INTRODUCTION:: Maintaining high quality, efficient obstetric care is augmented by integration of maternal fetal medicine (MFM) resources to care for high risk pregnancies. Changes in the MFM workforce and staffing could affect pregnancy care in the Military Healthcare System (MHS). We sought to assess the current state of MFM resources within the MHS to identify variations and opportunities for improvement. METHODS:: We identified military treatment facilities with MFM physicians in both the continental US and overseas. This was an IRB approved QI project. Sites were sent a data collection sheet for staffing information including MFM physicians, genetic counselors and ultrasound techs and delivery volume. MFM sites were also asked about residency & medical student training and research activities and presentations. RESULTS:: We identified 11 centers with MFM physicians, 3 Navy sites, 4 Army sites, 3 combined sites and 1 Air Force site. Nine MFM sites responded to our request with a response rate of 82%. Centers with MFMs had delivery volumes of 800 to 3,000 deliveries per year, and were level 2-3 maternity hospitals. Number of deliveries per MFM ranged from 500 to 2,000, and encounters per MFM ranged from 1,400 to 3,000 per year. Of MFM centers, 4 (44%) had genetic counselors, while only 1 (11%) had genetic counselors outside the MFM division. Of the 5 sites with ongoing research, all but one had access to a research nurse. CONCLUSION:: We noted a wide range of practice staffing and volume across the MHS. Future studies should evaluate the optimum staffing to maximize efficiency.