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Department of Obstetrics and Gynecology

Multiple Birth Center

Welcome to the Multiple Birth Center


Mary D'AltonThe Multiple Birth Center at the Columbia University Medical Center in New York City provides state of the art care for women with a multiple pregnancy.  Mary D'Alton, MD, who specializes in the management of twins, triplets, and high-order multiples (quadruplets and above), is the director of the center.

Women carrying multiples potentially may have more complicated pregnancies than women carrying a singleton pregnancy.  For example, women with twins, triplets, and high-order multiples are at increased risk for preterm labor and delivery.  The Multiple Birth Center focuses on providing comprehensive antepartum and postpartum care for women with multiples.  In addition, the center specializes in diagnosing and treating a variety of multiple pregnancy problems such as:

  • Preterm Labor
  • Intrauterine growth problems
  • Birth defects and genetic syndromes
  • Monoamniotic twins
  • The Twin-Twin Transfusion Syndrome
  • Acardia
  • Maternal Complications



Our Services

  • Consultation/management with Maternal Fetal Medicine specialists
  • Neonatal Intensive Care specialists for multiples including prenatal consultation
  • Ultrasound evaluation and surveillance
  • Ultrasound guided procedures for multiples.  Procedures include chorionic villus sampling, amniocentesis, percutaneous umbilical cord sampling, multifetal pregnancy reduction, and selective termination and many other procedures for complicated cases.

Physicians specializing in ultrasound procedures for complicated twins, triplets, and high-order multiples:

Richard Berkowitz, MD
Sree Gaddipati, MD
Todd Rosen, MD
Lynn Simpson, MD
Ronald Wapner, MD

Genetic consultation and prenatal diagnosis.  In addition, we offer first trimester screening for Down syndrome for patients with multiples with nuchal translucency ultrasound.

Genetic specialists for multiple pregnancy

Jennifer Gerskowitz, Certified Genetic Counselor      

Neonatal Intensive Care specialists for multiples including prenatal consultation

Richard Polin, MD
John Lorenz, MD
David Rubenstein, MD

Pediatric Follow-up

Stacey Tavel, MD

Referral Services

Center for Prenatal Pediatrics
Adult medical and surgical specialists and subspecialists

Support Services

Center for Women's Mental Health

Nutrition Services


Ongoing Research

The Center is dedicated to researching issues that affect pregnancy in efforts to improve care.

  • MFMU NICHD sponsored multicenter STTARS study to determine if progesterone administration prevents preterm delivery in multiples: "17 alpha-Hydroxyprogesterone Caproate for Twins and Triplets:  A Randomized Study."

To arrange a consultation, please contact:

Jeanne Coulehan CNM MSN in The Division of Maternal Fetal Medicine 212-326-8951

Useful Links

The American College of Obstetricians and Gynecologists:
http://www.acog.org/

Anesthesiology:
http://www.cumc.columbia.edu/dept/anesthesiology/clinical-divisions/obstetric.html

Centers for Disease Control and Prevention, Reproductive Health:
http://www.cdc.gov/reproductivehealth/

La Leche League:
http://www.lalecheleague.org/

Manhattan Mothers of Twins:
http://www.manhattanmothersoftwins.org/

March of Dimes:
http://www.marchofdimes.com/

Maternity Center Association:
http://www.maternitywise.org/home.html

National Organization of Mothers of Twins Club:
http://www.nomotc.org/

The National Parenting Center:
http://www.tnpc.com/

Neonatology/NICU:
http://nicu-at-babies.org/

The What to Expect Foundation:
http://www.whattoexpect.org/


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