Maternal-fetal medicine physicians specialize in the diagnosis, treatment, and care of expectant mothers and their unborn babies who may be at high risk for health problems or complications. Home to the Advanced Pregnancy Care Center, John R. Oishei Children's Hospital has board certified maternal-fetal medicine specialists who work together with a multidisciplinary team of pediatric surgeons and pediatric medical subspecialists in the management and consultation of high-risk pregnancy.


  • Preconception counseling
  • Genetic evaluation by a certified genetic counselor
  • Prenatal screening and diagnosis (first and second trimester)
  • Ultrasound screening (targeted anomaly exams, nuchal translucency) including 3D/4D
  • Management of multiple gestation
  • Diabetic monitoring and testing
  • Diagnosis and management of fetal anomalies, e.g. congenital diaphragmatic hernia, abdominal wall defects, lung lesions, twin transfusion syndrome, skeletal dysplasia
  • CVS/amniocentesis/PUBS/fetal transfusions
  • Consultation of chronic maternal medical conditions
  • Social work
  • Nutritional counseling

Western New York Regional Perinatal Center

Designated by New York State as the Regional Perinatal Center for Western New York, John R. Oishei Children's Hospital offers a comprehensive maternal and newborn service assessing high-risk women who may be having a high-risk fetus which will require a high level of specialized care. Oishei Children's Hospital is the only hospital in Western New York to offer these specialized services for babies. Seventeen hospitals from the region’s eight counties and three institutions in Erie and Warren, Pennsylvania transfer their most critically ill infants and high risk expectant mothers to Oishei Children's Hospital for the highest level of medical care available.

Perinatal Outreach

  • Education and training to all hospitals within the region which provide maternity and newborn services.
  • Review the care provided to all maternal and newborn patients transferred to the RPC.
  • Provide consultative services regarding care of the high risk mother and newborn.
  • Provide follow up communication to the referring physician and hospital staff.
Programs Offered:
  • AHA/AAP Neonatal Resuscitation Program. Original Provider Course and renewal programs are offered throughout the year.
  • S.T.A.B.L.E. Program (pre-transport stabilization of the newborn).
  • Fetal monitoring classes provided on an as needed basis to regional affiliates and within the RPC.
  • Continuing education and preceptorship offered to affiliate hospitals to update and enhance staff knowledge.
  • Clinical workshops, didactic programs and clinical case reviews may be arranged on a per case basis.


Paul L. Ogburn, Jr., MD

Paul L. Ogburn, Jr., MD

Paul L. Ogburn, Jr., MD is Chief of Maternal-Fetal Medicine at the University at Buffalo and Medical Director of the Advanced Pregnancy Care Center at John R. Oishei Children's Hospital. Dr. Ogburn earned a B.S. in chemistry from the University of North Carolina, Chapel Hill and a degree in medicine from the University of North Carolina School of Medicine and completed a residency in Obstetrics and Gynecology at the University of Minnesota. He is board certified in Obstetrics and Gynecology and Maternal-Fetal Medicine by the American Board of Obstetrics & Gynecology.

Lan Le Adams, MD, MPH

Lan Le Adams, MD, MPH

Lan Le Adams, MD, MPH is a Maternal-Fetal Medicine Specialist at John R. Oishei Children's Hospital. Dr. Adams earned her degree in medicine from Texas Tech University Health Sciences Center School of Medicine, a master of public health at the University of Maryland School of Medicine School of Public Health and completed a Fellowship in Maternal-Fetal Medicine at the University of Maryland. She is board certified in Obstetrics and Gynecology.

Pai-Jong Stacy Tsai, MD, MPH, MCR

Pai-Jong Stacy Tsai, MD, MPH, MCR

Pai-Jong Stacy Tsai, MD, MPH, MCR is a Maternal-Fetal Medicine Specialists at John R. Oishei Children's Hospital (OCH). She received a medical degree from New York Medical College, School of Medicine and went on to complete a residency in the Department of Obstetrics and Gynecology and a fellowship in the Division of Maternal-Fetal Medicine at the University of Hawaii, John A. Burns School of Medicine in Honolulu. She also holds Master degrees in Public Health and Clinical Research. Dr. Tsai is a member of the American Congress of Obstetricians and Gynecologists and has authored a number of publications on obesity in pregnancy, racial/ethnic disparity in women's health and hepatitis B in pregnancy.

Preconception Services

Division of GeneticsThe Division of Genetics at John R. Oishei Children's Hospital. Whether you’re just starting to think about having a baby or have been trying to conceive for some time, you likely have questions and concerns about becoming pregnant. Preconception care is for women who are not aware of risks but want to determine whether any risks are present. It is also for women who are aware of specific risks, and want to determine how to best minimize these risks.

Maternal-Fetal Medicine in collaboration with the Division of Genetics at John R. Oishei Children's Hospital provides diagnostic, management and genetic counseling services to pediatric and adult patients.


  • Genetic evaluation
  • Diagnosis
  • Treatment and management of genetic disorders and inborn errors of metabolism
  • Genetic counseling for reproductive/prenatal genetics, pediatric genetics and familial cancer risk assessment

The Division also provides risk information to individuals with a personal or family history of one or more of the following:

  • Recurrent miscarriage, stillbirth, or infertility
  • A previous child or other family member with a genetic condition and/or birth defect(s)
  • Specific ethnic background with a higher incidence of a particular condition (e.g. cystic fibrosis or sickle cell disease)
  • An abnormal ultrasound finding
  • Exposure during pregnancy
  • Microarray testing
  • Developmental delay, mental retardation or learning disabilities
Service Parent