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Obstetrics

Our services


St. Michael’s is a great place to have a baby. Learn what services we provide to you during your pregnancy and delivery at St. Michael’s Hospital.

Healthy pregnancy (low-risk) clinic

Most pregnant people are healthy and stay well during their pregnancy. At this clinic we follow and support healthy mothers through their pregnancies.

Our low risk clinics run five days a week (Monday - Friday, except holidays) from 8:30 a.m. to 4 p.m.

If problems arise during the pregnancy or post-partum, we provide full service care to address them.

Early Pregnancy Management (EPM) Clinic

The Department of Obstetrics and Gynecology at St. Michael’s opened the Every Pregnancy Matters clinic for patients with early pregnancy concerns on Oct. 2, 2019. Our clinic is held three days a week:

  • Mondays and Wednesdays from 8:30 to 11:30 a.m.
  • Fridays from 9:00 to 11:30 a.m.

Where: 61 Queen St. East on the 5th floor in the Women’s Health Care Centre.

The clinic is staffed by both an obstetrician and a gynecologist and family physicians.

On-site ultrasound

All pregnancy ultrasounds are done in our clinic.

We have experienced ultrasound technicians as well as ultrasound technologists performing and reviewing all ultrasounds.

Keeping things easy and convenient, generally your ultrasounds will be done at a prenatal visit, they are reported immediately. The results are available for you and your doctor to review at that appointment.

Medical Complications of Pregnancy Clinic

You may be a candidate for the Medical Complications of Pregnancy Clinic if you have any of the following conditions:

  • High blood pressure before pregnancy or high blood pressure that develops during pregnancy
  • Auto immune disorders such as lupus
  • Thyroid disease
  • Other health conditions

Diabetes (Gestational, Type 1 and Type 2) and Pregnancy Clinic

St Michael's Hospital offers a multidisciplinary approach to the management of diabetes in pregnancy. This includes the planning and coordination of care during pregnancy for:

  • Patients with diabetes that develops during pregnancy (GDM)
  • Patients with diabetes occurring before pregnancy

Team members include:

  • endocrinologists
  • maternal fetal medicine specialists
  • clinic nurses
  • registered dietitian
  • diabetes nurse educator
  • social worker
  • ultrasound technicians

To access our Diabetes in Pregnancy Clinic, you need to be delivering your baby at St. Michael’s Hospital. You will need a referral from your doctor or midwife.

High-Risk Pregnancy Clinic

St. Michael’s High-Risk Pregnancy Clinic is a referral centre for:

  • Fetal (baby in the womb) and maternal complications which include, but are not limited to:
    • Poorly working placenta/placental dysfunction
    • Fetal growth problems
    • Fetal abnormalities found during the pregnancy
    • Kidney disease
    • Heart problems
    • Lupus
    • Infections occurring during pregnancy
    • Exposure to drugs or other substances during pregnancy

Prenatal Diagnosis Clinic

This clinic is for patients who may have:

  • A problem found early in their pregnancy with the baby
  • A possible genetic condition

Patients have access to specialized testing which includes noninvasive prenatal testing (NIPT) and amniocentesis.

HIV in pregnancy (Positive Pregnancy Program, P3)

P3 (Positive Pregnancy Program) is a clinic that is anonymously blended into and runs out of the prenatal clinic at St. Michael's Hospital. We see individuals and couples in which one or both partners are HIV+, before (pre-pregnancy), during and/or after pregnancy. To date, we have managed more than 250 pregnancies.

The P3 clinic has been running since 2006 and is dedicated to the care of individuals and couples affected by HIV. The clinic was set up following extensive community consultation. Community was involved in the creation, design and implementation of the clinic. That engagement and involvement is considered essential and continues to this day.

The clinic is run by an obstetrician (Dr. Mark Yudin), a registered midwife (Jay MacGillivray) and a prenatal nurse (Cathy Beatty). We also have a full-time social worker on site. We have many established partnerships with other medical clinics (HIV providers, family physicians, pediatric clinics, pediatric infectious disease clinics), mental health services (social work and psychiatry services), a robust community partnership with Women's Health In Women's Hands CHC, HIV legal and housing organizations, settlement agencies, peer and cultural support hubs and other HIV community-based organizations.

Bleeding Disorders of Pregnancy Clinic

This is a multidisciplinary clinic for women with known bleeding disorders such as hemophilia and von Willebrand disease. These women may be at increased risk of bleeding during their pregnancy and during their delivery.

Individually tailored labour and birth care plans are made for each patient depending on their bleeding disorder.

Team members include:

  • Hematologist
  • Obstetrician
  • Pediatrician
  • Anesthetist

Perinatal Mental Health Clinic

This clinic is for women with mental health concerns prior to the pregnancy or that develop during the pregnancy.

This clinic is staffed by psychiatry, nursing and social work.

Speak to your doctor to see whether or not you should be seen in this clinic.

Pre-delivery pediatric consultations

For concerns recognized during the pregnancy that need attention in the newborn period, our pediatricians become a part of the team to discuss the care your newborn may require.

Pre-delivery anesthesia consults

For concerns identified during the pregnancy where anesthetic input would be of benefit.

These may include:

  • Mothers with back problems
  • Mothers who have had difficulty with epidurals

Fetal Echocardiography Clinic

This clinic is for patients with any family or personal history of heart problems.

You may also be referred to this clinic if a heart problem is identified in your baby during the pregnancy.

At this clinic patients are seen by a paediatric cardiologist (baby/child heart specialist). You get your results immediately.