Dr. Justin Mitchell Brewer

It’s been almost a year since I started my pregnancy under the care of Dr. Brewer. I wanted to take some time to reflect on my experience and provide you with an objective account of my time with him. During my first appointment, Dr. Brewer’s ultrasound technician noticed something unusual about my placenta. Dr. Brewer confirmed his observation. During the anatomy scan, he assured me that everything appeared normal with the baby, but he did document an abnormal abdominal circumference. He didn’t discuss his findings with me or schedule a follow-up appointment. Instead, he reassured me that I was on track for a healthy pregnancy and a vaginal delivery. Four weeks later, during my appointment with my gynecologist, she also noticed the abnormal abdominal circumference. Together, Dr. Brewer and my gynecologist recommended weekly ultrasounds. When I inquired about the possible causes of low abdominal circumference, Dr. Brewer explained that sometimes the liver simply stops growing. I… asked if additional testing was necessary, but he assured me that there were no other tests required; I would only need to continue with the ultrasounds. The American College of Obstetricians and Gynecology recommends amniocentesis for women over the age of 35 and those with abnormal imaging, such as low abdominal circumference. However, Dr. Brewer did not recommend amniocentesis, which could have diagnosed my son with Prader Willi Syndrome and explained his extremely low abdominal circumference. My blood pressure was consistently elevated during most of my appointments with Dr. Brewer. Sometimes, he ordered outpatient testing, while other times, he didn’t. Every time I presented with elevated blood pressure, a preeclampsia workup should have been ordered. Despite recommendations from the American College of Obstetricians and Gynecology (ACOG), Dr. Brewer failed to treat my hypertension. ACOG strongly advises treating hypertension during pregnancy, even if the mother doesn’t have a pre-existing history of hypertension. This is because it reduces the risk of preeclampsia, severe hypertension, stroke, and placental issues. If hypertension is not treated, it can lead to preterm birth, low birth weight, and serious complications for the mother, such as preeclampsia. Tragically, my child was born one week earlier, weighed 4 pounds 14 ounces, and I developed preeclampsia. During one of my ultrasounds, the doctor remarked, “Wow, he’s really practicing his breaths. I can’t even count them.” If I hadn’t been able to count his respirations, it would have been a clear indication to order amniocentesis to assess the maturity of his fetal lungs. This was a sign of respiratory distress, and my son required immediate CPAP therapy after birth. During my last two appointments with Dr. Brewer, he observed that my son’s head was positioned low, but he never conducted a cervical exam. I was 36 weeks pregnant during my last appointment with Dr. Brewer, and he cleared me to return home. He inquired about my next appointment with Dr. Alexander. I knew he asked this question because he didn’t want to perform a cervical check. During this appointment, I expressed my discomfort and requested outpatient testing. Upon the results of the outpatient testing, it was discovered that I had developed preeclampsia and was six centimeters dilated. Had I adhered to Dr. Brewer’s recommendation to go home, it is highly probable that neither my son nor I would have survived. According to the National Institute of Health, “Black women in the U.S. are disproportionately affected by preeclampsia, facing up to five times higher risk of death compared to white women.” After the delivery of my child, he was found to have a cyst in his brain, a heart abnormality, hydronephrosis, undescended testicle, and a clubfoot, all of which should have been found during the anatomy scan, none of which was ever discussed with me. One month later in the NICU, my son was diagnosed with Prader Willi. Fo

This is the 3rd pregnancy that I have had to go to Dr. Brewer. He gets to the point. His staff are friendly and considerate. He is realistic about the situation.

Office staff is great and Dr Brewer is very caring and informative

We met under unfortunate circumstances. He Doesn't believe in giving false hope or sugar coating, however he delivers the truth in an soft, eloquent tone. Good ole country boy with no pretentious attitude whatsoever. I read people for a living and this guy is as genuine and sincere as they come.

Dr. Brewer is the best! He made every visit enjoyable and put my mind at ease during a difficult pregnancy. He is a highly skilled, cautious and conscientious doctor. I highly recommend him to anyone who is in need of a maternal fetal specialist.