Obstetric care is an undeniable cornerstone of health care, ensuring the safe delivery of millions of babies each year in the United States while prioritizing the health of both mothers and infants. Despite the critical role the specialty holds in the lives of families, a shortage of obstetricians is plaguing the United States.

Maternal-Fetal Medicine specialists, who provide expert care for complex, high-risk pregnancies and deliveries, are particularly scarce amidst this shortage. Addressing this critical gap, the ULSOM has introduced a new Maternal-Fetal Medicine fellowship, under the leadership of Tiffany Tonismae, M.D., FACOG.

“The inception of the Maternal-Fetal Medicine fellowship stems from the needs of this community and aligns with the ULSOM’s mission to be innovators in medical education,” Dr. Tonismae shared. “Our fellowship aims to not only narrow this gap, but also to advance research and enhance maternal and fetal outcomes locally and statewide.”

Dr. Tonismae highlighted maternal healthcare disparities across Kentucky, exacerbated by socioeconomic factors that impact patients’ lives, leading to inadequate quality prenatal care for many. “Patients lack the empowerment to inquire about their healthcare needs or advocate effectively for themselves,” she explained. “The absence of specialized care further heightens pregnancy-related risks.”

“When we talk about people dying around childbirth, we aren’t just talking about in rural areas or underdeveloped countries,” Dr. Tonismae explained. “We are talking within big cities across the United States. It is important for physicians to adjust our perspective.”

As we observe Black Maternal Health Week, we are reminded that Black mothers are disproportionately being impacted by the lack of specialists in prenatal care. Alarmingly, maternal mortality rates are significantly higher in Black mothers. According to the Center for Disease Control and Prevention (CDC), Black mothers are three times more likely to have a pregnancy-related death than white mothers. It is evident that change is imperative.

ULSOM’s Maternal-Fetal Medicine fellowship seeks to address these disparities by empowering fellows to deliver patient-centered care tailored to individual needs. This approach aims to increase patient awareness of pregnancy risks and foster confidence in advocating for their health.

Between addressing the growing gaps in prenatal care and making strides in reducing health inequities, the Maternal-Fetal Medicine fellowship is creating a better future for mothers in Louisville and beyond. ULSOM takes pride in pioneering this impactful program and commends our faculty and staff who are passionately creating a system of safety for mothers and babies everywhere.