High Risk Pregnancy

Maternal Fetal Medicine (MFM)

BP8 1811Specialized, comprehensive care for women with high-risk pregnancies is provided by our skilled team of physicians and nurses. Drs. David Chaffin and Kelly Cummings are fellowship trained Maternal and Fetal Medicine specialists with expertise in caring for women with high-risk pregnancies due to: 

  • High blood pressure 
  • Gestational diabetes 
  • Preterm labor 
  • Placenta previa 
  • Miscarriage risk 
  • Carrying more than one baby 
  • Other conditions that may endanger the health of the mother or baby

Additional services include: 

  • Maternal addiction services (MARC)
  • Amniocentesis 
  • Cervical cerclage 
  • Extensive ultrasound (2D, 3D or 4D) 
  • Non-stress tests 
  • Diabetes education 
  • Telemedicine 

Our Doctors

David G. Chaffin, MD

David G. Chaffin, MD

David G. Chaffin, MD

Dr. Chaffin is a board certified obstetrician-gynecologist specializing in maternal-fetal medicine. He is available for consults with physicians through either University Perinatal Associates in Hurricane, WV or Cabell Huntington Hospital Perinatal Center in Huntington, WV. He has hospital privileges at Cabell Huntington Hospital.

He earned a medical degree from the Johns Hopkins University School of Medicine in Baltimore, MD, and he completed a Residency in Obstetrics and Gynecology at Vanderbilt University Medical Center in Nashville, Tenn. While completing a fellowship in Maternal Fetal Medicine at the University of Arizona, his interests in hypertensive disorders of pregnancy, diabetes, multiple gestations, and ultrasound were refined. He has published research into the mechanisms of fetal heart rate variability and ultrasound image processing and hypertensive disorders in pregnancy.

Dr. Chaffin joined the faculty of the Marshall University Joan C Edwards School of Medicine in 1998. He has received awards for Excellence in Teaching from the Association of Professors of Gynecology and from the Council on Resident Education in Obstetrics and Gynecology. He is a Professor and is the Director of the Division of Maternal Fetal Medicine in the Department of Obstetrics & Gynecology.

Kelly Cunnings, MD

Kelly Cunnings, MD

Cummings3 17

 

Cummings, a board-certified maternal-fetal medicine specialist, has been appointed assistant professor of obstetrics and gynecology. She specializes in high-risk pregnancies, including cases of preterm labor, placenta previa, miscarriage risk, multiple births, preeclampsia and gestational diabetes. 

Cummings earned her medical degree from Marshall University, where she also completed an obstetrics and gynecology residency. She then completed a fellowship in maternal-fetal medicine at the University of Arkansas for Medical Sciences in Little Rock, Arkansas. She is certified by the American Board of Obstetrics and Gynecology. 

Cummings is accepting new patients and referrals at the following Marshall Obstetrics and Gynecology locations:  Marshall University Medical Center, an outpatient department of Cabell Huntington Hospital, 1600 Medical Center Drive, Huntington; and at Marshall Health–Teays Valley, 300 Corporate Center Drive, Scott Depot. For appointments, call 304-691-1400.

Learn More about Common Reasons for referral to MFM that could include:

Preterm Labor

Preterm labor is defined as regular contractions of the uterus resulting in changes in the cervix that start before 37 weeks of pregnancy. Changes in the cervix include effacement (the cervix thins out) and dilation (the cervix opens so that the fetus can enter the birth canal).
For more information, click here.

Plecenta Previa

Plecenta Previa is defined as regular contractions of the uterus resulting in changes in the cervix that start before 37 weeks of pregnancy. Changes in the cervix include effacement (the cervix thins out) and dilation (the cervix opens so that the fetus can enter the birth canal).
For more information,  click here.

Multiple Baby Pregnancy

Multiple Births results in impaired fallopian tube function, and often infertility. Both the sperm and the egg must pass through the fallopian tube in order for fertilization to occur. Injury to the tubes can cause complete tubal blockage, or can limit the mobility of the tube such that it cannot "pick up" or receive the egg from the ovary. Common causes of tubal injury are infection, tubal pregnancy, and previous gynecologic or lower abdominal surgery. The main diagnostic procedures to evaluate scarring are hysterosalpinography (an x-ray utilizing "x-ray dye") and laparoscopy (telescope surgery). Optimum treatment depends on the location and severity of the blockage and scarring; in many cases in vitro fertilization-embryo transfer is necessary.
For more information, click here.

Preeclampsia

Preeclampsia  is a serious blood pressure disorder that can affect all of the organs in a woman’s body. A woman has preeclampsia when she has high blood pressure and other signs that her organ systems are not working normally. One of these signs is proteinuria (an abnormal amount of protein in the urine). A woman with preeclampsia whose condition is worsening will develop other signs and symptoms known as “severe features.” These include a low number of platelets in the blood, abnormal kidney or liver function, pain over the upper abdomen, changes in vision, fluid in the lungs, or a severe headache. A very high blood pressure reading also is considered a severe feature.
For more information about the Preeclampsia, click here.

Gestational Diabetesis

Gestational Diabetesis a condition in which too much glucose (sugar) stays in the blood instead of being used for energy. Health problems can occur when blood sugar is too high. Some women develop diabetes for the first time during pregnancy. This condition is called gestational diabetes (GD). Women with GD need special care both during and after pregnancy.

The American College of Obstetrics provides additional patient resources at this web site ACOG

Call (304) 691-1400 for an appointment. 

Ultrasounds & Non-Stress Tests

How does an ultrasound work?

An ultrasound uses sound waves to create a “picture” of your baby on a monitor. With a standard ultrasound, a gel is spread on your abdomen. A special tool is moved over your abdomen, which allows your doctor and you to view the baby on a monitor.

When is an ultrasound performed?

An ultrasound exam can be performed at any point during the pregnancy. Women commonly have an ultrasound between 18-20 weeks. An anatomy ultrasound is performed to ensure there are no abnormalities with your baby.

Mid-Pregnancy Ultrasound During a mid-pregnancy ultrasound, your caregiver will:

  • Check the baby’s heartbeat
  • Measure your baby’s size
  • Check to see if there is more than one baby
  • Check the location of the placenta
  • Access the amount of amniotic fluid in the uterus
  • Check the baby for physical abnormalities
  • Try to determine your baby’s gender

An ultrasound exam is also used as part of the first trimester screen and biophysical profile (BPP). Based on exam results, your doctor may suggest other tests or other types of ultrasound to help detect a problem. For more information about various topics regarding pregnancy, please visit the American College of Obstetrics and Gynecology Patient Education page: https://www.acog.org/Patients

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For Appointments Call

 

Teays Valley

304-691-1800

 

Huntington

304-691-1400

 

Doctors

Kelly Cummings, MDFACOG

David G. Chaffin, Jr., MD, FACOG

Transfer of care
Marshall Medical Center
1600 Medical Center Drive
Suite 4500
Huntington, 
WV 25701
Phone 304-691-1400

Consults 
Marshall Obstetrics & Gynecology
300 Corporate Center Drive
Scott Depot, WV 25560
Phone 304-691-1810
Toll free 855-886-6747
FAX 304-757-8422

Consults 
Cabell Huntington Hospital 
Perinatal Center
1616 13th Ave
Suite 100
Huntington, 
WV 25701
Phone 304-526-2124