If you have a patient who could benefit from the care of a maternal-fetal medicine specialist or other services the Perinatal Center of Iowa (PCI) offers, please contact us by calling (515) 643-6888 or
toll-free (877) 415-7447.

Thank you for considering PCI for your pregnant patients or those considering pregnancy.

Below are some of the circumstances and conditions for which patients may be referred to PCI:

• Advanced maternal age (over age 35 at time of delivery)
• Cardiac disease
• Known or newly diagnosed history of high blood pressure (hypertension)
• Preeclampsia (toxemia)
• Diabetes (both pre-gestational and gestational types)
• Infectious diseases (such as parvovirus, toxoplasmosis, hepatitis or HIV/AIDS)
• Renal/kidney disease
• An abnormal alpha fetoprotein (AFP) blood test (including the suspicion of a neural tube defect)
• Clotting abnormality (history of or thrombosis with current pregnancy or thrombophilia abnormality)
• Seizure disorder
• Abnormal quad or first-trimester screen (including the suspicion of a chromosomal abnormality such as Trisomy 21 [Down syndrome], Trisomy 13 or Trisomy 18)
• Multiple gestation
• Poor past obstetrical history (including previous preterm deliveries, preterm labor, preterm cervical dilatation, premature rupture of membranes or repetitive pregnancy loss)
• History of incompetent cervix
• Suspected abnormal fetal growth (both macrosomia or fetal growth restriction)
• Maternal lupus
• Red cell alloimmunization (Rh- mother sensitized to an Rh+ fetus)
• Need for invasive fetal testing/procedures such as:
• Fetal blood sampling/transfusion or other type of in-utero therapeutic procedure(s)
• Need for chorionic villus sampling (CVS) or amniocentesis (amnio) for maternal age or other factors
• Known/suspected fetal anomaly
• Need for genetic counseling services
• Need for antepartum fetal testing