S9 E6: When Pregnancy Becomes “High-Risk”: An Educator’s Guide to Maternal-Fetal Medicine (MFM) Care
Release Date: 01/08/2026
InCast
In this rich and reassuring conversation, Debbie sits down once again with Dr. Lexi Hill, a Maternal–Fetal Medicine specialist, to unpack what advanced maternal age really means today. Together, they demystify the risks, clarify what’s truly important in prenatal care, and offer practical guidance for parents, educators, and birth professionals alike. From essential screenings and advocacy tips to emotional wellness and preparing for birth, this episode blends evidence-based insight with compassion and clarity. Whether you work with...
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When a pregnancy is labeled “high-risk” and families are transferred from standard pregnancy care to a Maternal-Fetal Medicine (MFM) specialist, it can feel overwhelming, disorienting, and even like a personal setback. Emotions like fear, confusion, and self-doubt are common for parents, but finding balance during this transition is essential. Staying engaged and empowered isn’t just good for emotional well-being; it’s critical for making informed decisions throughout their pregnancy...
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Sarah —better known as the “Labor Junkie RN”— is a practicing high-risk labor nurse, social media influencer, and mom of three. You may have seen her on Instagram, TikTok, or Facebook sharing evidence-based insights on pregnancy, birth, and postpartum. She often ends reels with “For more information on pregnancy, labor, birth and postpartum, give me a follow and check out my page”. So, we did—and invited her to share her wisdom with you in this special podcast episode. As a nurse and mom of three who chose unmedicated births, Sarah brings a unique...
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Gestational diabetes changes the direction of many women’s pregnancies. Once the determination is made, things are not so straightforward after that. In this podcast we will explore how the path to birth changes once a diagnosis is made and what women can do to have a birth with as few complications as possible. We also look at what women can do to prevent the diagnosis in the first place. We discussed this important topic with Lily Nichols, who is a Registered Dietitian and Nutritionist, Certified Diabetes Educator, researcher, and author with a passion for...
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When a mother has the devastating experience of leaving the hospital without a baby and perhaps only a memory box, many in our society expect them to get on with living and go back to their normal life. But their life is changed forever, and many don’t recognize or acknowledge that. Today we will hear the story of grief, anger, a battle, and finally, a life’s purpose for one mother who had to walk this hard path. Through her mission, she struggled to get family leave extended to grieving parents, so no one would have to suffer as she did. She also discovered the importance of...
info_outlineWhen a pregnancy is labeled “high-risk” and families are transferred from standard pregnancy care to a Maternal-Fetal Medicine (MFM) specialist, it can feel overwhelming, disorienting, and even like a personal setback. Emotions like fear, confusion, and self-doubt are common for parents, but finding balance during this transition is essential. Staying engaged and empowered isn’t just good for emotional well-being; it’s critical for making informed decisions throughout their pregnancy journey.
In today’s episode, we’ll explore practical and compassionate strategies to help educators support parents as they shift into MFM care —and how to help families maintain a sense of balance, clarity, and hope when pregnancy plans change.
About Dr. Lexi Hill
Our guest, Dr. Lexi Hill, is a respected Maternal-Fetal Medicine specialist who works closely with families and healthcare professionals to ensure parents receive the best possible care during their high-risk pregnancy.
Dr. Hill is passionate about bridging gaps in the patient–physician relationship through education and empowerment. She believes that when parents understand their care and feel confident advocating for themselves, both outcomes and experiences improve.
Listen & Learn:
- Why parents are referred to maternal fetal medicine and what “high-risk” really means
- The most common conditions MFM specialists manage, from diabetes to placenta previa
- What it takes to become an MFM specialist and why that expertise matters
- How MFMs collaborate with OBs and midwives to support safe deliveries
- Ways MFMs help parents cope emotionally when birth plans change
- Practical tips for advocacy and shared decision-making during pregnancy
- Creative strategies to maintain joy and build support during high-risk pregnancies
Resources & Mentions:
- Dr. Lexi’s website (free resources for students and clients)
- FREE Hypertensive High Risk Pregnancy Module
- Dr. Lexi’s YouTube channel