Care for Complicated Pregnancies
Expectant mothers who face pregnancy complications and other health risks receive the region’s highest level of care at the Division of Maternal-Fetal Medicine of Greenville Health System. Our physicians are obstetricians/gynecologists with two to three years of additional training in the treatment of pregnancy complications. These physicians bring exceptional skill to caring for women who are experiencing the challenges of carrying multiple fetuses, being pregnant at an advanced age or having premature labor. They also specialize in the latest treatment for patients diagnosed with diabetes, high blood pressure and other underlying health threats before, during and after pregnancy.
Additional reasons you may be referred to a maternal-fetal medicine specialist include the following:
- Complex medical conditions such as heart or kidney disease, or an autoimmune disorder
- Exposure to specific infections during pregnancy
- Exposure to a teratogen during pregnancy (e.g., alcohol, drugs or chemicals)
- Abnormalities identified on ultrasound in a current pregnancy
- Abnormal genetic screening results
- Pregnancy-induced diabetes
- Family history of genetic/hereditary concerns
- Pregnancy is not progressing as expected (incompetent cervix, preterm labor, premature rupture of the membranes)
- Complications during a previous pregnancy
- Recurrent pregnancy loss
The Division of Maternal-Fetal Medicine was the first perinatal diagnostic ultrasound center in South Carolina to receive national certification by the American Institute of Ultrasound in Medicine. Our practice is also a leader in offering virtual office visits via telemedicine in select rural communities.
Pregnant women with medical emergencies who are transported to Greenville Memorial Hospital may be admitted to the Women’s Specialty Unit. The Women’s Specialty Unit is covered by a maternal-fetal medicine specialist 24 hours a day. Our Women’s Specialty Unit is located on the sixth floor of Greenville Memorial Hospital, right down the hall from The Family Birthplace and the Bryan Neonatal Intensive Care Unit.
We accept referrals for pre-gestational and gestational diabetes. Preconception counseling is encouraged for patients with diabetes so they can proactively prepare for a healthy pregnancy and delivery. Our diabetes care program emphasizes patient education and active participation in optimizing blood-sugar control. Women receive care from our physicians in concert with diabetes educators and nutritionists.
Therapeutic goals are individualized for the patient, who is contacted weekly by phone to assess the need for therapy adjustments. Most patients can be co-managed with their primary obstetric physician.
In collaboration with Greenwood Genetic Center, our practice serves families at risk for having a child with birth defects or genetic disorders. Masters-level certified genetic counselors translate complex prenatal screening information and diagnoses into simple terms.
Minimally Invasive Techniques
For many years, the Division of Maternal-Fetal Medicine has offered minimally invasive procedures to address fetal anemia and select birth defects. In-utero transfusions via the umbilical cord and fetal bladder shunt placement are two examples of these treatments.
- 3-D and 4-D ultrasound evaluation and treatment
- Antepartum testing including Doppler flow velocimetry
- Chorionic villus sampling (CVS)
- Critical care obstetrics
- Fetal echocardiography
- Genetic counseling and testing
- Genetic sonograms
- Invasive and noninvasive fetal diagnosis and treatment
- Preconception counseling
- Quick access to GHS’ Bryan Neonatal Intensive Care Unit (NICU)
- Screening for chromosomal abnormalities
- Separate unit for high-risk pregnant women staffed by nurses skilled in obstetric critical care
Shelley J. Chapman, MD
Eric H. Dellinger, MD
Kacey Y. Eichelberger, MD
Thompson A. Gailey Jr., MD
Sharon D. Keiser, MD
Francis S. Nuthalapaty, MD
Amy H. Crockett, MD, MSPH
Megan M. Schellinger, DO
Kenneth F. Trofatter Jr., MD, PhD
Locations & Contact Information
The Division of Maternal-Fetal Medicine has six locations for your convenience. Please note that a physician referral is required for a consultation with one of our specialists. If you need additional information or have a question about the services we offer, contact our office at (864) 455-1600.
890 W. Faris Road, Suite 470
Greenville, SC 29605
1120 Grove Road, Suite B
Greenville, SC 29605
2000 E. Greenville St., Suite 4600
Anderson, SC 29621
22725 Hwy. 76 East
Clinton, SC 29325
101 Gregor Mendel Circle
Greenwood, SC 2964