The Special Pregnancy Program (SPP) at Mount Sinai Hospital is dedicated to the investigation and management of the full range of maternal, fetal and placental difficulties that may occur during pregnancy.

Mount Sinai’s Maternal-Fetal Medicine specialists staff one of the largest MFM units in the world dealing with medical disorders complicating pregnancy. This Unit works with other hospital specialties to care for women with some of the most challenging pregnancies such as those complicated by maternal heart disease, cancer, transplantation, or renal failure. 

Our Maternal-Fetal Medicine specialists are on call to care for Mount Sinai’s ill mothers and infants as well as to provide consultation to other hospitals in the region and accept regional patients if in-patient management is necessary.

Download  the Special Pregnancy Program Referral Form » 
(115 KB pdf )

 
Fetal Therapy Program

Mount Sinai Hospital has the largest Fetal Therapy Program in the country and provides a range of fetal interventions in complicated pregnancies including:

• Intrauterine blood transfusions (over 300 transfusions since 1993)
• Fetal blood sampling and the insertion of fetal chest shunts (placing little plastic pigtail catheters into the fetal chest to allow normal lung development)
   

Twin-to-Twin Transfusion Syndrome

Mount Sinai’s has the only department in Canada that performs selective laser photocoagulation of placental anastomoses in severe Twin-to-Twin Transfusion Syndrome (TTTS). The medical and nursing team began its work in this field using experimental models over three years ago, and is now a referral center for the entire country.
 

Placenta Clinic
SPP has developed a unique, internationally-renowned Placenta Clinic. The clinic’s research and management of conditions that cause placental deficiency has resulted in discoveries and patient care options that were not available in the past. More on the Placenta Clinic »
 

Prevention of Prematurity Program

Prevention of Prematurity Program is engaged in research activity that is aiming to decrease the rate of preterm deliveries.  Preterm deliveries are responsible for many serious neonatal illnesses and significant life-long health complications.

About the Special Pregnancy Program Team

The Special Pregnancy Program has a team of obstetricians, nurses, sonographers, geneticists and genetic counsellors specializing in the investigation and management of a complete range of maternal and fetal problems during pregnancy.

Mount Sinai is a leading academic health centre and all of the SPP physicians are on the medical faculty at the University of Toronto. Residents and medical students are an important part of the team and under the supervision of a staff member they rotate through the unit helping care for patients. The team also includes fellows—obstetricians who work to further specialize in areas of high-risk pregnancy.