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Pregnancy Planning, Prevention & Evaluations

The Adverse Pregnancy Outcomes, Evaluation and Prevention Program at NYU Winthrop Hospital on Long Island provides multi-faceted services for women who have experienced adverse pregnancy outcomes in the past or are pregnant or planning to get pregnant again.

The comprehensive program, one of a highly specialized group of Maternal-Fetal Medicine programs, is directed by a full-time multidisciplinary team of medical experts/faculty with the medical expertise needed to deal with the complex health issues of adverse pregnancy outcomes.

An adverse pregnancy outcome is an event which reduces the chance of having a healthy baby such as:

  • Two or more first-trimester miscarriages
  • Second-trimester pregnancy loss (greater than 12 weeks)
  • Preterm birth (spontaneous or indicated)
  • Preterm pre-eclampsia or eclampsia
  • Fetal growth restriction
  • Abruptio placenta
  • Fetal death/stillbirth

Other conditions related to pregnancy loss such as a clotting disorder (antiphospholipid antibody syndrome or a genetic thrombophilia)

Is the APO Evaluation and Prevention Program Right for You?

Couples experiencing adverse pregnancy outcomes may be at risk of having other adverse outcomes in future pregnancies. The goal of the Adverse Pregnancy Outcome (APO) Evaluation and Prevention Service is to:

  • Determine the cause of your adverse pregnancy outcome
  • Counsel you about the risk of another adverse outcome in future pregnancies
  • Establish a plan for a successful pregnancy in the future

Five-Step Process

The Adverse Pregnancy Outcomes, Prevention and Evaluation Program has a convenient 5-Step Process:

  1. Referral

    You are referred to the APO Evaluation and Prevention Service by your health care provider.

  2. First Contact and Preliminary Medical History

    Your first contact is a telephone call to an experienced obstetrical clinical nurse specialist at the APO offices. She will explain the service to you and document your reproductive and general medical history.

  3. Detailed History and Medical Records

    You are mailed a detailed questionnaire concerning your medical and reproductive history, along with forms for obtaining various medical records. After completing the questionnaire and returning it to us, a consultation appointment is scheduled within two to three weeks after your information is received.

  4. Medical Team Analysis of Your History and Test Results

    The Service’s medical team reviews and analyzes your information prior to your initial consultation.

  5. A Course of Action for You

    At the time of your consultation, a course of treatment and a plan will be presented to you and a letter summarizing this plan will be sent to your doctor. Further tests may be recommended before or after your consultation.

Team of Specialists

Wendy Kinzler, MD
Director, Adverse Pregnancy Outcome
Evaluation and Prevention Service
Obstetrics and Gynecology-
Maternal-Fetal Medicine

Anne-Marie Wise, RN
Coordinator, Adverse Pregnancy Outcome
Evaluation and Prevention Service
Maternal-Fetal Medicine
Perinatal Pathology
Reproductive Endocrinology & Infertility
Genetics