$140-$380/hr high-risk pregnancy work, on your schedule
Review a model's high-risk plans, fetal anomaly reads, and preeclampsia management the way you staff a complex consult. Weigh two patients at once where the data conflict.
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Hi, we're Zac and Jack, the founders of Terac. We want to talk to you directly, because you are the most important part of what we're building.
Terac is a community of experts. People who have spent years getting good at something specific and hard. The world is about to need more of you, not less. As AI takes on more of the world's work, the bottleneck shifts to the people who actually know what they're talking about.
Expert labor is the rarest resource in the world right now, and it is shockingly hard to find. The companies that need an MFM specialist catching a misread fetal echo spend weeks chasing people, paying placement fees, and settling for whoever is available. Meanwhile thousands of qualified people are sitting with knowledge that no one ever asks for.
That gap is what we're here to close. Every project that lands on Terac is routed to the people who actually know the answer, on their schedule, paid fairly, and only when the work is verified. No middleman taking a cut of your time. No vague gigs. No chasing checks.
We care about every single person in this community. If you join Terac, you're not a row in a database to us. We read the feedback. We answer the emails. We will fight for you when a customer is being unreasonable, and we will be honest with you when something on our side is broken. The quality of this panel is our entire company, and we owe you a serious bar.
If you've made it this far, here is what we're asking: claim your profile. Put your expertise on the record. Let the world's most ambitious teams come find you for the work only you can do.
Maternal-Fetal Medicine questions
Still curious? Write to us at support@terac.com.
Yes. MFM is precisely where models fail quietly: delivery timing in severe preeclampsia, Doppler-driven decisions in growth restriction, fetal echo interpretation, and twin surveillance. A general OB/GYN may not catch these nuances, and a generalist physician will not. Labs pay a premium for that perinatology judgment.
We accept fellowship-trained subspecialists who are board-certified or board-eligible in maternal-fetal medicine with active or recent perinatology practice. An active medical license is preferred. We verify your subspecialty during onboarding, and it appears as a verified badge so labs can match you to high-risk projects.
No. You never see patients, order tests, or establish a clinician-patient relationship. You evaluate the model's consults, imaging reads, and management plans against the perinatology standard of care and explain where it is sound or dangerously wrong. It is expert evaluation, not the practice of maternal-fetal medicine.
AI-drafted high-risk pregnancy consults and management plans, fetal anomaly interpretations, fetal echocardiography and detailed ultrasound reads, preeclampsia and growth restriction workups, preterm birth management, and clinical reasoning transcripts. You flag errors and unsafe recommendations, score against current standards, and write the surveillance and timing reasoning a checklist leaves out.
You make the maternal versus fetal tradeoff explicit on every case: when continuing the pregnancy benefits the fetus but endangers the mother, when an abnormal Doppler tips toward delivery, and where the evidence on timing is contested. Documenting that weighing teaches the model to surface the tradeoff instead of giving false confidence.
Why your expertise matters
In maternal-fetal medicine you weigh two patients at once and the data conflict, which is where AI fails quietly. A model recites the criteria for severe preeclampsia but misses when delivery timing must override expectant management, or what abnormal umbilical Dopplers change. Making that call takes a perinatologist, not a checklist. Your corrections teach these tools where the danger really lives.
How pay works
Projects pay $140-$380 an hour, with complex high-risk case review and fetal imaging interpretation at the top of the range. The work is remote and asynchronous - apply once, set availability, accept projects that fit your perinatology practice. You are paid per verified task.
What the work looks like
A sample of the high-risk pregnancy work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Review a plan for a 28-week pregnancy with severe preeclampsia that recommends expectant management and flag the missed steroid and magnesium decisions.
- Evaluate a read of growth restriction at the 3rd percentile with absent end-diastolic umbilical artery Doppler flow that fails to escalate surveillance or discuss delivery timing.
- Score a fetal echocardiography read that misses transposition of the great arteries by failing to assess ventriculoarterial concordance.
- Assess a consult for monochorionic diamniotic twins recommending routine four-week growth scans, missing two-week surveillance for twin-to-twin transfusion.
- Critique a threatened preterm labor note at 33 weeks that orders tocolysis indefinitely past the 48-hour steroid window.
- Correct an anatomy ultrasound summary that calls an isolated echogenic intracardiac focus a hard marker requiring amniocentesis in a low-risk patient.
Specialties we match
Maternal-Fetal Medicine projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- High-risk pregnancy management and antepartum surveillance
- Preeclampsia and severe hypertensive disorder management
- Fetal growth restriction and Doppler velocimetry interpretation
- Fetal anomaly diagnosis and counseling
- Fetal echocardiography interpretation
- Detailed obstetric ultrasound and anatomy survey review
- Preterm birth prevention and threatened preterm labor management
- Antenatal corticosteroids and magnesium sulfate neuroprotection timing
- Multiple gestation and monochorionic twin surveillance
- Pregestational and gestational diabetes management in pregnancy
- Genetic screening, diagnostic testing, and amniocentesis counseling
- Maternal medical comorbidity co-management in pregnancy








