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Who we are

Main Line Perinatal Associates (MLPA) is a group of Maternal-Fetal Medicine specialists (obstetricians who focus on "high-risk" pregnancies) as well as a Perinatal Geneticist. We provide pregnancy care to our own patients, usually with some complicating factor to their pregnancy. We evaluate these high-risk patients and develop a management plan.

We also provide other obstetricians with assistance in the management of their high-risk patients, usually in the setting of pregnancy complications. We assist most of the obstetricians of Main Line Healthcare and Women's Healthcare Group of Pennsylvania. This is usually performed in one of our Perinatal Testing Centers. We usually assess the patient's fetuses with ultrasound (assessing gestational age and fetal growth, evaluating for birth defects and genetic conditions). We also provide genetic assessments (blood screening for genetic issues and fetal testing including amniocentesis and chorionic villus sampling) and assessments of fetal well-being. Some patients require a more comprehensive management plan, which is performed in a consultation.

We see patients at 6 Perinatal Testing Centers across Southeastern Pennsylvania.
Our testing centers include:

Main Line Health:

  • Lankenau Hospital, 100 E. Lancaster Ave, Suite 419, Wynnewood PA
  • Bryn Mawr Hospital, 130 S. Bryn Mawr Ave, 1st floor C-wing, Bryn Mawr PA
  • Paoli Hospital, 255 W. Lancaster Ave, Suite 106, Paoli PA
  • Riddle Hospital, 1068 West Baltimore Pike, The Birth Place, Media PA

Women's Healthcare Group of PA:

  • West Chester, 780 Market St, Suite 1-5, West Chester PA
  • Oaks, 450 Cresson Blvd, Suite 300, Oaks PA

Doctor Bios

Nancy Roberts, MD

Andrew Gerson, MD

Sara Nicholas, MD

Antonette Dulay, MD

Alan Donnenfeld, MD

Eric Carlson, DO

What is Maternal-Fetal Medicine?

General obstetricians care for most pregnant women. Sometimes pregnancies can be more complicated ("high-risk") than usual. Maternal-Fetal Medicine specialists have additional training so that they can care for and monitor high-risk pregnancies. Perinatal geneticists have additional training in the diagnosis and management of genetic disorders in pregnancy. All of the physicians in our practice have specialty training in either Maternal-Fetal Medicine or Perinatal Genetics.

Complications can exist before a pregnancy or begin during pregnancy.
We routinely encounter high-risk issues such as:

  • Heart disease
  • Diabetes and thyroid disease
  • Maternal and fetal infections
  • Kidney or intestinal disorders
  • High blood pressure
  • Preterm labor and delivery
  • Pregnancy loss
  • Birth defects
  • Placental problems
  • Multiples

We also offer a variety of procedures in pregnancy, such as:

  • Ultrasound to screen for birth defects or growth problems
  • 3D/4D ultrasound
  • Non-stress testing
  • First trimester nuchal translucency screening
  • Doppler velocimetry
  • Cervical cerclage
  • Chorionic villus sampling
  • Amniocentesis
  • External cephalic version
  • Biophysical profile

Lankenau Hospital

Our practice delivers exclusively at Lankenau Hospital which is within the Main Line Health System. There are roughly 2700 deliveries per year at Lankenau. Our Mother-Baby Center offers private and spacious birthing suites for labor and delivery. After your recovery, you and your infant will be transferred together to a private Postpartum suite. All the amenities for a restful stay are available.

We have Neonatologists on staff 24 hours a day, staffing a Level III NICU. Our hospital is equipped to deliver both complicated mothers and complicated babies. Postpartum suites are conveniently located near the NICU.

Lankenau Hospital offers a variety of classes for expectant parents, which we encourage you to consider.

  • Prepared Childbirth, One-day course or series
  • Maternity Tour
  • Prenatal Breastfeeding Class
  • Sibling Preparation Class
  • Happiest Baby on the Block, newborn class
  • Breastfeeding Support Groups

Lankenau Hospital is a Breastfeeding-Friendly Hospital. We provide women with the information, confidence, and skills needed to successfully initiate and continue breastfeeding their babies. We have dedicated Lactation Consultants to aid in initiation of breastfeeding.

Lankenau Hospital is a Magnet Hospital for Nursing Excellence.

Click here to register for your child birth class