Maternal Fetal Medicine
Maternal Fetal Medicine
Women & Children's Center
3700 California Street
San Francisco, Calif. 94118
Tel. 415-600-6388
Most pregnancies proceed normally, but some require special care. Sometimes these special circumstances are known in advance of pregnancy, such as medical problems. Frequently they are discovered during prenatal testing or during the course of pregnancy.
Circumstances and conditions for which one may need to seek care from California Pacific's High-Risk Pregnancy Program include:
* Diabetes
* High blood pressure
* Pregnancy before age 18 or after age 34
* History of miscarriage, stillborn, or pre-term birth
* Family history of genetic disorders
* Exposure to drugs, x-rays or other harmful agents
* Extreme over- or under-weight
* Positive for HIV and/or other sexually transmitted diseases
Our Team
Our maternal fetal medicine physicians are members of the Physician Foundation at California Pacific Medical Center (PFCPMC). PFCPMC is committed to bringing the highest quality health care to the communities we serve through outreach clinics, education, and research and development. 
Denise Main, M.D.
Dr. Denise Main is Director of California Pacific's Prenatal Diagnosis Center and boarded in four medical specialties: obstetrics and gynecology, maternal fetal medicine, medical genetics, and pediatrics. She is a founding fellow of the American College of Medical Genetics and has served on the board of the Society of Maternal Fetal Medicine. She was the founder of California Pacific's Prenatal Diagnosis Center, which she established in 1990. 
Elliott Main, M.D.
Dr. Elliott Main is Chairman and Chief of Obstetrics at California Pacific Medical Center's Department of Obstetrics and Gynecology. He also serves as Director of Obstetrical Quality at Sutter Health. Previously, Dr. Main was Assistant Professor of Obstetrics and Gynecology at Stanford, UCSF and University of Pennsylvania School of Medicine.
Carl Otto, M.D.
Dr. Otto is Director of Ultrasound at the Prenatal Diagnosis Center. He is a diplomate of the American Board of Obstetrics and Gynecology and has a subspecialty certification in Maternal Fetal Medicine. He has served as a member of the Board of Directors of the American Institute of Ultrasound in Medicine (AIUM). Dr. Otto performs a variety of prenatal diagnostic procedures, including CVS, amniocentesis, fetal echocardiography, fetal umbilical cord sampling, fetal transfusions and other highly skilled procedures. 
Kimberlee Sorem, M.D.
Dr. Sorem is one of our very skilled perinatologists at the Prenatal Diagnosis Center. She is a diplomate of the American Board of Obstetrics and Gynecology and has a subspecialty certification in Maternal-Fetal Medicine. In addition to her interest in prenatal diagnosis and obstetrical ultrasound, Dr. Sorem has participated extensively throughout the Bay Area in programs for the management of diabetes in pregnancy. She has worked with the California Diabetes and Pregnancy Program (CDAPP) since 1994 and is currently the Medical Director for the Diabetes and Pregnancy Program at California Pacific Medical Center.
Regina Arvon, M.D.
Dr. Arvon is one of our very skilled perinatologists at the Prenatal Diagnosis Center. She has completed fellowships in reproductive genetics and maternal-fetal medicine. She is a member of the International Society of Ultrasound in Obstetrics and Gynecology. Dr. Arvon performs a variety of prenatal diagnostic procedures, including CVS, amniocentesis, fetal umbilical cord sampling, and other highly skilled procedures. Her areas of interest include management of high risk pregnancy and determining genetic causes of pregnancy complications and loss. She is a member of the American Society of Human Genetics and has presented her research on genetics related topics both nationally and internationally.