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Epidaurus · Treatment Guide · Reproductive Services

Going abroad for —

Prenatal Care Quality

High-risk pregnancy management and fetal medicine

The country comparison

Which countries are best for prenatal care quality

The destinations ranked high→low under this lens — each with the reasoning behind its score, the cited evidence one click down, and its full report. The verdict is free; the report is the depth.

19 / 19 Countries ranked

Researched and assessed by the Epidaurus editorial pipeline against our published scale. A country below the rule is not yet assessed enough — never ranked last.

  1. 1 Israel IL 5.0/5 Good Israel demonstrates world-class prenatal care quality for high-risk pregnancies, meeting all criteria for Score 5. Sheba Medical Center alone has 80 specialized physicians including internationally trained perinatolog... Full report
    The evidence behind this score 4 cited points
    • Sheba Medical Center has 80 physicians in its gynecology and maternity center including perinatologists trained at leading international hospitals, with additional named subspecialists (Dr. Yuval Gielchinsky, Prof. Michael Kupferminc, Prof. Liran Hiersch, Prof. Shali Mazaki-Tovi)
    • Maternal mortality at 2.6 per 100,000 live births and neonatal mortality at 1.7 per 1,000 births are among the world's lowest; Israel Neonatal Network documented 45% reduction in late-onset sepsis (2010-2019)
    • Israel performed the country's first in-utero cardiac catheterization (2017), spina bifida repair (2017), and placental tumor ablation (2026); Hadassah applied whole-exome sequencing (WES) clinically in pregnancy as a world first
    • Sheba Medical Center's Global Patient Services provides personal coordinators, translation, 24/7 clinical support, and structured care coordination for international patients; JCI accreditation at Sheba, Hadassah (both campuses), and Sourasky provides international quality standards

    Read the full Israel report →

  2. 2 Japan JP 5.0/5 Good Japan demonstrates world-class prenatal care quality with exceptional infrastructure, outcomes, and fetal intervention capabilities. The maternal mortality ratio of approximately 4 per 100,000 deliveries is among the ... Full report
    The evidence behind this score 4 cited points
    • Maternal mortality ratio of approximately 4 per 100,000 deliveries, among the lowest in the OECD
    • Four fetal therapies covered by National Health Insurance with excellent outcomes: TTTS fetoscopic laser surgery (>98% at-least-one-twin survival), thoracoamniotic shunting (79% survival), radiofrequency ablation for TRAP sequence (80-88% pump-twin survival), and intrauterine blood transfusion
    • Saitama Medical Center operates the largest perinatal center in Asia with 30 MFICU and 60 NICU beds; NCCHD maintains dedicated Center for Maternal-Fetal, Neonatal and Reproductive Medicine with seven specialist divisions
    • Multiple JCI-accredited hospitals including St. Luke's International Hospital and Saitama Medical University International Medical Center offering formal international patient programs with 24/7 emergency coverage

    Read the full Japan report →

  3. 3 United Arab Emirates AE 5.0/5 Good The UAE demonstrates world-class prenatal care quality meeting all Score 5 criteria. It has 12+ board-certified MFM specialists with international training, 6+ major hospitals offering comprehensive fetal medicine pro... Full report
    The evidence behind this score 4 cited points
    • NMC Healthcare employs 12+ fetal medicine specialists across all seven emirates; Burjeel Medical City and Corniche Hospital each operate dedicated MFM centers with internationally recognized leadership
    • Burjeel Medical City's Kypros Nicolaides Fetal Medicine and Therapy Center (established with the 'Father of Fetal Medicine') has completed 14 in-utero spina bifida repairs and performs intrauterine blood transfusions, fetoscopic laser coagulation, and FETO; Corniche Hospital has performed 500+ therapeutic fetal interventions
    • Maternal mortality ratio of 3 per 100,000 live births (2022) is the lowest in the Middle East and comparable to Germany, France, and Canada
    • Six major JCI-accredited hospitals (Burjeel, Danat Al Emarat Gold Seal, all Mediclinic facilities, Emirates Hospital, Corniche, Al Zahra) with Level III NICUs and 24/7 emergency obstetric coverage (Code Pink at Latifa, dedicated OB/GYN emergency at Emirates Hospitals Group)

    Read the full United Arab Emirates report →

  4. 4 Singapore SG 5.0/5 Good Singapore demonstrates excellence across all dimensions of high-risk prenatal care. The country has 10+ internationally trained MFM specialists across three major public hospitals (KKH, NUH, SGH) and multiple private ... Full report
    The evidence behind this score 5 cited points
    • KK Fetal Centre holds dual international accreditation from Fetal Medicine Foundation and ISUOG Teaching Centre designation—the only such program in Singapore—plus JCI Academic Medical Centre status for the parent hospital
    • KKH NICU reports 1.99 per 1,000 live births neonatal mortality rate among the lowest in the world, benchmarked against 1,200+ NICUs via Vermont Oxford Network
    • Fetoscopic laser photocoagulation for TTTS performed with published outcomes of 92.9% at-least-one-survivor rate; additional fetal interventions include blood transfusions, shunt insertions, and bipolar cord coagulation
    • Multiple board-certified MFM specialists with international recognition including Prof Mahesh Choolani, Prof Chong Yap Seng, and A/Prof Su Lin Lin noted in academic literature
    • Six major hospitals (KKH, NUH, SGH public; Mount Elizabeth, Gleneagles, Thomson Medical private) with comprehensive fetal medicine capabilities and JCI accreditation; 24/7 emergency obstetric coverage at all major institutions

    Read the full Singapore report →

  5. 5 South Korea KR 5.0/5 Good South Korea demonstrates exceptional capabilities in prenatal care quality for high-risk pregnancies. The country far exceeds Score 5 thresholds with 20+ board-certified MFM specialists at major hospitals, 5+ comprehe... Full report
    The evidence behind this score 6 cited points
    • Seoul St. Mary's Hospital has over 20 board-certified obstetricians and gynecologists specializing in maternal-fetal medicine
    • Asan Medical Center reports the world's highest survival rate for preemies weighing less than 500g
    • Maternal mortality ratio fell to 7.8 per 100,000 live births in 2017, below the OECD average of 8.2
    • Asan Medical Center has led fetal treatment through shunt implantation, fetal transfusion, fetal endoscopy, and high-frequency electrocautery
    • Multiple major hospitals including Severance Hospital and Samsung Medical Center are JCI-certified with international patient services and 24/7 emergency coverage
    • Government established 19 maternal-fetal intensive care units nationwide by 2020

    Read the full South Korea report →

  6. 6 Spain ES 5.0/5 Good Spain meets every benchmark for excellent-level prenatal care quality, anchored by BCNatal's world-class maternal-fetal medicine infrastructure with 100+ specialists, a maternal mortality rate of 3 per 100,000 (far be... Full report
    The evidence behind this score 5 cited points
    • BCNatal performs 8,500+ advanced fetal examinations annually, 3,000 fetal echocardiographies, 1,200 neurosonographies, and ~100 fetal surgeries per year with over 2,300 procedures in cumulative series
    • Spain's maternal mortality rate is 3 per 100,000 live births (2023) and 3.47 per 100,000 average over 2000-2018, among the world's lowest
    • SJD Barcelona's International Fetal Surgery Programme achieves 95% survival for at least one twin in best-prognosis TTTS cases and improved congenital diaphragmatic hernia survival from 20% to 49% via FETO
    • Dedicated international patient services with 24/7 emergency coverage at tertiary centres; Quirónsalud treats patients from 50+ countries across JCI-accredited network
    • Leading specialists including Dr Eduard Gratacós (1,800+ fetal interventions, 450+ publications) and Prof Francesc Figueras (200+ publications, international recognition in preeclampsia and fetal growth research)

    Read the full Spain report →

  7. 7 Germany DE 4.5/5 Good Germany demonstrates exceptional prenatal care quality with ~130 Level I perinatal centers, rigorous 36-month specialist training mandates, and comprehensive fetal intervention programs (2,706 TTTS laser procedures do... Full report
    The evidence behind this score 5 cited points
    • 130 Level I perinatal centers plus 50+ Level II facilities distributed across all 16 German states, with required 36-month postgraduate specialization in Special Obstetrics and Perinatal Medicine [Deutsche Gesellschaft für Perinatale Medizin - DGPM - 2025]
    • Maternal mortality approximately 4 per 100,000 officially (and ~9.1 per 100,000 when adjusted for underreporting), with very low birth weight infant survival rates of 63.2%–98.5% depending on weight category across 68 participating NICUs [Analysis of maternal mortality in Berlin - PubMed - 2024; Mortality and Major Morbidity of Very-Low-Birth-Weight Infants - PMC - 2016]
    • Advanced fetal surgery programs: 2,706 fetoscopic laser therapy procedures for TTTS documented 2005–2021 (199/year average 2015–2021); in-utero spina bifida repair programs with documented outcomes at Mannheim, Marburg, and Heidelberg; dedicated fetal echocardiography from 16 weeks at German Heart Centre Munich [Rising Demand for Fetoscopic Laser Therapy - PMC - 2025; Prenatal cardiac diagnostics - Deutsches Herzzentrum München - 2024]
    • Established medical tourism infrastructure: 18 clinics listed for international high-risk pregnancy care, dedicated International Patient Offices at Mannheim DZFT and Helios hospitals, comprehensive coordinators (Booking Health, BookingMedTravel); EU/EEA cross-border treatment rights; all Level I centers operate 24/7 with emergency capability [High Risk Pregnancy Consultation Clinics in Germany - MediGlobus - 2024]
    • Robust national quality systems: G-BA mandated annual quality reporting via IQTIG; FMF Deutschland certification based on 70,030 pregnancies; DEGUM three-level ultrasound certification; Heidelberg recognized among World's Best Hospitals 2024 for prenatal and fetal surgery programs [Welcome to The Fetal Medicine Foundation Germany - FMF Deutschland - 2024]

    Read the full Germany report →

  8. 8 United Kingdom GB 4.5/5 Good The UK operates a world-leading prenatal care system far exceeding most Score 5 criteria: it has far more than 10+ board-certified MFM specialists with international recognition, maintains more than 5 hospitals with c... Full report
    The evidence behind this score 4 cited points
    • 17 nationally-commissioned Maternal Medicine Centres; Harris Birthright Centre sees 10,000+ patients/year; UCLH FMU receives 2,400+ annual referrals; Imperial College Healthcare and St George's each see 15,000+ fetal medicine episodes/year [NHS England Maternal Medicine Centres - March 2023; Harris Birthright Centre - King's College Hospital - 2024]
    • Maternal mortality 12.80/100,000 maternities (2022–2024), marginally above Score 5 threshold; extended perinatal mortality 4.84/1,000 births (2023), down 20% since 2013 [MBRRACE-UK Perinatal Surveillance 2023 - NPEU - 2025; MBRRACE-UK Maternal Mortality 2022-2024 - NPEU - 2024]
    • Four NHS-commissioned fetal surgery centres; UCLH/GOSH open fetal surgery for spina bifida (32+ cases); Evelina London fetal cardiac service managing 2,000 pregnancies/year; UK pioneered first-trimester combined aneuploidy screening [UCLH Spina Bifida Fetal Surgery - 2024; Fetal Cardiology - Evelina London - 2024; Fetal Medicine Foundation - King's College London - 2024]
    • Portland Hospital provides international concierge transfers, 50+ consultant obstetricians, on-site NICU, ~£25,000 for consultant-led delivery; UCLH Fitzrovia Wing, Imperial's Lindo Wing, and Kensington Wing offer private access to NHS-affiliated specialists with 24/7 coverage [Portland Hospital - HCA Healthcare UK - 2024]

    Read the full United Kingdom report →

  9. 9 United States US 4.0/5 Good The United States earns a 4 (Good) based on meeting multiple Score 4 criteria: over 1,500 board-certified MFM specialists with ABOG certification, 152 Level IV and 702 Level III NICUs providing extensive infrastructur... Full report
    The evidence behind this score 8 cited points
    • 1,587 board-certified MFM subspecialists as of 2023 with additional ABOG certification and three years specialized training
    • 1,424 operational NICUs including 152 Level IV facilities (11%) and 702 Level III facilities (49%)
    • World-leading fetal surgery: Children's Hospital of Philadelphia 2,522+ procedures (most worldwide); UCSF pioneered many techniques now widely used globally
    • Twin-to-twin transfusion syndrome outcomes: 50-70% dual survival rate at experienced centers using laser ablation
    • Maternal mortality at 22 per 100,000 live births in 2022, highest among high-income nations (Norway 0, Switzerland 1, Sweden 3)
    • Severe disparities: Black women experience 50 deaths per 100,000, with Black women over 40 at 191.6 per 100,000
    • Geographic disparities: 3-6 hour driving distances to MFM specialists in rural areas; 39.4% of rural pregnancies live >60 miles from nearest MFM
    • Medical tourism barriers: CBP discretionary entry denial, lack of insurance coverage for pregnancy complications, costs $15,000-20,000 baseline with complications reaching hundreds of thousands

    Read the full United States report →

  10. 10 Colombia CO 4.0/5 Good Colombia demonstrates strong maternal-fetal medicine infrastructure with 20+ MFM specialists, five+ hospitals with comprehensive fetal medicine programs including world-class fetal surgery at Clínica Universitaria Bol... Full report
    The evidence behind this score 5 cited points
    • 20+ MFM-trained specialists including internationally recognized Dr. Saulo Molina (Texas Children's fellowship, ISUOG/SMFM member, Ibero-American Society president 2025–2029)
    • Clínica Universitaria Bolivariana: 5th institution globally for in-utero myelomeningocele repair with 135+ cases, 77 diaphragmatic hernia repairs, 200+ TTTS fetoscopies
    • Six JCI-accredited hospitals with dedicated high-risk pregnancy units; Fundación Valle del Lili's UACO offers 31 beds with 24/7 gynecologist-intensivist coverage
    • National maternal mortality 38.6 per 100,000 in 2023 (above Score 4 range), though trending down 26% from 2022; private sector outcomes described as 'considerably more favorable' but specific figures not documented
    • 200+ registered NICUs across 24 departments; international patient offices at major centers but no comprehensive high-risk pregnancy continuity protocols published

    Read the full Colombia report →

  11. 11 Poland PL 4.0/5 Good Poland demonstrates world-class technical infrastructure and exceptional clinical outcomes (maternal mortality 2 per 100,000, third-largest fetal cardiac intervention program globally, fetoscopic spina bifida surgery)... Full report
    The evidence behind this score 7 cited points
    • World-class fetal cardiac intervention program ranking third globally with 128+ procedures and 89% success rates for balloon aortic valvuloplasty, with published outcomes in international registries (IFCIR, FASS)
    • Maternal mortality of 2 per 100,000 live births, matching Germany, Sweden, and Norway—well below the <10 benchmark for Score 5
    • Fetoscopic spina bifida surgery program at Medical University of Warsaw performing 38+ cases since 2017 with documented outcome improvements
    • Multiple tertiary referral centers (Bielański Hospital Warsaw, Polish Mother's Memorial Hospital Łódź, Medical University of Warsaw) providing comprehensive high-risk pregnancy management
    • 2021 constitutional abortion ban for fetal indications (previously 98% of legal abortions) combined with documented multiple maternal deaths 2021–2023 from delayed interventions and physician hesitancy due to fear of prosecution; UN Committee in 2024 found grave and systematic human rights violations
    • Good medical tourism infrastructure including JCI-accredited Lux Med, English-speaking Aurora Medical with FMF certification, Medicover American Clinic, and 50–70% cost savings versus Western Europe
    • Inconsistent stillbirth investigation quality with 56.6% of intrauterine fetal deaths lacking documented cause, indicating geographic and quality variation outside major centers

    Read the full Poland report →

  12. 12 Thailand TH 4.0/5 Good Thailand demonstrates good prenatal care quality with multiple board-certified MFM specialists trained at international institutions, extensive JCI-accredited hospital infrastructure in Bangkok, and comprehensive feta... Full report
    The evidence behind this score 5 cited points
    • Multiple board-certified MFM specialists with international training from Harvard Medical School, Mayo Clinic, Royal College of Surgeons, and Charité; Bumrungrad's Women's Center employs over 60 Ob/Gyn physicians including high-risk pregnancy experts
    • 62 JCI-accredited medical facilities as of July 2024, with major centers in Bangkok (Bumrungrad, Bangkok Hospital, Samitivej, BNH Hospital) demonstrating international quality standards
    • Advanced fetal medicine programs including fetoscopic surgery for twin-to-twin transfusion syndrome and diaphragmatic hernia, plus comprehensive diagnostics (amniocentesis, CVS, cordocentesis, cell-free fetal DNA testing)
    • Bangkok maternal mortality ratio of 20.2 per 100,000 live births and national MMR of 23.10 per 100,000 in 2020, indicating safe outcomes but below the <10 per 100,000 'excellent' threshold
    • Established international patient infrastructure with over 3 million annual international patients, remote coordination services enabling patients to remain in home countries until 34 weeks, and 24/7 specialist availability

    Read the full Thailand report →

  13. 13 Turkey TR 4.0/5 Good Turkey demonstrates good maternal-fetal medicine capabilities with multiple perinatology specialists, 3-4 major hospitals with dedicated high-risk pregnancy units and Level III NICUs, and advanced diagnostic and fetal... Full report
    The evidence behind this score 7 cited points
    • Multiple perinatology specialists documented across major cities with Turkish Maternal Fetal Medicine and Perinatology Association (established 2014) providing professional organization and standards
    • 3-4+ major hospitals with Level III NICU and high-risk pregnancy units: Zekai Tahir Burak, Hacettepe University, Liv Hospital, and others providing dedicated tertiary care
    • Open fetal surgery programs at multiple institutions (Istanbul Bilim University, Marmara University, Kanuni Sultan Suleyman Hospital) demonstrating advanced fetal intervention capabilities
    • Comprehensive diagnostic technology including NIPT for genetic screening, fetal echocardiography, Doppler ultrasound, and 3D/4D imaging for thorough fetal monitoring
    • National maternal mortality rate of 13 per 100,000 live births (2021), equivalent to developed nations and within Score 4 threshold
    • 46 JCI-accredited hospitals (top 3 globally) with recent Mayo Clinic Care Network partnership demonstrating international recognition and quality standards
    • Robust medical tourism infrastructure serving 1.5+ million international patients annually with established protocols, multilingual support, and airport transfers

    Read the full Turkey report →

  14. 14 Malaysia MY 3.5/5 Moderate Malaysia demonstrates solid high-risk prenatal care infrastructure with multiple board-certified MFM specialists across public and private sectors, 8+ hospitals offering dedicated maternal-fetal medicine programs, and... Full report
    The evidence behind this score 4 cited points
    • Hospital Tunku Azizah operates a dedicated MFM unit performing fetoscopy for TTTS with laser coagulation, intrauterine blood transfusion, RFA, and bipolar cord coagulation, led by MOH-certified trainer Dr. Buvanes Chelliah
    • Maternal mortality ratio of 25.7 per 100,000 live births (2023), within the Score 3 range (20-40) rather than Score 4 range (10-20)
    • At least 3-4 named MFM specialists identified across multiple institutions (Dr. Chelliah, Dr. Rosli, Dr. Sivanathan) with international training, though report explicitly states specialist shortage
    • Strong medical tourism infrastructure with 3 JCI-accredited hospitals (Pantai KL, Gleneagles KL/Penang), dedicated international patient centres, 24/7 emergency obstetric coverage, and English-speaking workforce

    Read the full Malaysia report →

  15. 15 Brazil BR 3.5/5 Moderate Brazil has genuinely excellent top-tier MFM infrastructure in São Paulo with 10+ internationally trained specialists, 5+ hospitals with advanced fetal surgery programs, and published outcomes for complex interventions... Full report
    The evidence behind this score 4 cited points
    • Hospital Israelita Albert Einstein ranked in Newsweek's global top 30 hospitals (2024), first non-US JCI-accredited hospital (1999), with dedicated international patient department; Hospital Sírio-Libanês Johns Hopkins consulting partnership; HC-USP handles ~60 high-risk pregnancies/month with Level III/IV NICU
    • Centro de Medicina Fetal (Santa Joana) completed 640+ fetal surgeries including open myelomeningocele repair and TTTS fetoscopic laser; Gestar CMF team includes multiple Harvard and King's College London-trained specialists
    • Maternal mortality ratio 57–61.8 per 100,000 live births (2023), well above Score 4 threshold of 10–20 per 100,000; disparities reach 125.8 per 100,000 for Black women and 186 per 100,000 in North region
    • Lack of nationally standardized protocols for international patients: report explicitly states 'There are no formal, government-published protocols specifically for foreign patients'; only 33% of hospitals implemented MEOWS early-warning system and 47% have functional rapid response teams

    Read the full Brazil report →

  16. 16 Hungary HU 3.5/5 Moderate Hungary offers solid diagnostic fetal medicine capabilities and acceptable maternal mortality rates (15.5 per 100,000), supported by a network of Level III NICUs and internationally trained specialists. However, signi... Full report
    The evidence behind this score 4 cited points
    • Only 5 FMF-certified specialists nationally; Semmelweis Fetal Medicine Working Group (formed April 2024) has completed 9 intrauterine procedures and explicitly identifies TTTS laser photocoagulation and open fetal surgery as unavailable capabilities.
    • Maternal mortality at 15.5 per 100,000 live births (2021-2023), within the Score 4 range but showing upward trend from 11.6 per 100,000 (2011-2013), indicating systemic concern for high-risk patients.
    • Strong diagnostic capabilities including 3D/4D/5D ultrasound, fetal echocardiography, NIPT, CVS, and preeclampsia screening available at multiple centers with 19-21 accredited Level III NICUs supporting neonatal care.
    • Multiple Budapest private facilities accept international patients with English services and insurance billing, but no formal institutionalized protocols documented for high-risk pregnancy medical tourists and no JCI accreditation for any Hungarian maternity program.

    Read the full Hungary report →

  17. 17 India IN 3.5/5 Moderate India demonstrates moderate-to-good prenatal care quality with strong infrastructure at elite centers but notable gaps in outcomes documentation and geographic accessibility. Multiple JCI-accredited hospitals (54 tota... Full report
    The evidence behind this score 4 cited points
    • Multiple hospitals with Level III NICU and advanced fetal medicine programs: Manipal, KEM Hospital Pune (50-bed Level III-A NICU), Motherhood Hospitals, Accord Hospital with 24/7 in-house emergency and ICU support
    • National maternal mortality ratio of 97-99 per 100,000 live births (2018-20), far exceeding acceptable thresholds for higher scores, with regional variation from 30 per 100,000 in Kerala/Andhra Pradesh to higher rates in other states
    • Fetal intervention capabilities documented (intrauterine transfusion, laser therapy for TTTS, some in-utero surgical procedures) but with explicit finding that 'fetal surgery foundation in India is still in inception, with main barriers being lack of initiative, expertise, and infrastructure'
    • Strong medical tourism infrastructure with 54 JCI-accredited hospitals, 2 million annual international patients, established care coordination companies, and documented 24/7 emergency coverage at major centers

    Read the full India report →

  18. 18 Mexico MX 3.5/5 Moderate Mexico demonstrates strong infrastructure and specialist capabilities in fetal medicine with world-class training and advanced surgical programs, but systemic outcomes fall short of Good (Score 4) due to a maternal mo... Full report
    The evidence behind this score 7 cited points
    • Maternal mortality rate of 61 per 100,000 in 2020 (Score 3-4 boundary: exceeds Score 4 threshold of 10-20, above Score 3 range of 20-40)
    • 90%+ of maternal deaths occurred in women who had prenatal care, indicating quality/management failures not access issues
    • Fetal Medicine Mexico specialists trained by Prof. Kypros Nicolaides at Fetal Medicine Foundation in London with subspecialties in fetal cardiology, neurology, gastroenterology
    • Advanced fetal intervention programs: 63.5% neonatal survival for hydrothorax treatment via pleuroamniotic shunts; twin-to-twin transfusion syndrome treatment with documented successful outcomes; fetoscopic spina bifida repair
    • 8-9 JCI-accredited hospitals with maternal care; INPer with multidisciplinary fetal surgery team; Hospital Angeles network with maternal-fetal medicine clinics
    • Exceptional medical tourism infrastructure: 1.2-1.4 million US medical tourists annually; 50% of births at Riviera Maya hospitals to foreign patients; rapid access protocols (24-hour referral response)
    • Geographic disparities: Southern states experience maternal mortality 3× higher than national average; southern region has severe shortage of specialized health providers

    Read the full Mexico report →

  19. 19 Jordan JO 3.0/5 Moderate Jordan demonstrates moderate maternal-fetal medicine infrastructure anchored by one formally trained MFM specialist (Dr. Maher Maaita at Abdali Hospital, FRCOG) with access to comprehensive fetal diagnostics (amniocen... Full report
    The evidence behind this score 5 cited points
    • Only one formally documented board-certified MFM specialist: Dr. Maher Maaita at Abdali Hospital with FRCOG and fetal medicine fellowship training from RCOG (UK), versus Score 4 requirement of 5-9 specialists
    • Maternal mortality of approximately 31 per 100,000 live births (2023), falling in the Score 3 range (20-40) but above Score 4 range (10-20); 21× public-private neonatal mortality gap demonstrates fragmented outcomes
    • Abdali Hospital MFM Unit provides amniocentesis, CVS, cordocentesis, fetal blood transfusions, NIPT, and in-utero therapy, with fetal echocardiography at Jordan University Hospital demonstrating 91.7% sensitivity/95.4% specificity, but prenatal congenital heart disease detection rate remains below 1% system-wide
    • No documented fetal surgery programs; complex fetal surgical cases referred internationally
    • 10 JCI-accredited and 21 HCAC-accredited hospitals including Abdali (second consecutive JCI), Specialty Hospital (JCI since 2008, MTQUA accreditation), and recently accredited Al Bashir Obstetrics and Pediatrics Hospital (January 2024)

    Read the full Jordan report →

Reading the field

What separates a good programme from a dangerous one

Every country above is graded against this published scale — the same 1–5 rubric for prenatal care quality, top to bottom. How we score →

  1. 5/5 Excellent

    - 10+ board-certified MFM specialists with international recognition - 5+ hospitals with comprehensive fetal medicine programs including surgery capabilities - Maternal mortality <10 per 100,000 for high-risk pregnancies with documented outcomes - Advanced fetal intervention programs (in-utero surgery, fetal therapy) with published success rates - Established international patient protocols with 24/7 emergency coverage - JCI or equivalent accreditation specifically noting maternal-fetal medicine excellence

  2. 4/5 Good

    - 5-9 certified MFM specialists with subspecialty training - 3-4 hospitals with dedicated high-risk pregnancy units and Level III NICU - Maternal mortality 10-20 per 100,000 for complicated pregnancies - Basic fetal intervention capabilities (amniocentesis, some therapeutic procedures) - Medical tourism infrastructure accepting high-risk pregnancy patients - National or regional accreditation for obstetric services

  3. 3/5 Moderate

    - 2-4 MFM specialists or perinatologists available - 1-2 hospitals with advanced maternal-fetal capabilities - Maternal mortality 20-40 per 100,000 for high-risk cases - Limited fetal diagnostic capabilities, referral system for complex cases - Some experience with international patients but limited specialized protocols - Basic quality certification for obstetric services

  4. 2/5 Poor

    - 1 or fewer dedicated high-risk pregnancy specialists - Limited advanced fetal diagnostic equipment - Maternal mortality 40-80 per 100,000 for complicated pregnancies - Minimal fetal intervention capabilities, frequent referrals abroad - No established medical tourism protocols for pregnancy care - Inconsistent quality standards or outcomes reporting

  5. 1/5 Very Poor / Unavailable

    - No maternal-fetal medicine specialists or dedicated programs - Lack of advanced prenatal diagnostic capabilities - Maternal mortality >80 per 100,000 or unreliable data - No fetal intervention capabilities - Medical tourism infrastructure inadequate for complex pregnancy care - Significant safety concerns or lack of quality oversight

The reports

The full country reports under this lens

Each destination we have assessed has a full, cited report — the detailed analysis behind its score. The verdict is free; the report is the depth.

Clinics & providers

The clinics our research names

Named hospitals, clinics and centres cited across these findings — each carrying the specialties our reports record. Follow one to the reports behind it.

References

The sources behind these assessments

The distinct sources cited across these published reports — every finding carries its own citations; this is the union, each linking back to the reports that lean on it.

  1. Untitled source quradiagnostics.com/fellowship-programme Cited in Prenatal Care Quality in India
  2. Untitled source thailandmnch2016.blogs.wm.edu/neonatal-health/nicus Cited in Prenatal Care Quality in Thailand
  3. Untitled source 51fss.com/pregnancy-birth-in-korea Cited in Prenatal Care Quality in South Korea
  4. Untitled source acibademinternational.com/treatment/perinatology-and-high-risk-pregnancies Cited in Prenatal Care Quality in Turkey
  5. Untitled source amiif.org/salud-publica-instituto-nacional-de-perinatologia Cited in Prenatal Care Quality in Mexico
  6. Untitled source arriveturkey.com/health-tourism/medical-tourism-in-turkey-comprehensive-guide Cited in Prenatal Care Quality in Turkey
  7. Untitled source ash.harvard.edu/wp-content/uploads/2024/02/331231_hvd_ash_thailand_medical_v2.pdf Cited in Prenatal Care Quality in Thailand
  8. Untitled source asumedhealth.com/en/perinatology Cited in Prenatal Care Quality in Turkey
  9. Untitled source bangkokpattayahospital.com/center_clinics/womens-health-2 Cited in Prenatal Care Quality in Thailand
  10. Untitled source barcelonainternationalhospitals.com/en/barcelona-international-hospitals-leaders-in-gynecology-obstetrics-and-reproductive-medicine Cited in Prenatal Care Quality in Spain
  11. Untitled source cfchospitals.com/high-risk-pregnancy Cited in Prenatal Care Quality in India
  12. Untitled source cimarindia.org/maternal-fetal-medicine-specialist Cited in Prenatal Care Quality in India
  13. Untitled source cimarindia.org/treatments/high-risk-pregnancy Cited in Prenatal Care Quality in India
  14. Untitled source clinicsoncall.com/en/blog/reasons-why-thailand-is-popular-for-medical-tourism Cited in Prenatal Care Quality in Thailand
  15. Untitled source clinicsoncall.com/en/doctors/country-turkey/speciality-reproductive-medicine/disease-infertility Cited in Prenatal Care Quality in Turkey
  16. Untitled source conflictandhealth.biomedcentral.com/articles/10.1186/s13031-015-0066-1 Cited in Prenatal Care Quality in Turkey
  17. Untitled source data.who.int/countries/792 Cited in Prenatal Care Quality in Turkey
  18. Untitled source data.worldbank.org/indicator/SH.DYN.NMRT?locations=MX Cited in Prenatal Care Quality in Mexico
  19. Untitled source data.worldbank.org/indicator/SH.STA.MMRT?locations=MX Cited in Prenatal Care Quality in Mexico
  20. Untitled source data.worldbank.org/indicator/SH.STA.MMRT?locations=TH Cited in Prenatal Care Quality in Thailand
  21. Untitled source data.worldbank.org/indicator/SH.STA.MMRT?locations=TR Cited in Prenatal Care Quality in Turkey
  22. Untitled source data.worldbank.org/indicator/SP.DYN.IMRT.IN?locations=MX Cited in Prenatal Care Quality in Mexico
  23. Untitled source desunhospital.com/desun-hospital-kolkata-achieves-jci-accreditation Cited in Prenatal Care Quality in India
  24. Untitled source emedicine.medscape.com/article/271752-overview Cited in Prenatal Care Quality in India

Explore the source archive →

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Where to go from here · Prenatal Care Quality

no scope is a dead end — step up to the specialty, drill into a factor, or pivot across to a country or a comparison