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High Risk Pregnancy

State-of-the-Art Care for High Risk Pregnancies

Many women have healthy pregnancies that progress without problems and result in the delivery of a healthy baby. Some women have a high-risk pregnancy that increases their chance for complications. Expert medical care allows most of these women to remain healthy throughout their pregnancies and deliver healthy babies.

During your pregnancy, your obstetrician or family doctor may refer you to a perinatologist. A perinatologist is also called a maternal-fetal medicine doctor and has special training to care for health conditions or pregnancy-related complications. If you are referred to this higher level of care, rest assured that Tri-State Perinatology at The Women’s Hospital will provide compassionate, highly-skilled, individualized care for you and your baby. Our physicians and team work with your OB doctor to provide care and minimize risks associated with high-risk pregnancy.

Our Program Offers:
  • Care and counseling for patients with a history of recurrent pregnancy loss
  • Care for mothers with health conditions prior to pregnancy
  • Diabetes management
    • Only full service diabetic management program in the area
    • Insulin pump management
  • Genetic counseling
  • Management of multiple gestations (twins, triplets, etc.)
  • Management of obstetrical complications, including pre-term labor and preeclampsia
  • Management of pregnancies conceived through fertility services
  • Preconceptional counseling
  • Prenatal diagnostic and therapeutic procedures
  • Fetal echo

Expert Staff
Our team consists of physicians, advanced practice nurses, registered nurses, a genetics counselor, registered dietitians, ultrasonographers and clinical office assistants.


Karenrose R. Contreras, MD, MSCR, FACOG - DeaconessKarenrose R. Contreras, MD, MSCR, FACOG
Maternal Fetal Medicine
Spencer Kuper - DeaconessSpencer Kuper, MD 
Maternal Fetal Medicine


Advanced Practice Nurses

Marcella Scott, APN-P
Advanced Practice Nurse
Julie Winsett, NP
Advanced Practice Nurse
Katherine Thomas, CNS
Advanced Practice Nurse
Summer Watt, RNC-OB, FNP
Advanced Practice Nurse
For Patients Who Require Hospitalization

Patients who require hospitalization during their high-risk pregnancy are referred to as “antepartum” patients. The Women’s Hospital has a special antepartum unit with highly-skilled nurses dedicated to caring for these patients. It is our goal to work with you and your family to provide comfort during your stay. Our home-like accommodations, liberal visitation, and family-centered environment are intended to reduce stress.
OB Emergency Department

The Women’s Hospital has a 24-hour OB Emergency Department staffed by board certified obstetricians, in-house anesthesia and radiology coverage.
Genetic Counseling

Pregnancy is a happy and exciting time for most expecting parents. It is also a time filled with many questions and uncertainties – Is the baby a boy or girl? Who will he or she look like? Will my baby have any health issues?

Most women have normal pregnancies and their babies are born healthy. However, some women have a higher risk of pregnancy complications and/or increased chance of having a baby with a birth defect because of a previously known risk factor or unexpected finding during a routine pregnancy exam. Parents in this high-risk category may find comfort in meeting with a prenatal genetic counselor.

Genetic counselors are trained healthcare professionals who often work with individuals, couples, or families who have an increased chance of having a child with a birth defect or genetic condition. Those who are already pregnant or are thinking about having a child in the future can meet with a prenatal genetic counselor to learn more about the condition in question, understand their risks more clearly, and discuss options for screening and/or testing before or during pregnancy.

During pregnancy, if a baby is found to have a birth defect or genetic condition, the counselor will provide education about the baby’s possible condition and help the expecting couple know what to expect around the time of delivery and after birth.

Those who may benefit from genetic counseling prior to or during pregnancy include:
  • Have a child who is affected with a genetic condition and are thinking about having another child in the future
  • Have family members with intellectual disability or birth defects
  • Have a history of infertility or pregnancy losses (miscarriages or stillbirths)
  • Are concerned that your health or lifestyle may make you more at risk
  • Are concerned about risks to the pregnancy due to increasing age of either parent
  • Receive abnormal lab results or ultrasound results during a pregnancy
  • Are concerned that you are at increased risk of being a carrier of a genetic condition because of your ethnic background (some diseases are more common in certain ethnic groups) or family history
  • Are pregnant and the baby has been diagnosed with a birth defect or genetic condition
  • Have taken a medication or drug during pregnancy or have been exposed to a chemical or possible infection and are concerned that it might cause a problem for the baby
Transport Services

To benefit women and infants in surrounding communities, our physicians also accept high-risk maternal transfers. Learn more about our maternal and neonatal transport teams.

For more information about what we do and how we can help you, please contact us.

Tri-State Perinatology
4199 Gateway Blvd.
Ste. 3100
Newburgh, IN 47630
812-842-4549 fax
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