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Maternal-Fetal Medicine

UCSF Pregnancy and Cardiac Treatment (PACT) Program

Heart disease remains a leading cause for adverse maternal outcomes. About 1% of pregnancies are complicated by cardiovascular disease. These pregnancies require specialized care in order to ensure an optimal outcome for the mother and neonate. In 2008, the UCSF Pregnancy and Cardiac Treatment (PACT) team was founded and has successfully managed over 200 pregnancies.

The mission of UCSF PACT is to improve the health and pregnancy outcomes of mothers with cardiovascular disease including those with acquired disease (valvular, cardiomyophathy, arrhythmias) and congenital heart disease(born with a cardiac defect). We aim to provide multidisciplinary care to improve coordination of services for mothers with cardiac disease through:

  • pre-conception consultation services
  • obstetrical and cardiology consultation services during pregnancy
  • maternal transfer services
  • perinatal genetics services
  • prenatal fetal echocardiography
  • specialized labor and delivery unit offering telemetry
  • anesthetic management during labor and delivery
  • postpartum maternal follow-up program enabling long term preventive care
  • empowering patients as active partners in care
  • educating patients, health care professionals, and the future generation of physicians
  • pursuing research into the pathophysiology of cardiac disease and outcome improvement

The PACT team meets formally once per month to discuss specifics of management of individual patients and combines the following disciplines:

  • Maternal-Fetal Medicine and Genetics
  • Cardiology (Echocardiography and Congenital Heart Specialist)
  • Nursing (Outpatient and Birthing Center)
  • Anesthesia

Faculty Members

Juan M. Gonzalez, MD, F.A.C.O.G.
Assistant Professor, ObGyn & Reproductive Sciences, Division of Maternal-Fetal Medicine

Marie-Paule Thiet, MD, F.A.C.O.G.
Professor, ObGyn & Reproductive Sciences; Director, Division of Maternal-Fetal Medicine;
Vice-Chair of Patient Safety and Quality Assurance

Patty Robertson, MD, F.A.C.O.G.
Professor of ObGyn & Reproductive Sciences;
Director of Medical Student Education

Ian S. Harris, MD, F.A.H.A.
Assistant Professor of Medicine
Director, Adult Congenital Cardiology Program
Department of Medicine

Elyse Foster, MD, F.A.H.A.
Professor of Medicine
Director, Echocardiography and Non-Invasive Laboratories, Department of Medicine

Mark Rollins, MD, PhD
Associate Professor, Anesthesia; Director, Clinical
Ob-Anesthesia; Dept. of Anesthesia &
Perioperative Care

Jennifer Lucero, MD
Asst. Prof., Clinical Anesthesia, Div. of Ob-Anesthesia; Assoc. Dir. of Clinical Ob-Anesthesia and Dir. of Ob-Anesthesia Research, Dept. of Anesthesia & Perioperative Care


Molly Killion, RN, MS, CNS
Perinatal Clinical Nurse Specialist
Center for Mothers and Newborns
Dept. of ObGyn & Reproductive Sciences

Jennie Kajiko, RN, BSN
Obstetrics and Perinatology
Dept. of ObGyn & Reproductive Sciences

Valerie Bosco, NP, PhD
Adult Congenital Heart Disease Program
Department of Medicine

Ellen Simpson, PhD
Genetic Counselor
UCSF Prenatal Diagnosis Center
Dr. Simpson is fluent in Spanish.

During regular business hours patients and providers who desire referral to refer to the PACT program can call or email: Nenita Sagabaen, phone 415-353-2895 or via e-mail: [email protected]

Our services are also available after hours and during holidays for maternal transports or urgent consultations by calling the UCSF Access Center at: 415-353-1611.

Link to a recent UCSF ObGyn Grand Rounds presentation on PACT (PDF)