Line drawing of mother and baby Maternal Fetal Medicine Hub

Your Resource for Maternal-Fetal Medicine in the Caribbean

Evidence-based clinical resources, educational content, and learning tools for students, clinicians, and specialists across the Caribbean region.

The specialty

What is Maternal-Fetal Medicine?

Maternal-Fetal Medicine (MFM) — also known as perinatology or high-risk obstetrics — is a subspecialty of Obstetrics and Gynaecology focused on the diagnosis and management of complications in pregnancy affecting the mother, the fetus, or both.

This resource hub is dedicated to advancing MFM education and clinical practice across the Caribbean — providing students, trainees, and practising clinicians with evidence-based tools, clinical cases, and reference materials.

Fetal imaging

Advanced ultrasound and Doppler assessment

Prenatal diagnosis

Genetic testing and counselling

Obstetric medicine

Complex maternal medical conditions

Fetal therapy

In-utero interventional procedures

What MFM specialists assess

Clinical assessment tools

Two of the most important surveillance tools in MFM practice. Toggle between normal and pathological states to understand clinical significance.

Umbilical Artery Doppler

Pulsatility Index (PI) · INTERGROWTH-21st reference

Normal umbilical artery Doppler waveform Normal umbilical artery Doppler waveform

Normal umbilical artery flow

Positive end-diastolic flow throughout the cardiac cycle. S/D ratio, RI, and PI within normal limits for gestational age. Associated with normal fetal well-being.

Fetal Growth Chart

Estimated Fetal Weight (g) · INTERGROWTH-21st 2016

Appropriate for gestational age (AGA)

EFW tracking between the 10th and 90th centiles. Normal fetal growth velocity. Continued routine surveillance as per gestational age.

Reference: Stirnemann et al. Ultrasound Obstet Gynecol 2016 (EFW); Unterscheider et al. INTERGROWTH-21st Doppler centiles (PI). For educational purposes only.

Clinical Corner

Case of the Month

Test your clinical reasoning. Reveal the answers one step at a time.

June 2026NeurosonographyAdvanced

Abnormal Fetal Brain Findings at 20 Weeks

Axial view — transthalamic plane

Q1Can you identify the abnormal findings?