrics & Gynecology.
Comprehensive care includes pre-conception/pre-IVF health optimization; management of common pregnancy-related conditions such as hypertensive disorders of pregnancy, thromboembolic and hematologic disorders, gestational diabetes, and thyroid disorders; management and follow-up of pre-pregnancy conditions including diabetes, Inflammatory Bowel Disease, Systemic Lupus Erythematosus, cardiovascular disorders, and solid organ transplant; and medication management. Moreover, a dedicated postpartum Maternal Cardiovascular Health clinic has been developed to address the increased risk of cardiovascular disease following complicated pregnancy. This multi-disciplinary multi-pronged approach ensures that women with complex medical problems can have a healthy and safe pregnancy.
We also provide a training rotation (see Education, Obstetric Medicine Rotation) for General Internal Medicine, MFM, and other subspecialty trainees. In addition to the varied clinical exposure, pedagogic activities include a monthly accredited Obstetric Medicine journal club, monthly inter-disciplinary case presentations, and weekly combined clinical rounds with MFM.