What Makes a Pregnancy High-Risk?
July 27, 2026
Dr. Shrutika Vasudeva, MD, FACOG, with Reiter, Hill & Johnson of Advantia, says “A common question that gets asked is...
During your pregnancy, you may be referred to a specialist in maternal-fetal medicine (MFM) if you or your baby have a condition that increases the risk of complications during pregnancy or delivery. Pre-existing health conditions, history of preterm birth, new pregnancy-related conditions, multiple gestations, genetic conditions and fetal anomalies are among the many reasons you may be co-managed by a maternal-fetal specialist.
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Alloimmunization
Cancer During Pregnancy
Congenital Infections
Diabetes (Pre-existing or Gestational)
Fetal Growth Restriction
Fetal Structural Anomalies
Hypertension (Chronic, Gestational or Preeclampsia)
Multiple Gestation
Pregnancies and Chronic Conditions
Recurrent Pregnancy Loss
Our Providers
Julia Timofeev, MD, FACOG
Director
English
MFM & Genetics of Advantia
MFM & Genetics of Advantia, Washington DC
Prior to her current role, Dr. Timofeev served as an Assistant Professor of Gynecology and Obstetrics at Johns Hopkins School of Medicine and was seeing patients at Maternal-Fetal Medicine at Sibley Memorial Hospital, specializing in high-risk pregnancies and fetal diagnostics. She earned her medical degree from the University of Florida College of Medicine, completing residency in Obstetrics and Gynecology at the University of Virginia, and a fellowship in Maternal-Fetal Medicine at MedStar Washington Hospital Center/Georgetown.
Dr. Timofeev has published research in peer-reviewed journals, including Obstetrics and Gynecology, the American Journal of Obstetrics and Gynecology, and the New England Journal of Medicine, as well as has co-authored several book chapters. She has also served on the national American College of Obstetricians and Gynecologists (ACOG) Committee on Genetics, as well as the ACOG Obstetric Clinical Practice Guidelines Committee.
Her clinical work focuses on advancements in fetal imaging and early detection of fetal anomalies.
Laura I. Parikh, MD, FACOG
MFM Specialist
MFM & Genetics of Advantia
MFM & Genetics of Advantia, Rockville| MFM & Genetics of Advantia, Kingstowne| MFM & Genetics of Advantia, Frederick
Jennifer Razak, MGC, CGC
Licensed, Certified Genetic Counselor
English
MFM & Genetics of Advantia
MFM & Genetics of Advantia, Frederick| MFM & Genetics of Advantia, Rockville| MFM & Genetics of Advantia, Washington DC| MFM & Genetics of Advantia, Kingstowne
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