Fetal Diagnostic Center & Genetic Counseling

Dedicated to helping you have the healthiest baby possible. 

Why did my doctor send me to the Fetal Diagnostic Center?

In monitoring your pregnancy, your doctor believes additional tests or consultation with a specialist would be beneficial to help ensure your health and your baby's health. Our team of specialists will work closely with your doctor to provide the support and treatment you need.

What is the Fetal Diagnostic Center?

As Hawai‘i's maternity specialty hospital, Kapi'olani opened the Fetal Diagnostic Center in 1990. It is the state's first obstetrical center to provide comprehensive diagnostic services for pregnant women. Our staff is comprised of Maternal Fetal Medicine Specialists (physicians with specialized training and experience in the care of pregnant women and their fetuses, including high-risk pregnancies), technologists, genetic counselors, and clinical nurses, all dedicated to helping you have the healthiest baby possible.



Meet our Maternal Fetal Medicine (MFM) Physicians

/images/physicianimages/ivica_zalud.jpg  Ivica Zalud, M.D.
Medical School: University of Zagreb, Croatia
OB/GYN Residency: Winthrop University Hospital, New York
MFM Fellowship: Georgetown University Medical Center, Washington, DC
/images/physicianimages/lisa_bartholomew.jpg  Lisa Bartholomew, M.D.
Medical School: University of Miami School of Medicine, Florida
OB/GYN Residency: Boston Medical Center, Massachusetts
MFM Fellowship: George Washington University Medical Center, Washington, DC
/images/physicianimages/janet_burlingame.jpg  Janet Burlingame, M.D.
Medical School: Columbia College of Physicians & Surgeons, New York
OB/GYN Residency: University of Pittsburgh, Magee Women's Hospital, Pennsylvania
MFM Fellowship: University of California, San Francisco
/images/physicianimages/lynnae_Millar_Sauvage.jpg  Lynnae Millar Sauvage, M.D.Medical School: Georgetown University Medical Center
OB/GYN Residency: LAC USC Medical Center
MFM Fellowship: LAC USC Medical Center, CA

Specialized services include:

Prenatal Screening & Diagnosis

Tests include first and second trimester blood tests to screen for fetal abnormalities, amniocentesis, genetic testing, umbilical blood sampling and chorionic villus sampling (CVS). Our physicians are certified to perform CVS, a first trimester test for detecting chromosomal abnormalities and aneuploidy risk assessment, a first trimester test for Down Syndrome.

Genetic Counseling & Screening

Our counselors play a critical role in helping couples understand test results and known risk factors for pregnancy complications. Our staff meets with couples to address their particular concerns, including:

  • Expectant mothers over 35 years
  • Abnormal test results
  • Family history of congenital abnormalities or inherited disease
  • Exposure during pregnancy to medications, chemicals or infection
  • Preconceptual counseling for In Vitro Fertilization (IVF) and Preimplantation Genetic Diagnosis (PGD)
  • Recurrent pregnancy loss
  • Genetic screening (Cystic Fibrosis, Thalassemia)

Antepartum Fetal Testing

These tests are used to monitor baby's health prior to birth: non-stress test with amniotic fluid check and third trimester fetal monitoring.

Sweeter Choice Program (for gestational diabetes management)

Couples will first meet with our MFM specialist and then enroll in our program, which includes:

  • Diabetic Management classes teach patients how to monitor blood sugar levels, meal planning, and insulin administration if needed.
  • Trained nurses provide personalized care management based on individual needs.
  • Support for meal planning and exercise during and after pregnancy
  • Follow-up Blood Glucose 6 weeks after delivery
  • Coordination of care with physicians, dieticians and nurses.


Our highly trained MFM specialists utilize high resolution ultrasound technology, including 3-D and 4-D ultrasound, to provide comprehensive obstetrical exams. Ultrasound studies include:

  • first trimester scan to confirm and date pregnancy
  • second trimester ultrasound to check baby's anatomy
  • fetal heart study
  • monitoring growth for multiple births

Kapi'olani is the only facility in the state that meets the stringent guidelines of the American Institute for Ultrasound in Medicine, the primary organization for accrediting an ultrasound facility and its providers.

Consultation, Treatment and Management

For pregnant women with medical complications such as high blood pressure, diabetes and cardiac problems, or obstetrical complications including preterm labor, breech presentation, multiple births and previous miscarriage, your doctor may refer you to see one of our MFM specialists. Our physicians are available 24 hours a day to work with you and your doctor to address complications should they arise.

Information about tests:

For more information, send an e-mail or call (808) 983-8559.