Hoping for the best, but prepared for the worst

Mission:

To reduce maternal mortality and morbidity by empowering healthcare providers to deliver optimal critical care to pregnant and postpartum patients.

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The most dangerous day of a woman’s life

The day of delivery is often the most joyous day of a woman’s life, but it can also be the most dangerous. The mortality risk on that single day is 110 times as high as any other day in pregnancy.

 
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An evidence based approach

Our goal is to provide cutting edge information for the obstetric provider and intensivist. We hope to aid in the discovery and delivery of evidence based care developed by obstetric and critical care experts.

Our Team

 
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Jake Hirshberg, MD

Dr. Hirshberg completed dual training as a fellow in maternal-fetal medicine and surgical critical care at Washington University. His clinical practice and research focuses on maternal mortality in the setting of preeclampsia, placenta accreta, and other pregnancy related conditions. Born and raised in St. Louis, he earned his undergraduate degree in psychology from Tufts University, premedical certificate from the Harvard Extension School, medical degree from University of Missouri-Columbia, and completed residency in obstetrics and gynecology at Washington University School of Medicine in St. Louis.

Currently, Dr. Hirshberg is an assistant professor of MFM and CCM at the University of Colorado in Denver. He splits his time between the outpatient spaces, labor and Delivery and Medical ICU.

 

Michael Dombrowski, MD

Michael Dombrowski is a physician with combined training in Maternal-Fetal Medicine and Surgical Critical Care. His clinical interests include critical illness in pregnancy including respiratory failure and sepsis, maternal cardiac disease, and transfusion medicine. He completed OB/Gyn residency and Surgical Critical Care fellowship at the University of Michigan, followed by Maternal-Fetal Medicine at Yale University. He has additional certification in point of care ultrasound from the National Board of Echocardiography. He is currently an Assistant Professor of Maternal-Fetal Medicine and Anesthesia Critical Care at Washington University in St Louis.

 

Amir Shamshirsaz, MD

Dr. Amir A. Shamshirsaz is a board-certified Obstetrician and Gynecologist with specialties in Maternal-Fetal Medicine and Surgical Critical Care and certification in Critical Care Echo Examination. He currently serves as the Co-director of Maternal Critical Care and Co-Director of the Placenta Accreta Spectrum Care Team Program at Texas Children’s Hospital/Pavilion for Women.

He completed his medical school at the National University in Tehran, Iran, and then went on to join the obstetrics and gynecology residency program at George Washington University in Washington, DC. Afterward, he attended Baylor College of Medicine, where he finished fellowships in both maternal fetal medicine and surgical critical care. He now serves as an assistant professor specializing in maternal fetal medicine and critical care medicine at Baylor College of Medicine.

His main interests are Critical Care, Point of Care ultrasound, Cardiac Disease in Pregnancy, ECMO in Pregnancy and Placenta Accreta Spectrum. He served on the Expert Panel for Obstetric Life Support (OBLS): Development of a Simulation-based Maternal Cardiac Arrest Program for Credentialing Specialists and First Responders. He also serves as steering and publication committee on National COVID-19 ECMO in Pregnancy Registry.