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  • High-Risk Obstetrics - Department of Obstetrics and Gynecology
    conditions or obstetric complications and for those whose pregnancy is complicated by a fetal structural functional or genetic abnormality or a multiple gestation Each member of our obstetrical team is board certified or board eligible in the specialty of Maternal Fetal Medicine as well as OB GYN Our specialists work as a team to ensure the best outcome for mothers and babies supported by clinical nurses and genetic counselors all of whom are trained to manage high risk pregnancies Many high risk conditions affect both the mother and the baby Our approach to patient care is multidisciplinary We collaborate with pediatric specialists neonatologists and geneticists to evaluate and treat fetal complications and to expand the choice of services available to our patients We also consult with specialists to evaluate and treat underlying maternal conditions such as chronic health problems or those that develop during pregnancy diabetes high blood pressure heart disease and thyroid problems Our Facilities and Resources Patients whose pregnancies are affected by fetal complications are referred to the Carmen and John Thain Center for Prenatal Pediatrics located in NewYork Presbyterian Hospital s Morgan Stanley Children s Hospital of NY NYP MSCHONY where teams of prenatal and postnatal specialists collaborate to provide the best care options for each patient before and after birth In addition to diagnosis and treatment services include coordinating appointments with specialists and counseling Our experts use sophisticated 3D and 4D ultrasound imaging and the most current prenatal diagnostic tests to identify and treat problems related to fetal growth development and genetics Advanced ultrasound technology is also used to guide some procedures to treat babies in the womb Our obstetrical specialists have the experience and expertise to manage complications of multiple pregnancies from problems that may affect identical twins such as twin twin transfusion syndrome and unequal placental sharing to complications of fraternal twins and higher order multiples such as malformations differences in growth or fetal well being We enlist the expertise of many specialists who contribute to a personalized coordinated management and delivery plan for each patient For pregnancies complicated by a prior cesarean delivery placenta previa or accreta we have an experienced team to evaluate risk and manage delivery in a safe environment Close collaboration with NYP MSCHONY ensures that both mother and baby have access to a full range of diagnostic and treatment options Our continuous involvement in research positions our physicians at the forefront of cutting edge developments in high risk pregnancy management and treatments Interested patients have the opportunity to participate in research studies focused on a variety of maternal and fetal conditions which may help to improve the care and outcomes for high risk pregnancies Convenient Locations for Prenatal Visits Our obstetricians and gynecologists practice at several convenient locations throughout the New York metropolitan area Midtown Columbus Circle at our Uptown CUMC location making your prenatal and perinatal care convenient and accessible Quick Links Make an Appointment To make an appointment call 1 855 75 OBGYN Coming soon schedule your

    Original URL path: http://www.columbiaobgyn.org/specialties/pregnancy-giving-birth/patients-we-treat/high-risk (2016-04-26)
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  • Our Doctors - Department of Obstetrics and Gynecology
    165 th 168 th St New York NY 10032 Columbia Ob Gyn Columbus Circle 1790 Broadway 12 th FL between 57 th 58 th St New York NY 10019 Alexander Friedman MD MPH Assistant Clinical Professor at CUMC General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Midtown 51 West 51 st St 3rd FL between 5 th and 6 th Ave New York NY 10019 Ultrasound Only Columbia Ob Gyn Columbus Circle 1790 Broadway 12 th FL between 57 th 58 th St New York NY 10019 Karin M Fuchs MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Center for Prenatal Pediatrics Morgan Stanley Children s Hospital of NewYork Presbyterian Columbia 3959 Broadway 12 th FL at 165 th St New York NY 10032 Joshua Holden MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Columbia Ob Gyn Columbus Circle 1790 Broadway 12 th FL between 57 th 58 th St New York NY 10019 Anita LaSala MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Midtown 51 West 51 st St 3rd FL between 5 th and 6 th Ave New York NY 10019 Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Jodi P Lerner MD Associate Clinical Professor General Obstetrics Gynecology View Full Bio Center for Prenatal Pediatrics Morgan Stanley Children s Hospital of NewYork Presbyterian Columbia 3959 Broadway 12 th FL at 165 th St New York NY 10032 Columbia Ob Gyn Midtown 51 West 51 st St 3rd FL between 5 th and 6 th Ave New York NY 10019 Ultrasound Only Richard U Levine MD General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Midtown 51 West 51 st St 3rd FL between 5 th and 6 th Ave New York NY 10019 Lana E Lipkin MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Rockland 516 Route 303 Orangeburg NY 10962 The Allen Hospital NewYork Presbyterian Columbia 5141 Broadway 220 th St Broadway New York NY 10034 Chia Ling Nhan Chang MD MS Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Hemashi K Perera MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio ColumbiaDoctors Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 ColumbiaDoctors Midtown 51 West 51 st St 3rd FL between 5 th and 6 th Ave New York NY 10019 Annette Perez Delboy MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Silvana E Ribaudo MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St

    Original URL path: http://www.columbiaobgyn.org/specialties/pregnancy-giving-birth/our-doctors (2016-04-26)
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  • General Obstetrics - Department of Obstetrics and Gynecology
    10583 Eileen DeMarco MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Columbia Ob Gyn Midtown 51 West 51 st St 3rd FL between 5 th and 6 th Ave New York NY 10019 Jessica Fiorelli MD Assistant Clinical Professor of Obstetrics Gynecology General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Columbia Ob Gyn Columbus Circle 1790 Broadway 12 th FL between 57 th 58 th St New York NY 10019 Joshua Holden MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Columbia Ob Gyn Columbus Circle 1790 Broadway 12 th FL between 57 th 58 th St New York NY 10019 Nitasha Jain MD Assistant Professor of Obstetrics Gynecology General Obstetrics Gynecology View Full Bio ColumbiaDoctors Scarsdale Vernon Hills Shopping Center 696 White Plains Road Scarsdale NY 10583 Pearl J Lim MD Assistant Professor of Obstetrics and Gynecology General Obstetrics Gynecology View Full Bio ColumbiaDoctors Scarsdale Vernon Hills Shopping Center 696 White Plains Road Scarsdale NY 10583 Reut Moyal MD Assistant Professor of Obstetrics and Gynecology General Obstetrics Gynecology View Full Bio ColumbiaDoctors Scarsdale Vernon Hills Shopping Center 696 White Plains Road Scarsdale NY 10583 Hemashi K Perera MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio ColumbiaDoctors Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 ColumbiaDoctors Midtown 51 West 51 st St 3rd FL between 5 th and 6 th Ave New York NY 10019 Silvana E Ribaudo MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Columbia Ob Gyn Columbus Circle 1790 Broadway 12 th FL between 57 th 58 th St New York NY 10019 Thomas Shin MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Columbia Ob Gyn Midtown 51 West 51 st St 3rd FL between 5 th and 6 th Ave New York NY 10019 Mari Su MD Assistant Clinical Professor General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Columbia Ob Gyn Columbus Circle 1790 Broadway 12 th FL between 57 th 58 th St New York NY 10019 Raeka Talati MD Assistant Clinical Professor of Obstetrics Gynecology General Obstetrics Gynecology View Full Bio Columbia Ob Gyn Uptown Herbert Irving Pavilion 161 Fort Washington Ave between 165 th 168 th St New York NY 10032 Columbia

    Original URL path: http://www.columbiaobgyn.org/specialties/pregnancy-giving-birth/our-doctors/general-obstetrics (2016-04-26)
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  • High-Risk Obstetrics - Department of Obstetrics and Gynecology
    Research Policies Procedures Meet our Faculty Meet our Fellows Applicants Directions Application and Interview Process Minimally Invasive Gynecologic Surgery Overview Mission Educational Objectives Curriculum Conferences Didactic Sessions Research Policies Procedures Meet Our Faculty Meet Our Fellows Applicants Directions Application Interview Process Sample Interview Day Reproductive Endocrinology Infertility Overview Mission Educational Objectives Curriculum Meet our Faculty Meet our Fellows Applicants Directions Application and Interview Process Alumni Contact Us Research Clinical Research Trials Overview Family Planning Preventive Services Gynecologic Oncology Maternal Fetal Medicine Reproductive Endocrinology Infertility Other Women s Health Research Basic Translational Research Division of Reproductive Sciences Our Team Areas of Focus Significant Publications Trainee Opportunities Epidemiology Biostatistics Overview Our Team Areas of Focus Significant Publications Our Department Our Mission Our Divisions Ways to Give Doctors Quick Links Make an Appointment To make an appointment call 1 855 75 OBGYN Coming soon schedule your appointment online Find a Doctor By Doctor Name or By Specialty Select Specialty Cancer Care Family Planning Fertility Center General Obstetrics Gynecology Gynecologic Surgery Urogynecology High Risk Obstetrics Pregnancy Giving Birth Routine Gyn Care or By Condition Treatment Contact Us Department of Obstetrics Gynecology Columbia University Medical Center 622 West 168 th St PH 16 New York NY 10032 Schedule an Appointment 1 855 75 OBGYN Administration 212 305 5515 Medical Education 212 305 2463 Maps Directions Center for Prenatal Pediatrics Morgan Stanley Children s Hospital of NewYork Presbyterian Columbia 3959 Broadway 12th FL at 165th St New York NY 10032 Center for Women s Reproductive Care Columbus Circle 1790 Broadway 2nd 4th FL between 57th 58th St New York NY 10019 Center for Women s Reproductive Care Scarsdale 696 White Plains Road Vernon Hills Shopping Center Scarsdale New York 10583 Columbia Ob Gyn Bronxville 77 Pondfield Road 2nd FL Bronxville NY 10708 Columbia Ob Gyn Columbus

    Original URL path: http://www.columbiaobgyn.org/specialties/pregnancy-giving-birth/our-doctors/high-risk-obstetrics (2016-04-26)
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  • Services & Procedures - Department of Obstetrics and Gynecology
    Coordinated services for high risk babies The Carmen and John Thain 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 fetal medicine MFM specialists who consult with pediatric neonatal experts to develop diagnostic treatment and care plans to optimize a baby s health outcome Coordinated services for high risk mothers Our MFM specialists implement individualized care and treatment plans for pregnancy complications that affect the mother s health Complications may develop during pregnancy or may be related to pre existing health conditions Multidisciplinary teams of experts collaborate to manage care to ensure the best outcomes for mothers and their babies 24 Hour Obstetrical Anesthesiology and Pain Relief In addition to experience in general anesthesiology our obstetrical anesthesiologists are specially trained in obstetrical care They provide services on the labor floor around the clock responding as soon as the patient and physician need to make adjustments in pain management A Labor Facility for Our Westchester Patients We deliver at NYP Lawrence Hospital located in the Bronxville location of lower Westchester and offer a high risk consultation services and patient education programs Take a virtual tour of the facility Neonatal Care Unit Should your newborn need special care you can feel confident that your baby will receive the best care available in NYP CUMC s the nationally recognized Morgan Stanley Children s Hospital of New York MSCHONY The Carmen and John Thain Labor and Delivery Unit Labor and Delivery L D Unit is located in this state of the art facility MSCHONY s Neonatal Intensive Care Unit NICU has been recognized as one of the finest in the country A transitional nursery is located right on the L D floor and is staffed by the same renowned neonatal team that provides care in the main NICU unit Advanced technology for high risk patients Should you or your baby develop a high risk condition we have the diagnostic and monitoring capabilities to handle the requirements of maternal fetal intensive care In addition to spacious labor and delivery rooms several beds are dedicated exclusively to patients who require high risk monitoring We have state of the art operating rooms are equipped to handle any contingency Nursing Excellence The nurses in the Thain Labor Unit have specialized training and experience in high risk obstetrical care Each one is a Registered Nurse with expertise certification in fetal monitoring and resuscitation Ultrasound and Prenatal Diagnostic Procedures Ultrasound fetal echocardiography Doppler ultrasound and genetic sonography provide detailed images for fetal assessment Maternal blood tests and ultrasound screening for early detection of fetal and congenital abnormalities birth defects Prenatal diagnosis of chromosomal and genetic problems through amniocentesis chorionic villus sampling CVS and fetal blood sampling Advanced Maternal and Fetal Care High risk management for all complicated pregnancies to handle mothers and babies who develop high risk conditions Management of multiple pregnancies and any complications that may

    Original URL path: http://www.columbiaobgyn.org/specialties/pregnancy-giving-birth/services-procedures (2016-04-26)
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  • CVS - Department of Obstetrics and Gynecology
    Basic Translational Research Division of Reproductive Sciences Our Team Areas of Focus Significant Publications Trainee Opportunities Epidemiology Biostatistics Overview Our Team Areas of Focus Significant Publications Our Department Our Mission Our Divisions Ways to Give CVS Chorionic villus sampling CVS is a prenatal test that involves taking a sample of some of the placental tissue This tissue contains the same genetic material as the fetus and can be tested for chromosomal abnormalities and some other genetic problems Testing is available for other genetic defects and disorders depending on the family history and availability of laboratory testing at the time of the procedure In comparison to amniocentesis another type of prenatal test CVS does not provide information on neural tube defects such as spina bifida For this reason women who undergo CVS also need a follow up blood test between 16 to 18 weeks of their pregnancy to screen for neural tube defects How is CVS performed CVS may be offered to women who are at increased risk for chromosomal abnormalities or have a family history of a genetic defect that is testable from the placental tissue CVS is usually performed between the 10th and 12th weeks of pregnancy Although exact methods can vary the procedure involves inserting a small tube called a catheter through a woman s vagina and into her cervix and usually follows this process Ultrasound is used to guide the catheter into place near the placenta Tissue is removed using a syringe on the other end of the catheter Another method is transabdominal CVS which involves inserting a needle through the woman s abdomen and into her uterus to sample the placental cells Women may feel some cramping during and after the CVS procedure The tissue samples are sent to a genetic laboratory to grow and be analyzed Results are usually available in about 10 days to two weeks depending on the laboratory Women with twins or other multiples usually need sampling from each placenta However because of the complexity of the procedure and positioning of the placentas CVS is not always feasible or successful with multiples Some women may not be candidates for CVS or may not obtain results that are 100 percent accurate and may therefore require a follow up amniocentesis In some cases there is an active vaginal infection such as herpes or gonorrhea which will prohibit the procedure Other times the physician obtains a sample that does not have enough tissue to grow in the laboratory such that results are incomplete or inconclusive Quick Links Make an Appointment To make an appointment call 1 855 75 OBGYN Coming soon schedule your appointment online Find a Doctor By Doctor Name or By Specialty Select Specialty Cancer Care Family Planning Fertility Center General Obstetrics Gynecology Gynecologic Surgery Urogynecology High Risk Obstetrics Pregnancy Giving Birth Routine Gyn Care or By Condition Treatment Contact Us Department of Obstetrics Gynecology Columbia University Medical Center 622 West 168 th St PH 16 New York NY 10032 Schedule an Appointment

    Original URL path: http://www.columbiaobgyn.org/specialties/pregnancy-giving-birth/services-procedures/cvs (2016-04-26)
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  • Ultrasound - Department of Obstetrics and Gynecology
    pregnancy to check normal fetal growth and verify the due date Ultrasounds may be performed at various times throughout pregnancy for different reasons In the first trimester to establish the dates of a pregnancy to determine the number of fetuses and identify placental structures to diagnose an ectopic pregnancy or miscarriage to examine the uterus and other pelvic anatomy in some cases to detect fetal abnormalities Mid trimester sometimes called the 18 to 20 week scan to confirm pregnancy dates to determine the number of fetuses and examine the placental structures to assist in prenatal tests such as an amniocentesis to examine the fetal anatomy for presence of abnormalities to check the amount of amniotic fluid to examine blood flow patterns to observe fetal behavior and activity to examine the placenta to measure the length of the cervix to monitor fetal growth Third trimester to monitor fetal growth to check the amount of amniotic fluid as part of other testing such as the biophysical profile to determine the position of a fetus to assess the placenta How is an ultrasound scan performed Although the specific details of each procedure vary slightly generally ultrasounds follow this process Two types of ultrasounds can be performed during pregnancy Abdominal ultrasound In an abdominal ultrasound gel is applied to the abdomen and the ultrasound transducer glides over the gel on the abdomen to create the image Transvaginal ultrasound In a transvaginal ultrasound a smaller ultrasound transducer is inserted into the vagina and rests against the back of the vagina to create an image A transvaginal ultrasound produces a sharper image and is often used in early pregnancy There are several types of ultrasound imaging techniques The most common is two dimensional or 2D This gives a flat picture of one aspect of the image If more information is needed a 3D ultrasound examination can be performed This technique which provides a three dimensional picture requires a special machine and special training But the 3D image allows the physician to see width height and depth of images which can be helpful in diagnosis The 3D images can also be captured and saved for later review The latest technology is 4D ultrasound which allows the physician to visualize the unborn baby moving in real time With 4D imaging a three dimensional image is continuously updated providing a live action view These images often have a golden color which helps show shadows and highlights Ultrasound images may be captured in still photographs or on video to document findings Ultrasound is a technique that is constantly being improved and refined As with any test results may not be completely accurate However ultrasound can provide valuable information for parents and health care providers to help manage and care for the pregnancy and fetus In addition ultrasound gives parents have a unique opportunity to see their baby before birth helping them to bond and establish an early relationship Quick Links Make an Appointment To make an appointment call 1 855

    Original URL path: http://www.columbiaobgyn.org/specialties/pregnancy-giving-birth/services-procedures/ultrasound (2016-04-26)
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  • Amniocentesis - Department of Obstetrics and Gynecology
    Applicants Directions Application and Interview Process Minimally Invasive Gynecologic Surgery Overview Mission Educational Objectives Curriculum Conferences Didactic Sessions Research Policies Procedures Meet Our Faculty Meet Our Fellows Applicants Directions Application Interview Process Sample Interview Day Reproductive Endocrinology Infertility Overview Mission Educational Objectives Curriculum Meet our Faculty Meet our Fellows Applicants Directions Application and Interview Process Alumni Contact Us Research Clinical Research Trials Overview Family Planning Preventive Services Gynecologic Oncology Maternal Fetal Medicine Reproductive Endocrinology Infertility Other Women s Health Research Basic Translational Research Division of Reproductive Sciences Our Team Areas of Focus Significant Publications Trainee Opportunities Epidemiology Biostatistics Overview Our Team Areas of Focus Significant Publications Our Department Our Mission Our Divisions Ways to Give Amniocentesis Amniocentesis is a procedure that involves inserting a long thin needle through the mother s abdomen into the amniotic sac to withdraw a small sample of the amniotic fluid for examination The amniotic fluid contains cells shed by the fetus which contain genetic information Although specific details of each procedure vary slightly generally an amniocentesis follows this process The woman s abdomen is cleansed with an antiseptic The physician may may not give a local anesthetic to numb the skin Ultrasound is used to help guide a hollow needle into the amniotic sac A small sample of fluid is withdrawn for laboratory analysis Strenuous activities should be avoided for 24 hours following an amniocentesis Women may feel some cramping during or after the amniocentesis Women with twins or other multiples need sampling from each amniotic sac in order to study each baby Depending on the position of the baby placenta amount of fluid or patient s anatomy sometimes the amniocentesis cannot be performed The fluid is sent to a genetics laboratory so that the cells can grow and be analyzed Alpha fetoprotein a protein made by the fetus that is present in the fluid is also measured to rule out an open neural tube defect such as spina bifida Results are usually available in about 10 days to two weeks depending on the laboratory Quick Links Make an Appointment To make an appointment call 1 855 75 OBGYN Coming soon schedule your appointment online Find a Doctor By Doctor Name or By Specialty Select Specialty Cancer Care Family Planning Fertility Center General Obstetrics Gynecology Gynecologic Surgery Urogynecology High Risk Obstetrics Pregnancy Giving Birth Routine Gyn Care or By Condition Treatment Contact Us Department of Obstetrics Gynecology Columbia University Medical Center 622 West 168 th St PH 16 New York NY 10032 Schedule an Appointment 1 855 75 OBGYN Administration 212 305 5515 Medical Education 212 305 2463 Maps Directions Center for Prenatal Pediatrics Morgan Stanley Children s Hospital of NewYork Presbyterian Columbia 3959 Broadway 12th FL at 165th St New York NY 10032 Center for Women s Reproductive Care Columbus Circle 1790 Broadway 2nd 4th FL between 57th 58th St New York NY 10019 Center for Women s Reproductive Care Scarsdale 696 White Plains Road Vernon Hills Shopping Center Scarsdale New York 10583 Columbia

    Original URL path: http://www.columbiaobgyn.org/specialties/pregnancy-giving-birth/services-procedures/amniocentesis (2016-04-26)
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