For high-risk pregnancy, give yourself your best hope for a full-term, healthy baby 

Depend on unsurpassed expertise, capabilities and compassion from national leaders in maternal fetal medicine.

High Risk Pregnancy Risk Calculator

How do you know if you're high risk?

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COVID-19 Precautions for HRPC Facilities

Our patients are higher risk, so stronger precautions are necessary to help keep everyone safe.

If you have any questions or concerns, please give us a call.

  • Masks
    All patients must wear a mask over their nose and mouth in our facilities. If you don’t have a mask, we will provide one for you.
  • Illnesses
    Stay home if you have symptoms of illness, including a fever over 100, productive coughs, runny nose or stomach pain and diarrhea.
  • Visitors
    Please do not bring more than two people (including children) to your appointments.
  • No visitors in monitoring area.
    This room is reserved for patients only.

We follow CDC guidelines, including special recommendations for pregnant women at high risk of COVID-19.

HRPC in the News: First Trimester Ultrasounds

In this Daily Mix news segment, Dr. Roxanna Twedt discusses the importance of getting a first trimester ultrasound to help mitigate or manage high risk pregnancies. She also shares why HRPC is uniquely qualified to administer this latest technology.

State-of-the-art perinatology care

from the heart, every step of the way 

Pregnancy is a time for joy, hope and wonder. But if you have elevated risk for complications, those positive feelings can give way to anxiety, fear and uncertainty. Yet, with the right care at the right time, you can keep strong your excitement and hope for a healthy, full-term pregnancy and a beautiful baby.

At the High Risk Pregnancy Center, you can expect the highest standard of maternal fetal medicine (MFM) care available today. To minimize and manage your pregnancy risk factors, we combine today’s most advanced testing and treatment with the compassion, commitment and top-tier service you and your baby deserve.

Comprehensive, advanced and expert MFM care for high-risk pregnancies

• Diabetes

• Hypertension

• Preeclampsia

• Advanced maternal age

• Thyroid disease

• Autoimmune & infectious diseases

• Recurrent pregnancy loss

• Preterm labor

• Premature rupture of membranes

• Cervical incompetence

• Multiple births

• Genetic disorders

• Intrauterine growth restriction

• Neural tube defects

• Blood clotting disorders

• Isoimmunization

• Fetal anomalies

• Obesity

• Opioid use disorder

See what mothers and families are saying about us!


HRPC Nevada High Risk Pregnancy team

A team of experienced, compassionate leaders and innovators

To understand and manage your pregnancy-related risks, we’ve assembled the nation’s largest private-practice team of board-certified maternal-fetal medicine specialists, advanced practitioners, nurses, sonographers, genetic counselors and support staff. Yet, it’s our experience, commitment, achievements and successes—and compassion—that have helped us become nationally recognized leaders in caring for high-risk pregnancies.

Complete, state-of-the-art MFM services and care

Day or night, we’re here for you with every MFM service modern medicine has to offer, performed to the highest standard.
  • Ultrasound Screening for Normal Pregnancies
  • First Trimester Testing
  • Advanced Testing & Evaluation
  • Genetic Counseling
  • Diabetes Counseling
  • Advanced Treatment
  • Pregnancy-Team Management
  • Preconception Counseling

By your side and here when you need us with unsurpassed caring, dedication and customer service


When you have elevated pregnancy risks, it’s easy to feel anxious, uncertain and fearful. At the High Risk Pregnancy Center, we give you the genuine compassion, understanding and support you need so that you never feel unsure or alone on your pregnancy journey. In other words, we’re committed to providing not just the best, most advanced care possible but also the warmth, empathy and exceptional customer service you deserve.


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Around-the-clock access to unparalleled care

Pregnancy risks and complications have no regard for regular doctors’ hours. Reach us any time of the day or night to address developing problems.

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Focused and efficient

At High Risk Pregnancy Center, we strive for excellence in every aspect of your care, including running efficiently and valuing your time. With multiple doctors, a large support team, and systems and processes perfected over more than 20 years, we give you the right care from the right people at the right time.

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The responsiveness you depend on

The one thing all high-risk pregnancies have in common is risk. So that you get the right care at the right time, we respond to all your needs with the urgency they demand.

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Patient-centric care

Other than having risk in common, every high-risk pregnancy is unique. So are your concerns, feelings, anxieties and medical needs. That’s why everything we do is centered around you.

The highest level of screening and diagnostics available

Effective care for high-risk pregnancies depends greatly on screening for, evaluating and monitoring your risk factors. For that reason, our diagnostic capabilities are nationally recognized and unmatched in Nevada, including several tests we introduced to the state.

As an accredited ultrasound provider with leading-edge capabilities, we provide today’s highest level of abnormality detection. In some studies, ultrasound exams from MFM specialists have two to three times the anomaly-detection rates of standard ultrasound scans from general OB providers. Even for a pregnancy without risk factors, you’ll have the highest level of reassurance.

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  • First trimester ultrasound scan
  • Fetal echocardiography
  • Advanced fetal anatomy ultrasound
  • 3D and 4D ultrasound
  • Fetal DNA screening from maternal blood draw
  • Diagnostic genetic testing (amniocentesis/CVS)

Specialized testing and counseling to determine and address your baby’s genetic risks

Risk for genetic abnormality is present in every pregnancy. But if you are of advanced maternal age (over age 35) or have a family history of genetic disease, your risk is higher. At the High Risk Pregnancy Center, we have the most advanced screening capabilities available to determine your risk, including prior to becoming pregnant. Then our master’s-level, certified genetic counselors will explain your risk and options, answer your questions, and provide the information you need with the empathy, understanding and compassion you deserve.

A tradition of innovation and advancing the standard of care for high-risk pregnancies

Your pregnancy, your baby and your dreams for your family are why we are here. They’re also why we’ve dedicated ourselves to always improving our capabilities as well as striving to advance all MFM care. So that you can have a full-term pregnancy and a healthy baby, we have been breaking new ground in MFM/perinatology care since our founding in 1996, with many “firsts” that are now the standard of care in our specialty.

woman holding baby's feet

Get expert care and counseling to minimize the risks of diabetes

Diabetes is common…and one of the most common health conditions that complicate pregnancy. Whether you have diabetes (type 1 or type 2) or develop gestational diabetes while pregnant, our team of advanced practitioners and maternal-fetal medicine sub-specialists provides the counsel and special strategies to manage your blood sugar, protect your and your baby's health, and potentially positively affect your child's life through adulthood.


The treatment that’s right for you, coordinated for optimal outcomes

With the highest level of capability available and genuine dedication to your pregnancy success, we serve as the coordinators for your pregnancy care every step of the way. We work with your OB and other doctors to ensure you’re getting the services, skill and expertise that will give you your best opportunity for a healthy, full-term pregnancy.


To Request an Appointment Call 702-382-3200

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