TL;DR
Dr. Jedidiah Oldham, DO manages high-risk pregnancies at 972 N 600 E in Spanish Fork, including preeclampsia, gestational diabetes, depression during pregnancy, and advanced maternal age. Dr. Oldham provides prenatal care, delivers at Mountain View Hospital and Intermountain Spanish Fork Hospital, and coordinates with maternal-fetal medicine specialists when needed. High-risk pregnancies require more frequent visits and closer monitoring. Call (385) 265-6060 to schedule.
What Makes a Pregnancy High-Risk?
A pregnancy is classified as high-risk when a medical condition, pregnancy complication, or maternal factor increases the chance of complications for the mother, the baby, or both. The American College of Obstetricians and Gynecologists (ACOG) identifies the most common high-risk factors as advanced maternal age (35 and older), preeclampsia or gestational hypertension, gestational diabetes, chronic hypertension or diabetes predating pregnancy, history of preterm birth, multiple gestation (twins or more), depression during pregnancy, obesity (BMI over 30), and autoimmune conditions. Dr. Oldham manages high-risk pregnancies at the Spanish Fork office with more frequent prenatal visits, additional monitoring (serial ultrasounds, non-stress tests, blood pressure tracking), and coordination with maternal-fetal medicine (MFM) specialists at Intermountain or University of Utah when the complexity exceeds primary obstetric scope.
Dr. Oldham’s medical directories list preeclampsia management, depression during pregnancy, and high-risk pregnancy among his specialty conditions, which reflects the volume and complexity of obstetric care he provides in Utah County. His four years of general surgery residency before family medicine give him procedural judgment and comfort with emergent situations that complements the longitudinal prenatal care relationship.
How Does Dr. Oldham Manage Preeclampsia?
Dr. Oldham screens for preeclampsia at every prenatal visit by checking blood pressure and urine protein starting at the first visit. Preeclampsia is diagnosed when blood pressure rises above 140/90 mmHg after 20 weeks of gestation with concurrent proteinuria (urine protein-to-creatinine ratio above 0.3) or end-organ dysfunction (elevated liver enzymes, low platelets, renal insufficiency). Dr. Oldham follows the ACOG preeclampsia management protocol: low-dose aspirin (81 mg daily) is started at 12 to 16 weeks for patients with risk factors, blood pressure is monitored weekly in the third trimester for at-risk patients, and antenatal testing (non-stress tests, biophysical profiles) is added when blood pressure begins to trend upward. Severe preeclampsia (systolic above 160 or diastolic above 110) requires urgent evaluation, possible hospital admission, magnesium sulfate for seizure prevention, and delivery planning based on gestational age.
Dr. Oldham delivers at Mountain View Hospital in Payson and Intermountain Spanish Fork Hospital, both of which have labor and delivery units equipped for preeclampsia management. For preeclampsia diagnosed before 34 weeks that may require preterm delivery, Dr. Oldham coordinates transfer to a facility with a higher-level NICU.
How Does Dr. Oldham Manage Gestational Diabetes?
Dr. Oldham screens for gestational diabetes with a one-hour glucose challenge test at 24 to 28 weeks of pregnancy, with earlier screening for patients who have risk factors (BMI over 25, history of gestational diabetes, family history of type 2 diabetes, polycystic ovary syndrome). A failed one-hour screen (glucose above 140 mg/dL) is followed by a three-hour oral glucose tolerance test to confirm the diagnosis. Once diagnosed, Dr. Oldham starts dietary management using the carbohydrate-counting method (typically 175 grams of carbohydrate per day, distributed across three meals and two to three snacks), combined with four-times-daily home glucose monitoring (fasting and one hour after each meal). Fasting glucose targets are below 95 mg/dL and one-hour postprandial targets are below 140 mg/dL, per ADA and ACOG guidelines. If glucose targets aren’t met with diet after one to two weeks, Dr. Oldham adds insulin (glyburide or metformin are alternatives when insulin isn’t preferred).
Dr. Oldham monitors fetal growth with serial ultrasounds every four weeks for gestational diabetes patients, because macrosomia (birth weight above 4,000 grams) is the primary fetal complication. Delivery timing depends on glucose control: well-controlled gestational diabetes can wait until 39 to 40 weeks, while insulin-requiring gestational diabetes is typically delivered at 39 weeks per ACOG recommendations.
How Does Dr. Oldham Address Depression During Pregnancy?
Depression during pregnancy affects 1 in 8 women, and Dr. Oldham screens for it at every prenatal visit using the Edinburgh Postnatal Depression Scale (EPDS). Untreated prenatal depression increases the risk of preterm birth, low birth weight, and postpartum depression, which is why ACOG recommends screening at least once per trimester and treating when the score indicates moderate to severe symptoms. Dr. Oldham discusses the risk-benefit analysis of antidepressant medication in pregnancy with each patient individually. Sertraline has the strongest safety data in pregnancy, and Dr. Oldham uses it as the first-line option when medication is indicated. For mild depression, behavioral interventions (CBT referral, exercise, sleep hygiene, social support) are tried first. Dr. Oldham also screens partners for perinatal mood changes, because partner depression during pregnancy is an independent risk factor for maternal depression and adverse child outcomes.
Because Dr. Oldham provides prenatal care, depression treatment, and delivery as one physician, the mental health plan is integrated into the obstetric chart and revisited at every visit. There’s no referral gap or handoff where the depression falls through the cracks.
What Additional Monitoring Does a High-Risk Pregnancy Require?
High-risk pregnancies require more frequent prenatal visits and additional testing beyond the standard schedule. Dr. Oldham typically increases visits to every two weeks starting in the second trimester and weekly in the third trimester for patients with hypertensive disorders or poorly controlled gestational diabetes. Additional monitoring may include serial growth ultrasounds every three to four weeks (to detect growth restriction or macrosomia), non-stress tests (NSTs) starting at 32 to 34 weeks (twice weekly for preeclampsia, weekly for gestational diabetes), biophysical profiles when NST results are non-reassuring, 24-hour urine collection or spot protein-to-creatinine ratios for proteinuria monitoring, and serial blood pressure logs between visits. Dr. Oldham explains each test, why it’s ordered, and what the results mean, so the patient understands the monitoring plan instead of just showing up for appointments.
Dr. Oldham coordinates with maternal-fetal medicine (MFM) specialists at Intermountain Utah Valley Hospital for conditions that require subspecialty consultation: severe early-onset preeclampsia, suspected fetal anomalies on ultrasound, pregnancies complicated by autoimmune disease, and multiples with discordant growth. Dr. Oldham remains the primary managing physician and attends the delivery.
Where Does Dr. Oldham Deliver High-Risk Pregnancies?
Dr. Oldham delivers at Mountain View Hospital in Payson and Intermountain Spanish Fork Hospital, both within 15 minutes of the office. Both hospitals have labor and delivery units with continuous fetal monitoring, anesthesia (epidural) availability, and cesarean section capability. For very high-risk deliveries that require a Level III or IV NICU (extremely preterm births, known fetal anomalies), Dr. Oldham coordinates transfer to Intermountain Utah Valley Hospital in Provo or the University of Utah Hospital in Salt Lake City. The transfer and delivery plan is discussed with the patient well before labor, so there are no surprises about where the delivery will happen.
Dr. Jedidiah Oldham, DO’s surgical training gives him procedural readiness that matters in high-risk obstetrics. While most deliveries are vaginal, the ability to make rapid clinical decisions about when a cesarean section is needed comes from four years of surgical residency before family medicine.
Does Insurance Cover High-Risk Pregnancy Care?
Prenatal care, including high-risk pregnancy management, is covered by the 30+ insurance plans accepted at Dr. Oldham’s Spanish Fork office. Under the ACA, prenatal visits, lab work, and routine ultrasounds are covered as preventive care with no cost-sharing. Additional monitoring for high-risk conditions (serial growth ultrasounds, non-stress tests, biophysical profiles) is billed as medically necessary diagnostic testing and covered by most plans with standard copay or coinsurance. Hospital delivery charges are separate from office-based prenatal care and depend on the patient’s plan and hospital. The front desk verifies obstetric coverage at the first prenatal visit and provides an estimate of out-of-pocket costs for the expected delivery.
How Do I Schedule High-Risk Prenatal Care With Dr. Oldham?
Schedule high-risk prenatal care
New and existing patients can book by phone or online. If you have a known high-risk factor or are currently pregnant and concerned about a complication, mention it when scheduling so Dr. Oldham can prepare for the first visit. Most appointments are booked within one week.
Call (385) 265-6060 Book online
972 N 600 E, Spanish Fork, UT 84660
Frequently Asked Questions About High-Risk Pregnancy
Does advanced maternal age automatically make my pregnancy high-risk?
Age 35 and older is a recognized risk factor, but many women over 35 have uncomplicated pregnancies. Dr. Oldham monitors more closely (additional screening for chromosomal abnormalities, closer blood pressure tracking) without assuming complications will occur.
Will I need to see a specialist for my high-risk pregnancy?
Dr. Oldham manages most high-risk pregnancies in the office and coordinates with maternal-fetal medicine specialists when subspecialty consultation is needed. Dr. Oldham stays involved as the primary managing physician throughout.
Can Dr. Oldham manage preeclampsia and still deliver my baby?
Yes. Dr. Oldham manages preeclampsia through prenatal care and delivers at Mountain View Hospital and Intermountain Spanish Fork Hospital, both equipped for preeclampsia management including magnesium sulfate and cesarean capability.
When should I start prenatal care if I have a high-risk condition?
As early as possible. Dr. Oldham recommends scheduling the first prenatal visit within the first 8 weeks of pregnancy for high-risk patients, so early interventions (low-dose aspirin for preeclampsia prevention, glucose monitoring for diabetes risk) start on time.
Does gestational diabetes mean I’ll have diabetes after delivery?
Gestational diabetes usually resolves after delivery, but it increases the lifetime risk of developing type 2 diabetes by 50%. Dr. Oldham screens with a glucose tolerance test at 6-12 weeks postpartum and annually thereafter.
Medical disclaimer: This page is informational and does not replace an in-person evaluation. Individual diagnosis and treatment decisions should be made between a patient and their physician.
Content accuracy: Clinical guidance follows current ACOG, ADA, and AAFP recommendations. Last reviewed April 2026.