Perinatal Associates of San Antonio opened its doors in 2000 in the Remington Oaks Building under the name Perinatal and Fertility Specialists of San Antonio. Our practice’s goal was to help patients with chronic health conditions, challenging pregnancies, and complex fertility issues to have successful, healthy pregnancies. Since then, we have undergone growth of patients, staff, and office space. We’ve moved to a larger location and even changed our name, all while establishing lasting relationships with doctors and patients throughout the San Antonio area. Many women feel relaxed and comfortable in the care of our all-female team. We are blessed to say that, not unlike the families of our many satisfied patients, our practice’s family is growing every day.

We offer specialized services in both clinical genetics and maternal-fetal medicine. Maternal-fetal medicine is the treatment and care for patients with pregnancies that, for any reason, have needs and conditions that extend beyond routine obstetric care. For example, some of our patients have gestational diabetes that must be carefully managed for the well-being of both mother and baby. Some have chronic health conditions which complicate their pregnancies, and need to be carefully monitored and treated in a way that is safe for both the patient and her growing pregnancy. Some have babies with growth problems or abnormalities that require extra monitoring, preparation, and support in the days leading up to and following birth. Whatever the case, such patients are referred by their obstetricians and midwives to our highly trained and passionate team, which is dedicated to providing healthy outcomes for mother and baby.

Here is a brief list of conditions that indicate referral to our specialist office:

● Advanced maternal age (defined by the ACOG as a mother aged 35 or older at the expected date of delivery)
● Diabetes, including Type I/II and gestational diabetes
● Hypertensive disorders, including both pregnancy-related pre-eclampsia and pre-existing hypertension
● Seizure disorders
● Lupus, rheumatoid arthritis, and other autoimmune diseases
● Prior preterm birth
● Multiple gestation (twins, triplets, etc.)
● Fetal abnormalities
● Cervical insufficiency
● Thrombophilia and related blood disorders
● Familial genetic disorders
● Omphalocele and gastroschisis
● Intrauterine growth restriction (IUGR)
● Discordant twins
● Twin-twin transfusion syndrome
● Preterm ruptured membranes
● Cancer in pregnancy
● Recurrent pregnancy loss
● Hypo- and hyperthyroidism
● Cleft lip and palate
● Oligo- and polyhydramnios
● Excessive fetal growth (macrosomia)