Maternal-Fetal Medicine

The Department of Maternal-Fetal Medicine (MFM) provides an integrated multidisciplinary service for women experiencing a “high risk” pregnancy.

We receive referrals for fetal anomalies from around NSW and have a number of fully accredited Maternal-Fetal Medicine subspecialists.

We coordinate a broad multidisciplinary team that includes MFM subspecialists, obstetricians, midwives, neonatologists, neonatal surgeons (including specialised surgeons from Sydney Children’s Hospital), geneticists, genetic counsellors and others.  Frequently women will see a number of these staff for multiple consultations during their pregnancy; all covered by Medicare for both public and private patients.

For those with complicated pregnancies who are under the care of the Royal was the first to introduce a midwifery group practice team who coordinate care including plans for birth and the puerperium. 

The MFM service provides daily referral lists as well as dedicated lists for invasive diagnostic procedures (amniocentesis and chorionic villus sampling), each staffed by a Maternal-Fetal Medicine subspecialist and a maternal fetal medicine trainee.  All our procedures are either performed or closely supervised by the subspecialist.  We offer genetic counselling for those considering or undergoing first trimester screening and invasive assessment.

NSW Fetal Therapy Centre 

The Department has been chosen by NSW Health to be the New South Wales Fetal Therapy Centre and provides a NSW referral service for laser procedures for twin-twin transfusion syndrome as well as a number of other quaternary procedures such as in utero transfusions, fetal shunt placements.

Maternal-Fetal Medicine Midwifery Group Practice (MFM/MGP)

The Department of Maternal-Fetal Medicine offers a complete multidisciplinary service to women with complex pregnancies including continuity of midwifery care from a known specialist midwife.  The midwives in the MFM Group Practice provide women with continuity of midwifery care from diagnosis, through pregnancy, birth and the early newborn time.  They aim to build a deep and trusting professional relationship working with the women and other clinicians to provide the best possible support, care and information, individualised to each women’s journey. 

The NSW Referral Pattern

Referral Pathways:

Routine Referral: General Practitioner, Obstetrician.
Urgent Referral: To fellow, consultants on call.
Complex Referral: For multidisciplinary co-ordinate care, please telephone the Department on (02) 9382 6098 and one of our midwives will contact you to organise your referral.

The referral form must be signed by the doctor and have the doctor’s provider number.  If out of area, please contact the Department on (02) 9382 6098 to discuss.

Referral Form