At Mayo Clinic Rochester, our team provides a variety of specialty services designed to meet the individual needs of patients. Please contact us at 507-284-5135 for additional details or to schedule an appointment.
Cardiovascular Obstetrics Clinic
Mindfulness Based Childbirth and Parenting Support
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Complex Care Obstetric Team
Mayo Clinic in Rochester provides care for a myriad of patients including high risk pregnancies. Housed within the obstetrics division is a specialty clinic called the complex care team. This group of highly skilled providers manage the prenatal and postpartum care for patients with chronic and pregnancy related conditions that can potentially put their pregnancy at risk for complications. The complex care team collaborates with our maternal-fetal medicine colleagues to provide a multidisciplinary care model ensuring the highest quality of care for our patients.
The complex care team manages conditions and complications such as preterm labor, diabetes mellitus, hypertension, preeclampsia, twins, placenta previa and sickle cell anemia. Additionally, the complex care team spearheads the care for any obstetric patient that contracts covid-19 during their pregnant as an OB covid-19 care team. In collaboration with the Mayo Clinic Connected Care team, complex care providers evaluate patients via telemedicine during the acute illness phase of the viral infection. Patient remote monitoring is handled by the complex care team registered nurses overseen by our complex care providers. If symptoms worsen, our team is able to connect with our patients to request that they be seen in the hospital setting for their safety. Through telemedicine, the OB covid-19 care team is also able to establish a prenatal care plan for the patient and their care provider to follow throughout the rest of their pregnancy based on their new risk factor of covid-19 infection during pregnancy.
Early Pregnancy Care Clinic
For a patient with a new pregnancy, it can often feel exciting and scary to think about what's to come. Some patients may have experienced a miscarriage in the past or may have some vaginal bleeding in the first few weeks of this pregnancy. To best support our patients, we have an Early Pregnancy Care (EPC) Clinic in Rochester to help families through the initial weeks after conception. Our dedicated team of providers and nurses will walk with you through any testing or follow up that is necessary to ensure that you are safe and your pregnancy is on track. If miscarriage happens, our EPC team is knowledgeable and experienced in supporting you through this difficult experience.
Patients are seen for their first obstetrical visit with our practice usually around 8-12 weeks of pregnancy. If you are experiencing any concerning symptoms prior to your first scheduled visit, our EPC team will help manage your care. These providers can see you for an early visit if needed based on your clinical situation. If your pregnancy is high risk, our EPC team will consult with our maternal-fetal medicine providers to get you to the right care provider when you need it.
Many patients hope to breastfeed their newborns after birth but may be unsure about how to get started. Mayo Clinic Rochester has an incredible team of international board certified lactation consultants (IBCLCs) to help you reach your goals! IBCLC support is available while you are in the hospital after you give birth along with the expertise of our birth and postpartum registered nurses. For patients who may need additional help once they are at home, our lactation consultants are available for outpatient visits in the OB clinic. Patients and their babies can be seen for breastfeeding support through an in person or telemedicine visit to keep breastfeeding on track.
Outpatient lactation consultations are also available in the clinic during the prenatal period. Basic information about breastfeeding and answers to specific concerns can be addressed with a prenatal lactation visit prior to giving birth. For patients that have had difficulty in the past, a prenatal lactation consult can help to review your breastfeeding history and create a plan for better success for this pregnancy. Breastfeeding classes are also available for patients and their families through the Mayo Clinic Perinatal Education Program.
Cardiovascular Obstetrics Clinic
Patients with cardiac conditions are at higher risk of complications in pregnancy. These patients can be cared for within our Cardiovascular Obstetrics Clinic which is housed within the Maternal-Fetal Medicine division. The pregnancy heart team includes experts in pregnancy care (obstetricians specializing in high-risk maternal and fetal medicine), heart disease (cardiologists), high blood pressure (nephrologists), perioperative care (anesthesiologists), cardiac surgery and other specialties as needed. In addition, your care team includes nurse practitioners and nurses with experience in caring for pregnant women with heart disease.
The Cardiovascular Obstetrics Clinic manages patients with conditions such as aortic valve disease, congenital heart disease, coronary artery disease, heart failure, and Marfan syndrome. Patients are able to utilize Mayo Clinic heart programs such as heart rhythm halter monitoring, echocardiogram, electrocardiogram, fetal echocardiogram, and other services to ensure their safety during pregnancy and beyond.
Mindfulness Based Childbirth and Parenting Support
In addition to the standard childbirth classes available through the Perinatal Education Center, Mayo Clinic offers a specialized training program focused on stress reduction during pregnancy and birth. This course entitled the Mindfulness-Based Childbirth and Parenting (MBCP) Program runs online and is available for any pregnant patient anywhere in the world. Led by Susan Skinner CNM, one of the midwives in the Rochester practice, this program teaches daily mindfulness activities that can help develop your mind body connection. The MBCP program is based on research on mindful birthing practices and stress reduction approaches that have been proven in the literature. Our course strives to increase your confidence and courage for the experience of labor, birth and life with baby along with enhancing partner communication skills and accessing your capacity for deep physical and mental relaxation.
After the baby is born, alumni from the MBCP program can continue their journey in the new Mindful Parenting course. This curriculum helps new parents navigate the ups and downs of the first several months of having a newborn aiming to bring wisdom, openheartedness, joy and balance to families in a supportive environment with other parents. The course works to decrease new parent isolation, provide a source of caring and mindful connection, and reduce inter-generational suffering by encouraging new family dynamics as needed. This course is also held online and can be attended by new parents in any location.
Perinatal Education Classes
Mayo Clinic offers classes to patients in the Midwest, throughout the United States and globally in an effort to educate individuals and their families. Over 30 courses are available specifically related to pregnancy through the Perinatal Education Center.
Classes are available on many different topics such as childbirth, breastfeeding, car seat safety, cesarean birth, comfort strategies for labor, grandparenting class, infant massage, multiple gestation, sibling preparation, infant CPR and vaginal birth after cesarean preparation. Due to the covid-19 pandemic, classes are being offered in-person, through virtual-interactive live classroom on Zoom, and by online eClass. Safety measures are in place for in-person classes that include reduced class sizes, room arrangement that supports safe distancing, health screening of participants, and a requirement for everyone to wear a mask throughout the duration of class.
The Perinatal Education Center also runs a postpartum support group for new parents called Postpartum Connection. The session is held via Zoom every Wednesday from 10am-11:30am or 12:30pm-2pm. The group is free and you can register online. Any postpartum parent can attend with the focus on birth through six months postpartum. The purpose of this class is to provide support, encouragement, education, information and resources to help all families navigate through the transition into parenthood. We hope to build social connections, while continuing to partner with you through the joys and challenges that come with being a new parent. This time is facilitated by experienced registered nurses in Mayo Clinic’s OB department.
Prenatal Genetics Consults
The Mayo Clinic Obstetrics and Maternal-Fetal Medicine divisions are fortunate to be able to partner with the Department of Clinical Genomics in order to provide top rate prenatal genetic counseling to pregnant patients and their families. Dr. Myra Wick, one of the complex care physician, holds a joint appointment as a medical geneticist in addition to her role as an obstetrician. She leads the prenatal genetics specialty team that includes two dedicated genetic counselors to our obstetric patients. Preconception and prenatal genetic consultations are available in Rochester and through telehealth to discuss maternal carrier screening, fetal anomaly screening and for education regarding any diagnosed genetic disorders or conditions.
Laura Rust, M.S., CGC shares additional details on our prenatal genetics program.