Overview

Overview

Cleveland Clinic sonographer

In some cases, high-risk pregnancies require fetal interventions or other highly specialized care to ensure the health of both mother and baby. As one of the few comprehensive fetal care programs worldwide, our Fetal Care Center is committed to improving outcomes for high-risk pregnancies and enhancing the long-term quality of life for every baby we treat. We evaluate, diagnose, and treat, if necessary, a mother and baby together and return them to the care of their physician as quickly as possible.

Our Fetal Care Center was specifically designed by doctors, nurses, and patients to provide the latest technologies and offer a warm, comforting environment to meet the individual needs of our patients.

Pregnancy is a time of excitement, stress and anticipation. Adding a maternal health issue or fetal condition to an already emotional time can be overwhelming. At the Fetal Care Center at Cleveland Clinic, our team approaches your pregnancy complication with compassion and expertise. Our goal is to achieve the best possible outcome for both mother and baby while offering you the support and information you need.

Our coordinated program is designed to address the complex needs of families facing rare fetal and or maternal disorders in pregnancy. We offer state-of-the-art techniques for fetal diagnosis and intervention Our family-centered approach involves you in decision-making from the time of referral into our program to the time of your discharge. Continued support and resources are offered after the delivery of your baby.

Our team is committed to providing state-of-the-art maternal-fetal care and warm, personalized attention, whether a patient participates in an extended course of treatment or visits just once for a consultation. We strive to make patient appointments comprehensive, conducting all necessary testing and providing results and available treatment options all on the same day. Patients can spend as much time as needed with our fetal care physicians to obtain counseling and support. The counseling approach is non-directive, providing patients with the information needed to make informed decisions that work best for them. We work in partnership with patients and their referring physicians, and sincerely appreciate the opportunity to assist with their healthcare needs.

Multidisciplinary team

The Fetal Care Center at Cleveland Clinic works as a team of teams. Specialists from all disciplines including maternal-fetal medicine, neonatology, fetal and pediatric general and thoracic surgery, pediatric cardiology, genetics, radiology, pediatric and obstetric anesthesiology, pediatric neurosurgery and many others work together to provide integrated and comprehensive care for all maternal and fetal conditions that benefit from specialized treatment during the pregnancy and afterward. The Cleveland Clinic is one of only a few centers in the world that provides the full continuum of care from conception through adulthood.

Special Delivery Unit (SDU)

The program's centerpiece is the Special Delivery Unit, the first U.S. facility designed to provide specialized care for both mothers and newborns with serious medical issues. From initial consultation through delivery and the postpartum period, the Special Delivery Unit team offers support and coordinated services for both mom and baby. As part of the Fetal Care Center, the Special Delivery Unit provides moms, unborn babies and newborns advanced diagnostic and treatment options from fetal MRI and in utero intervention, to immediate newborn surgery. And, a full spectrum of sub-specialty care is available to moms with serious diseases that may complicate labor and delivery. The SDU has labor and delivery suites, triage, and a full operating room. There is also a state-of-the-art cardiac catheterization lab across the hall for those newborns requiring immediate help for a life-threatening heart abnormality.

Traveling to Cleveland Clinic Children's?

When your child is sick, you want the best pediatric care. Every year, thousands of families come to Cleveland Clinic Children's for everything from checkups to life-changing procedures. Wherever you are on your journey, our team is here for you. Learn more.

What We Treat

What We Treat

Cleveland Clinic performs spina bifida surgery in utero.

Cleveland Clinic performs spina bifida surgery in utero. Spina bifida is a condition where the baby’s spinal column doesn’t form properly. The surgery involves opening up the mother’s abdomen and making a 2-inch incision in her uterus. Through that incision, a neurosurgeon can operate on the fetus’s spine.

The Fetal Care Center offers services relating to maternal and fetal health concerns during pregnancy. Conditions we address are including but not limited to the following:

  • Maternal Health Conditions.
  • Complicated Multiple Pregnancy Conditions.
    • Twin-to-Twin Transfusion Syndrome.
    • Twin Anemia-polycythemia Sequence (TAPS).
    • Twin reversed arterial perfusion (TRAP).
    • Selective fetal growth restriction (Sfgr).
    • Discordant anomalies in multiple pregnancy.
  • Treatments and Services.
    • Selective fetoscopic laser surgery.
    • Selective fetal reduction.
    • Fetoscopic surgery.
    • Fetoscopic surgery for meningomyelocele repair.
      • This advanced technique offers significant benefits, including reduced maternal risks, shorter recovery times, and a lower risk of preterm birth, while achieving improved neurological outcomes for the baby. By repairing the defect in utero using state-of-the-art fetoscopic methods, we aim to optimize the baby’s quality of life while ensuring maternal safety. Our multidisciplinary team—including specialists in pediatric surgery, maternal-fetal medicine, pediatric neurosurgery, and fetal anesthesia—is dedicated to delivering exceptional care and advancing innovation in fetal surgery.
    • Chorionic villus sampling (CVS) and amniocentesis prenatal screening and diagnosis.
    • Microwave ablation.
    • Amnioreduction.
    • Amnioinfusion.
    • Microseptostomy.
  • Fetal Health Conditions.
Programs

Programs

  • Fetal cardiac care.
  • Fetal diagnostics and fetal genomics.
  • Fetal intervention and fetoscopic surgery.
  • Fetal MRI.
  • Fetal surgery.
  • Advanced neonatal minimally invasive surgery.
  • Neonatal intensive care unit (NICU) and cardiac ICU.
  • Pediatric congenital cardiac surgery.
  • Special Delivery Unit (SDU).
Benefits

Benefits

  • On-call support available for any concerns.
  • Fetal Care coordinators partner with you from the time of referral through your postpartum period. We offer emotional support, education, and assistance in scheduling visits. We also serve as a liaison between you and the members of your care team.
  • Our multi-disciplinary team of specialists meets on a regular basis to review each case and intentionally develop individualized plans for each family. Additional consultations and care are available from specialists in perinatal genetics, bioethics, child-life, lactation consultation, social work, and when needed, palliative care, hospice and perinatal bereavement counseling.
  • Should your child have an abbreviated life expectancy, we will walk by your side throughout even the most difficult of journeys. Cleveland Clinic's Fetal Care Center and our Cleveland Clinic Children's Pediatric Palliative Medicine team focus together on family-centered perinatal hospice care as we work with you to preserve hope while preparing you for birth and your time together as a family.
Research and Clinical Trials

Research and Clinical Trials

Renal Anhydramnios Fetal Therapy (RAFT) Study

Gastroschisis Outcomes of Delivery Study (GOOD study)

The Gastroschisis Outcomes Of Delivery (GOOD) Study is a current gastroschisis research opportunity available at Cleveland Clinic. The purpose of the study is to determine the best care for babies with gastroschisis. Currently, the two standard delivery options are to induce a mother at 35 weeks or carry to observed delivery with a goal of 38 weeks. It is not known which of these two commonly used delivery plans is best. This study will help compare the two options to figure out which delivery timing maximizes treatment for both mother and baby.

The North American Fetal Therapy Network (NAFTNet) has approved and supported the GOOD Study. The GOOD Study has been designed by NAFTNet doctors specializing in maternal-fetal medicine, neonatology, and pediatric surgery. Mothers having a baby with gastroschisis may be eligible for participation in this study. Please contact our team to learn more about the study or request information about becoming a participant.

  • CCF Site PI: Amanda Kalan, MD.
  • Sponsor/Collaborator: North American Fetal Therapy Network (NAFTNet), Coordinating Site - Medical College of Wisconsin.
Our Team

Our Team

Leadership

Ahmed Ahmed, MD, Ms.C, RDMS
Ahmed Ahmed, MD, MSc, RDMS
Co-Director, Fetal Care Center (Maternal Fetal Medicine)
Director, Obstetrical Ultrasound and Prenatal Diagnostics		 Miguel Guelfand, MD
Miguel Guelfand, MD
Co-Director, Fetal Care Center (Pediatrics)
Section Head, Pediatric General & Thoracic Surgery

Fetal Cardiac Care

Francine Erenberg, MD
Francine Erenberg, MD		 Rukmini Komarlu, MD
Rukmini Komarlu, MD		 Mayme Marshall, MD
Mayme Marshall, MD
Holly Nadorlik, DO
Holly Nadorlik, DO		 Clare O'Hare, MD
Clare O'Hare, MD		 Rashmi Rao, MD
Rashmi Rao, MD
Malek Yaman (El Yaman), MD
Malek Yaman (El Yaman), MD

Fetal Diagnostics and Prenatal Genomics

Ahmed Ahmed, MD, Ms.C, RDMS
Ahmed Ahmed, MD, MSc, RDMS
Co-Director, Fetal Care Center (Maternal Fetal Medicine)
Director, Obstetrical Ultrasound and Prenatal Diagnostics		 Julie Kaplan, MD
Julie Kaplan, MD
Director, Center for Personalized Genetic Healthcare		 Marissa Coleridge
Marissa Coleridge
Genetic Counselor
Director, Prenatal and Fetal Care Genetic Counseling
Dana Knutzen
Dana Knutzen
Genetic Counselor		 olga latosh
Olga Latosh
Genetic Counselor		 Michelle Littman, DO
Michelle Littman, DO
Pediatric Palliative Care
Medical Geneticist
No Photo
Jenna Ward
Genetic Counselor

Fetoscopic Surgery

Courtney Stephenson, DO
Courtney Stephenson, DO
Director, Fetoscopic Intervention		 Manuel Lopez, MD
Manuel Lopez, MD

Fetal Intervention

Courtney Stephenson, DO
Courtney Stephenson, DO
Director, Fetoscopic Intervention		 Ahmed Ahmed, MD, Ms.C, RDMS
Ahmed Ahmed, MD, MSc, RDMS		 Stephen Bacak, DO
Stephen Bacak, DO
Stacey Ehrenberg, MD
Stacey Ehrenberg, MD		 Maeve Hopkins, MD
Maeve Hopkins, MD		 Amanada Kalan, MD
Amanada Kalan, MD

Maternal-Fetal Medicine Team

Fetal MRI

Brendan McCleary, MD
Brendan McCleary, MD		 Deborah Brahee, MD
Deborah Brahee, MD		 Benjamin Fortson, MD
Benjamin Fortson, MD
Albair Guirguis, MD
Albair Guirguis, MD		 Brooke Lampl, DO
Brooke Lampl, DO		 Melissa Myers, MD
Melissa Myers, MD
Ellen Park, MD
Ellen Park, MD

Fetal Surgery

Darrell Cass, MD
Darrell Cass, MD
Director of Fetal Surgery		 Amanda Kalan, MD
Amanda Kalan, MD		 Manuel Lopez, MD
Manuel Lopez, MD
Violette Recinos, MD
Violette Recinos, MD

Fetal Care Coordinators and Psychosocial Support

camille ross
Camille Ross, RN
Nurse Manager		 bridget bryner
Bridget Brynner, RN
Nurse Manager, Special Delivery Unit		 susan grendzynski
Susan Grendzynski, RN
Fetal Care Coordinator
Megan Yuska, RN
Megan Yuska, RN
Fetal Care Coordinator		 Rhonda Spada, RN
Rhonda Spada, RN
Fetal Care Coordinator		 No Photo
Porsha Livingston, RN
sarah kaletta
Sarah Kaletta, LISW-S, CDCA
Pediatric Social Worker		 No Photo
Karen Blehi
Scheduler

Advanced Neonatal Minimally Invasive Surgery

Miguel Guelfand, MD
Miguel Guelfand, MD
Section Head, Pediatric General & Thoracic Surgery		 Manuel Lopez, MD
Manuel Lopez, MD

Pediatric General Surgery Team

Neonatal Intensive Care Unit (NICU)

Melissa Andrianov, MD
Melissa Andrianov, MD		 Natalie Yeaney, MD
Natalie Yeaney, MD		 sarah barsman
Sarah Barsman, CNP, PhD

Pediatric Urology

Jessica Hannick, MD
Jessica Hannick, MD		 John Weaver, MD
John Weaver, MD		 Lynn Woo, MD
Lynn Woo, MD

Pediatric Palliative Care

Christine Traul, MD
Christine Traul, MD
Director, Pediatric Palliative Care		 Michelle Littman, DO
Michelle Littman, DO		 Kristin Carter, MD
Kristin Carter, MD

Pediatric Cardiac Intensive Care Unit (PCICU)

Catherine Allen, MD
Catherine Allen, MD
Director, Cardiac Care Unit and Inpatient Cardiology		 Bradley Marino, MD, MBA
Bradley Marino, MD, MBA
Children’s Institute Department Chair of Heart, Vascular & Thoracic and Division Chief of Cardiology & Cardiovascular Medicine		 Samir Latifi, MD
Samir Latifi, MD
Chair, Division of Pediatric Critical Care
William Hanna, MD
William Hanna, MD
Medical Director, PCICU		 Madalsa Patel, MD
Madalsa Patel, MD

Pediatric Congenital Cardiac Surgery

Hani Najm, MD
Hani Najm, MD
Chair, Pediatric & Congenital Heart Surgery

Visit each departments’ webpage to learn more about the services they provide:

Appointments

Appointments

Referrals and Second Opinions
866.864.0430 (8 a.m. – 5 p.m.)
mcmaternalfetalcare@ccf.org

Weekends and After Hours
216.476.7144

Resources

Resources

Consumers

Podcasts

Listen to episodes of Cleveland Clinic's podcast Butt & Gutts about fetal surgery:

Health Essentials

Find medical, health and wellness news, information and insights from Cleveland Clinic:

Medical Professionals

Education

Watch videos from our virtual CME conference and learn from general practitioners and specialists about the continuum of care - Fetal and Congenital Cardiac Care: Lifelong Commitment to the Continuum of Care.

Consult QD

Find helpful posts from Cleveland Clinic's site for physicians and healthcare professionals. Discover the latest fetal surgery research insights, innovations, treatment trends and more: