July 15, 2025

Maternal Fetal Medicine vs OBGYN: How do They Differ?

Pregnant woman cradling belly.

Maternal-fetal medicine (MFM) is a subspecialty within the broader obstetrics-gynecology (OBGYN) field. These physicians complete their OBGYN education and then receive two or three years of specialized training on the medical and surgical complications that can affect a mother or baby during pregnancy.

In high-risk pregnancies, MFMs and OBGYNs often work together to protect the mother and baby. This article looks at OBGYNs vs. MFMs and explains their similarities and differences.

What’s the Difference Between an MFM vs OBGYN?

MFMs and OBGYNs focus on the mother's and baby's health during pregnancy. However, there are differences in their training and typical roles, including:

  • MFMs have advanced training.
  • MFMs specialize in high-risk pregnancies.
  • MFMs typically collaborate with OBGYNs.
  • OBGYNs generally handle deliveries.

So, MFMs have specialized expertise that is essential in high-risk pregnancies. In those cases, they collaborate with OBGYNs to treat the identified condition(s) and help protect the health of mothers and babies.

When To See an MFM vs OBGYN

When should you see an MFM, meaning an OBGYN with specialized training? Importantly, that’s not a decision you have to make for yourself. Your primary care provider or OBGYN will refer you to an MFM if necessary. An MFM’s skills may be needed if pregnancy is complicated by any of several health conditions, including:

  • High blood pressure
  • Heart disease
  • Preeclampsia (toxemia)
  • Infectious diseases
  • Premature membrane rupture
  • Genetic disorders
  • Recurrent pregnancy loss
  • History of congenital disabilities

Focus Areas for an Obstetrician and Gynecologist (OBGYN)

OBGYNs handle a wide range of issues, including:

  • Reproductive health
  • Contraception
  • Menstrual issues
  • Routine pregnancy
  • Childbirth
  • Postpartum care
  • Menopause
  • Specific surgeries

Consequently, women should see their OBGYN regularly.

Focus Areas for a Maternal-Fetal Medicine (MFM) Specialist

Maternal-fetal medicine specialists focus on various aspects of high-risk pregnancies, including:

  • Multiple pregnancies
  • Preterm labor
  • Placental issues
  • Fetal anomalies
  • Perinatal infections
  • Prenatal testing
  • Fetal monitoring
  • Genetic counseling
  • Fetal surgeries

If you experience signs of high-risk pregnancy, your primary care provider may refer you to an MFM. However, it’s important to remember that seeing one doesn’t mean that your baby’s health or your own is necessarily in jeopardy.

In fact, an MFM’s role is to help your OBGYN protect you and your baby from health problems. When you are under an MFM’s care, you benefit from their advanced training and skill in providing monitoring and treatment for complex health challenges. In other words, you and your baby are in very good hands.

MFM Doctor vs OBGYN: Learn More About Mother and Baby Care at Baptist Health

When you’re pregnant, Baptist Health is here for you! Whether you anticipate a pregnancy free of complications or have a medical history or symptoms that point to potential challenges, you can count on reassuring support from our Mother & Baby Care service providers.

Our care team works diligently to ensure your baby’s health and yours while striving to support your needs and goals at every stage of your pregnancy and postpartum experience.

If you are pregnant or considering becoming pregnant and don’t have a Baptist Health provider, visit our online provider directory to find one near you.

Next Steps and Helpful Resources

Learn More About Mother and Baby Care at Baptist Health
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Fact or Fiction? Pregnancy Myths Answered
What Is a Chemical Pregnancy?