Since 2008, the Brigham and Women’s Hospital (BWH) Program for Surgical Obstetrics and Placental Abnormalities has offered specialized, compassionate care for women who face a complicated delivery due to a cesarean section identified as being complex, risk for heavy bleeding, or need for an additional surgery or hysterectomy. Our goal is to provide a healthy, safe delivery for each mother and child through careful preparation, medical expertise, and multidisciplinary teamwork. Patients may come to us at the beginning of their pregnancy, at the time they are diagnosed with a condition, or prior to becoming pregnant.
Patients we care for include women with the following conditions or histories that may complicate deliveries:
Our maternal-fetal medicine specialists begin by identifying at-risk patients – by history or ultrasound – before or early in pregnancy, and carefully planning the timing and steps of the delivery. By combining this individualized preparation with our rich resource of multidisciplinary specialists, our goal is to make otherwise complicated and difficult deliveries run in a smooth, controlled manner. Afterward, our team offers both immediate and long-term follow-up care.
Our surgical obstetrics patients are cared for by a multidisciplinary team who are prepared to promptly respond to our patients’ needs.
Our team members include:
While all specialists are available whenever needed, our experienced high-risk obstetricians perform the majority of procedures – including cesareans, hysterectomies, and hemorrhage management – in a routine manner. Most deliveries are completed in our Labor and Delivery Unit, under spinal or epidural anesthesia, with dedicated obstetric nurses and staff.
Although a cesarean delivery is often recommended for women with high-risk pregnancies, our goal is for women to have vaginal deliveries when possible. With our high delivery volume, our staff has extensive experience managing vaginal birth after cesarean (VBAC) and its potential complications. Learn more about VBAC delivery.
Our patients benefit from advanced, specialized obstetrics services at BWH including:
Daniela A. Carusi, MD, MSc
Division of Maternal-Fetal Medicine
For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery.