Keeping Complex Pregnancy Care Within the Local Health System

The Case

A pregnant patient with pregestational diabetes requiring insulin pump management wanted to continue care with her established obstetrics team and deliver at the local health system she trusted.

Without maternal-fetal medicine support, the complexity of the patient’s diabetes management may have required referral outside the health system for specialty care and delivery.

The Care Plan

Through Access TeleCare’s full-time virtual maternal-fetal medicine clinic, Blake Porter, M.D., and the teleMaternal-Fetal Medicine team supported her obstetricians with glycemic optimization, insulin titration, high-level ultrasound evaluation, fetal echocardiography, serial growth surveillance, and antenatal testing.

Access TeleCare helped the local OB team manage the pregnancy with subspecialty guidance integrated into the patient’s existing care plan.

The Result

The patient progressed through pregnancy without major complications, delivered successfully, and the newborn did well after discharge.

This case demonstrates how teleMaternal-Fetal Medicine can help hospitals and OB teams expand access to high-risk pregnancy expertise, retain clinically appropriate patients, and support continuity of care within the local health system.

With the right specialty support, hospitals and clinicians can manage complex maternal care locally while helping protect outcomes for both mom and baby.

 

“Not every healthcare system has in-person maternal-fetal medicine specialists available. In this case, telemedicine allowed us to bring high-risk pregnancy expertise into the patient’s existing care environment and support the OB team she already trusted. She wanted to deliver at her local hospital, and our role helped make that possible while keeping both mom and baby safe.”

Dr. Blake Porter
Chief of Maternal-Fetal Medicine, Access TeleCare