Saint Agnes Hospital

Strong Foundation, Brilliant Future.

High Risk Pregnancies / OB Rapid Response

Expert Care for Moms-To-Be Over 35

Saint Agnes Hospital is among Baltimore’s leading institutions for high risk pregnancies, deliveries, and neonatal care. We make the health and safety of you and your baby our top priority—so you enjoy greater peace of mind and a more confident pregnancy.

A Wealth of Experience and Specialized Care

According to the American Society for Reproductive Medicine, one in five mothers in the U.S. today has her first child when she is over age 35. The doctors and staff at the Women’s and Children’s Health Institute at Saint Agnes Hospital provide both a wealth of experience and specialized care for these mature moms-to-be.

The key to successfully managing these pregnancies involves maximizing the health of the mother, providing state-of-the-art genetic and fetal testing at appropriate times, and having an experienced medical team including maternal-fetal medicine specialists at the hospital.

Once a woman over age 35 successfully conceives, her odds of delivering a full term and healthy baby are very good. Still, there are risks that healthcare providers at Saint Agnes address with these patients.

The first concern is the health of the mother. It’s important for any existing medical issues to be under control – for example, diabetes or hypertension. The next step is screening for genetic problems. At Saint Agnes, patients are educated about the tests available to assess risk of Down ’s syndrome or other chromosomal abnormalities that may affect the growing fetus.

And of course, women over 35 should begin a schedule of screening and monitoring the baby’s health that all expectant mothers undergo.


The outcome of most high risk pregnancies today can be improved significantly with specialized intervention. The services we provide are available to you whether you are currently pregnant or contemplating pregnancy. The Perinatologists and Genetic Counselors at Saint Agnes Hospital can help you and your doctor manage or reduce possible pregnancy complications if you are affected by any of the following:

  • Maternal age 35 years or greater at the time of delivery.
  • Previous pregnancy loss.
  • Increased risk of premature delivery.
  • Hypertensive, cardiac or autoimmune disease.
  • Diabetes.
  • Exposure to environmental toxins or potential harmful medications.
  • History of genetic disease such as sickle cell anemia, cystic fibrosis Tay Sachs.
  • Fetal abnormalities.
  • Multiple gestation.
  • Suspected fetal growth restriction.
  • Abnormal genetic or chromosomal screening tests.
  • History of pregnancy complications.

Our range of services includes:

  • High risk obstetric consultation.
  • Antepartum testing including comprehensive sonograms, first trimester nuchal translucency screening, Doppler studies, 3-D ultrasound, fetal echocardiography, non-stress tests, biophysical profiles, amniocentesis, and chorionic villous sampling.
  • Genetic counseling.
  • Preconception counseling.

Our Perinatalogy nurses provide in depth patient education, support and perform antenatal testing. Our sonographers have extensive experience in high-risk obstetrics and perform all sonograms which are then interpreted by our staff of perinatologists. The perinatologist reviews the results of all sonograms and ultrasound images with you at the time of your visit. The final report is faxed to the physician the same day of the visit.

Our four ultrasound rooms are equipped with state-of-the-art equipment. Our ultrasound lab maintains voluntary accreditation by the American Institute of Ultrasound in Medicine (AIUM). AIUM accreditation is the hallmark of an ultrasound practice that meets nationally accepted standards of patient care, demonstrates consistent excellence, and is current with the latest ultrasound technology.


When an obstetric emergency occurs, time is of the essence. The quicker the medical team responds, the better the outcome for the mother and the child.

The Obstetrics Rapid Response Team (OBRRT) is a multidisciplinary team activated by a single phone call that brings all the resources needed together for an emergency. Saint Agnes’ OBRRT is unique in the breadth of personnel on the team. It consists of the obstetrician, anesthesiologist, charge nurse, physician’s assistant, operating room technician, two respiratory therapists and possible neonatal intensive care personnel. Additionally, it includes the hospital’s chaplain to help counsel family members during what can be a very stressful experience.

OB patients at Saint Agnes and their families have always been safe and well cared for. Now, thanks to the OBRRT team, you can feel even safer and better care for, especially in a time of crisis.

Miracle Baby


Camilla was born in 2011, at just 24 weeks gestation. She weighed just 1 lb., 6 oz., and was given a 60-percent chance of survival. Watch her incredible story.

Mature Mammas

Read how highly experienced physicians and staff at the Women's and Children's Health Institute at Saint Agnes provide specialized care for moms-to-be over 35. Click here.

New Expanded NICU  


The Women’s & Children’s Health Institute recently completed renovations to our level 3B designated Perinatal Center, and now provides 18 private beds, including six specifically designated for more critical babies. The facility is equipped to care for infants of all gestational ages and birth weights.


More Information

For more information on the Women's & Children's Health Institute at Saint Agnes Hospital you can reach us at 1-866-690-9355. To find a physician click here.


Meet Our Team

Obstetrics & Gynecology
Maternal & Fetal Medicine
Pediatric Endocrinology
Pediatric Emergency Medicine

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