Prenatal Diagnosis and Treatment
What to Expect
COVID-19: What to Expect for Your Child’s Safety at In-Person Appointments
We’ve made a lot of changes to our facilities to protect our patients, families and staff from Covid-19.
Visitor restrictions at all our locations
At all of our clinics, we recommend that only one parent or caregiver accompany a patient to their appointment. However, if two caregivers need to come along, we will allow it at this time. Siblings who are younger than 12 months are also allowed to come along. Siblings of any other age are not allowed to come along, and we do not allow more than two caregivers without an exception.
- When you come for your appointment, you will see that we’re requiring everyone to wear masks at all times, cleaning check-in and registration desks between visits, screening for symptoms at all entrances and have set up our spaces to encourage social distancing.
- Watch what to expect at your clinic visit during COVID-19 (video).
- Learn more about the rest of the safety measures we have in place.
- Ask your pregnancy care provider to fax us records about your pregnancy, including lab results, ultrasound reports, MRI (magnetic resonance imaging) and your health history. Our fax number is 206-987-2962. Often, medical offices can also send us ultrasound images electronically.
- Before your first visit, a dedicated prenatal coordinator will review your referral to understand your health and your baby’s health. Then we will design your first visit to match your unique needs.
- Try to limit caffeine on the day of your visit because it can affect your heart rate.
- You do not need a full bladder for this appointment.
- Arrive 15 minutes early to register. If you are more than 20 minutes late for your appointment, we may have to reschedule.
- Learn more about what to do before your appointment.
We see patients whose pregnancy is complicated by:
- Family history of a birth defect or genetic disorder that has a chance of happening again
- Risks or conditions found through genetic testing and genetic counseling, prenatal screening tests or chromosome analysis
- Suspected structural abnormalities found by imaging studies during pregnancy
- A parent’s health conditions or exposures during pregnancy that may affect the baby
The specialists you see at your first visit depend on the medical concern. A prenatal coordinator will review your referral before we schedule your visit so we can choose the team that best matches your family’s needs.
You may meet with:
- Pediatric medical or surgical specialists from Seattle Children’s.
- A maternal-fetal medicine specialist from the University of Washington.
- A genetic counselor, who can:
- Explain genetic conditions, prenatal or newborn testing (if you are interested in testing) or results of tests you already had.
- Talk with you about how this pregnancy fits into the context of your family and what you might expect for future pregnancies.
- Help your family and child with information, emotional support and resources about genetic conditions.
- A social worker, who helps your family deal with the emotional and practical challenges of a complicated pregnancy. Our team provides support as you make care plans that are right for your family.
- Clinic nurses, who will answer your questions and help you keep track of the providers you see and the purpose and results of appointments. They also help coordinate next steps.
Learn more about the Prenatal team.
- During your first visit, we will take a detailed heath history and review the medical records sent to us.
- You might have imaging studies to help diagnose or check your baby’s condition (ultrasound, fetal echocardiogram or fetal MRI scan). We will tell you before your visit whether you will have any imaging.
- You will meet with your care team to discuss the findings from your tests and what they mean. We bring your team members together — at the same time in the same room whenever possible — to talk with you as a group.
- We will work to clarify or to rule out certain medical conditions. We will give you as much information as we can about your baby’s condition and your treatment options.
- We will try to answer all your questions. Please ask if anything is not clear.
- By the end of your first visit, our goal is to give you a complete understanding of your baby’s diagnosis and care so you can make informed choices that are right for your family.
- We will work with you and your providers to make a plan for the next steps in your pregnancy care. A nurse care coordinator helps you move from one step to the next. We also connect you with other support and services you and your family may need.
Plan to be at the clinic for 1 to 4 hours, depending on how many diagnostic exams you will have and how many specialists you will see.
- Your appointment reminder notice.
- Your insurance cards/Medicaid medical coupon.
- Your Social Security number.
- Your medicines or a list of them. Include nonprescription items like vitamins and herbs. Include the name, dose and instructions.
- Any forms that might need to be signed by our providers.
- Snacks and drinks for yourself.
Due to COVID-19, pregnant patients can bring only 1 healthy adult to their appointment at the Prenatal Diagnosis and Treatment Program. Children are not allowed at these visits right now.
Most of the time the team will be able to talk with you about a likely diagnosis at your first visit. Sometimes providers cannot tell exactly what is wrong until your baby is born. There can be several reasons, including:
- Limits of current technology and testing during pregnancy
- The nature of different body tissues before birth
- Differences in how the body works when connected to the placenta during pregnancy compared to how the body works after birth
- Some patients come to our clinic only once. Others return for more appointments. Before you leave, we will give you detailed instructions about any future appointments. We will tell you what will happen next.
- Each provider who sees you will write notes for your medical chart. After the visit, we will send a copy to your pregnancy care provider. Our nurses also write notes for you to go home with so you do not have to memorize everything during your visit.
- Between clinic visits, you can call 206-987-5629 if you have questions for our team.
- See Common Questions After Your Prenatal Visit(PDF) (Spanish).
- For a fetal echocardiogram or ultrasound, the doctor will review the results with you soon after the exam, before you leave the clinic.
- For fetal MRI scans, usually you will have an appointment with the doctor to review results about a week after the MRI. If you are a Seattle Children’s MyChart member, you can check online for some of your results.
Call 206-987-5629 as soon as possible.
- Find your location in our map and directions
- Arrive 15 minutes before your appointment to allow time for registration.
For more information on visiting Seattle Children’s clinics, please see Your Child’s Clinic Visit.
Services Offered at Our Different Locations
We offer services at more than a dozen locations. Most prenatal visits take place at our Prenatal Clinic at the Springbrook Professional Center, a block from our main Seattle hospital campus.
Contact the Prenatal Diagnosis and Treatment Program at 206-987-5629 for an appointment, second opinion or more information. You can also use the numbers below for different services and locations.
Here are the services we offer at each location:
- Fetal echocardiogram with cardiology consultation: 206-987-5629
- Ultrasound: 206-987-5629
- Consultation with a doctor who specializes in high-risk pregnancies: 206-987-5629
- Consultation with pediatric medical and surgical specialists: 206-987-5629. They may include specialists in cardiology and cardiac surgery, pediatric surgery, ear-nose-throat, genetic counseling, genetics, neurodevelopmental, neurology and neurosurgery, nephrology, urology and other fields. If you need to see more than 1 specialist, we try to coordinate your visits.
- High-risk obstetrical ultrasound
- Maternal-fetal medicine consultation from UW providers
- Fetal echocardiogram
Fetal echocardiogram with cardiology consultation is offered at many additional locations.
- Anchorage and other Alaska locations: 907-339-1945
- Bellevue: 206-987-2515
- Montana clinics in Great Falls, Helena and Bozeman: 406-771-3223
- Everett: 206-987-2515
- Federal Way: 253-838-5878
- Olympia: 206-987-2515
- Renton (Valley Medical Center): 253-272-1812
- Seattle (Springbrook Professional Center): 206-987-5629
- Silverdale: 253-272-1812
- Tacoma: 253-272-1812
- Tri-Cities: 206-987-2515
- Wenatchee: 206-987-2515
- Yakima (outreach clinic at Children’s Village): 509-574-3200
Preparing for Delivery
As you get ready for delivery, many details need to align for both you and your baby to have a seamless transition. Our team will guide you through each step. Here are some of the ways we help you and your family prepare.
- Our social worker provides emotional and practical support.
- The social worker will link you with community resources and support groups and can connect you with other families.
- The social worker will also help you plan and find resources for living in the Seattle area while your baby is in the hospital. For some families, the medical plan may include moving to Seattle before delivery.
- It will help you keep track of your complex pregnancy care and newborn appointments.
- You can use the app to manage your “to do” lists, before and after birth, more easily.
- We hold group tours for families if your newborn will need to stay in Seattle Children’s Hospital after delivery.
- Our goal is to ease any fears and unknowns so you can focus on advocating for your baby’s needs.
- We give you an overview of the resources and services available to your family while your baby is in the hospital.
- During your hospital tour, you will meet with Lactation Services, the Critical Care Transport team and Child Life specialists.
- Tours are offered 1 to 2 times a month for 2 hours. To sign up, call our prenatal nurse coordinators at 206-987-0134.
- You will have the chance to meet with a Neonatal Intensive Care Unit (NICU) lactation consultant before and after birth.
- Our lactation consultants can help with breastfeeding or pumping to provide your baby with breastmilk.
- Some babies with a medical problem need to come to Seattle Children’s right after they are born. Our Critical Care Transport team coordinates and provides transport services for newborns who need critical care or specialty care at Seattle Children’s or any other facility in Western Washington.
- At Seattle Children’s, we believe in caring for your entire family. We understand that siblings of babies born with congenital problems might have trouble coping with and understanding what is going on.
- Our Child Life Department can work with your other children to provide support, education and coping skills to help make your family’s experience at the hospital a positive one.
- We also offer Sibshops for siblings of children with special health and developmental needs.
Contact the Prenatal Diagnosis and Treatment Program at 206-987-5629 for an appointment, second opinion or more information.
Providers, see how to refer a patient.