Using a regular OB-GYN vs. a high-risk specialist

David Miller, MD, Chief of Maternal Fetal Medicine, Children's Hospital Los Angeles, explains when it is necessary to use a high-risk specialist during pregnancy instead of a regular OB-GYN
When To Use an OB-GYN or A High-Risk Specialist
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Using a regular OB-GYN vs. a high-risk specialist

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When can your OB take care of some of these conditions, and when do you need to be referred to a specialist with extra training and experience? Many of the conditions that come along with pregnancy like mild degrees of high blood pressure, or mild degrees of gestational diabetes, or pre-term labor, or even pre-eclampsia can be managed by a general obstetrician, it's right in the scope of their training and expertise. Other conditions such as severe high blood pressure or lupus, or particularly complicated diabetes, or some of the more difficult to manage complications with pre-term labor, pre-eclampsia or fetal abnormalities usually are referred to a high-risk specialist.

David Miller, MD, Chief of Maternal Fetal Medicine, Children's Hospital Los Angeles, explains when it is necessary to use a high-risk specialist during pregnancy instead of a regular OB-GYN

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David Miller, MD

Chief of Maternal Fetal Medicine, Children's Hospital Los Angeles

David A. Miller, MD, is Professor of Obstetrics, Gynecology, and Pediatrics at the Keck School of Medicine of the University of Southern California and Children's Hospital Los Angeles.  He is the Chief of Maternal Fetal Medicine at Children’s Hospital Los Angeles and the Director of the CHLA-USC Institute for Maternal Fetal Health, a unique alliance of medical leaders from Children's Hospital Los Angeles and USC, specializing in interdisciplinary diagnosis and treatment of complex fetal abnormalities.  Dr. Miller graduated from USC, attended medical school at the University of Arkansas, did his internship and residency at Vanderbilt University Medical Center and came back to USC for fellowship training in Maternal-Fetal Medicine (Perinatology).  He has been a researcher, clinician and educator at USC for more than 20 years.  Dr. Miller has published extensively in the area of Maternal-Fetal Medicine and has won numerous awards and honors including Best Doctors in America from 2001-present.

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Transcription: 
When can your OB take care of some of these conditions, and when do you need to be referred to a specialist with extra training and experience? Many of the conditions that come along with pregnancy like mild degrees of high blood pressure, or mild degrees of gestational diabetes, or pre-term labor, or even pre-eclampsia can be managed by a general obstetrician, it's right in the scope of their training and expertise. Other conditions such as severe high blood pressure or lupus, or particularly complicated diabetes, or some of the more difficult to manage complications with pre-term labor, pre-eclampsia or fetal abnormalities usually are referred to a high-risk specialist.