Perinatology, a subspecialty within obstetrics and gynecology, deals with high-risk pregnancies. A maternal-fetal medicine specialist has expertise in the care of pregnancies at risk by medical, surgical, and/or obstetric complications. This includes diabetes, hypertension, multiple gestations, preterm labor, birth defects or any complication of pregnancy.
Each year, more than 3,500 patients visit the division of perinatology. This includes the usual high-risk cases and a variety of unusual and rare cases, which are often managed in conjunction with other services such as cardiology, burn, trauma, hematology, endocrinology and neurosurgery.
Additionally, our department is affiliated with Children’s National Medical Center and serves as the referral delivery hospital for fetuses with significant congenital malformations, such as complex cardiac abnormalities, neural tube defects and conjoined twins.
The focus on adolescent health care includes the Teen Alliance for Prepared Parenting (TAPP) program, a clinic which meets on Monday afternoons. Through this program, a multi-disciplinary team of professionals address the gynecologic and obstetric needs of adolescents, ages 12 through 17. Nurse midwife Loral Patchen is administrative director of the program. Under the supervision of Dr. Jason Woo, Ob/Gyn residents provide prenatal care to participants in this program.
Our department also collaborates with Children's National Medical Center to provide gynecological services to their adolescent population. Dr. Veronica Gomez-Lobo serves as a gynecologic consultant to the adolescent program at Children's Hospital. Under her supervision, Ob/Gyn residents provide services to inpatients at Children's Hospital and outpatients at the adolescent clinic. Although consultations are primarily for pregnancy or management of abnormal pap smears, residents are also exposed to rare mullerian congenital malformations. The Ob/Gyn lecture series includes topics pertinent to pediatric and adolescent gynecology to support residents' clinical experiences.
Residents acquire experience in reproductive endocrinology and infertility at the Walter Reed Army Medical Center under the direction of Dr. Melinda Henne. Washington Hospital Center residents work alongside Bethesda Naval Ob/Gyn residents in the gynecology-endocrinology clinic, where they gain experience in the diagnosis and management of conditions such as amenorrhea, hirsutism and dysfunctional uterine bleeding. They also participate in assisted reproductive IVF cycles. While on this rotation, residents attend the NIH reproductive endocrinology journal club supervised by Dr. Alan DeCherney.
This subspecialty focuses on disorders of the female pelvic floor and bladder. Under the guidance of Drs. Cheryl Iglesia, Briana Walton and Andrew Sokol, residents learn to evaluate and manage conditions such as urine or stool incontinence or uterine/vaginal prolapse. Residents perform basic urodynamic testing, cystourethroscopy and a variety of transvaginal, transabdominal and laparoscopic pelvic reconstructive procedures. This division works extensively with robotic surgery technology.
This subspecialty focuses on the diagnosis and management of gynecologic malignancies. The Washington Cancer Institute is the busiest and largest cancer treatment center in the Washington, D.C. region. Over 1,000 new cases of malignancies are diagnosed annually. Residents actively participate in the medical and surgical management of all gynecologic oncology patients under the supervision of Dr. Charles Boice. Dr. Boice is one of the busiest and most respected gynecologic oncologists in the capital region.