With a 95% success rate, Dr. Kofinas has
guided his patients suffering from multiple losses
and IVF failures to healthy pregnancies for over 35 years.

My approach to placental health

The placenta is the most neglected, yet the most critical, reproductive organ in the female body. It seems like it’s become a buzzword, with celebrities hyping the healing powers of the placenta through their smoothies and creams. But only about 1% of doctors pay meaningful attention to the placenta. It’s so much more than the “afterbirth.” Many women aren’t informed about its vital function in utero.

So, what exactly is the placenta?

If the umbilical cord is the lifeline, the placenta is the life source for the developing fetus. It provides blood, nutrients, and antibodies for diseases, all while it also processes waste. If the placenta does not properly develop, it becomes the cause of almost every pregnancy complication that can occur. Implantation failure, results from failure of the placenta to form, the most extreme expression of placenta pathology causing infertility.

Why aren’t we talking about it more?

It’s the question I asked early on as I studied obstetrics and gynecology.
Despite the fact that the placenta is the source of life, I discovered that there was hardly any medical information about it in obstetrical textbooks. The omission was unexplainable.

“You’re not alone and yes, there is a way"

I was one of the first doctors to identify placenta blood clots, overlooked in most exams as “normal.”
My discoveries and research formed the foundation for the methodologies I use today.

Dr .Alex Kofinas


“I knew I was onto something big that could revolutionize the way we manage placenta health for the first time ever and [possibly] be able to prevent all major pregnancy complications.”

The Kofinas Protocol

Monitoring the placenta’s development in the early stages of pregnancy has enabled me to detect, diagnose, and prevent common pregnancy complications.

Most placental development has occurred by 18–22 weeks of pregnancy, and any damage is irreparable. Because of this, proper pregnancy planning and treatment before and at the time of conception is a non-negotiable for me.

I’ve developed a way to diagnose and manage high-risk pregnancies and prevent complications from intrauterine growth restriction, pre-eclampsia, PROM, and preterm delivery to fetal death in utero.

Kofinas Perinatal is the only practice in the New York City area devoted to such patients almost exclusively.

“While most women are told to visit their doctor after 12 weeks of pregnancy, The Kofinas Protocol requires placenta health monitoring as early as five weeks. This is why planning your pregnancy, and starting care before conception, is extremely important.”

Quick Facts about the placenta.

  • Exercise during the first trimester increases the size, blood flow, and overall placenta health while improving fetal brain development. It also leads to better memory and higher IQs in the children born to women who follow this practice.

  • The placenta starts forming 6–7 days after conception and achieves maximum size at 24–26 weeks.

  • The vascular foundation of the placenta is established in the first 12 to 14 weeks. Any damage at this time will define the placenta's final size, quality, and health. This, in turn, will have lasting implications for the baby and how it grows into an adult.

What can I do to help make sure my placenta is healthy?



Plan your pregnancy, so you have time to restore nutritional balance and tune up your body with the goodies that your uterus needs to create a healthy placenta. Healthy body weight prior to conception is very important for a healthy placenta and a healthy baby.



Eat organic, highly nutritious Mediterranean foods such as
olive oil, low sodium olives, raw nuts, veggies, small (wild only) fish, legumes and a limited quantity of red meat (preferably only from grass-fed animals). Implement an intermittent fasting routine for at least 3 days a week before conception and revert to regular eating patterns when you are ready to conceive.



Before conception, add regular exercise in your daily routine (aerobic and resistance), moderate use of alcohol (red wine mostly), stop the use of illicit drugs and smoking, take a prenatal vitamin with folic acid, and take antioxidants to improve egg quality. It takes two to tango, therefore advise your partner to stop illicit drugs, drink moderate amounts of red wine, stop smoking, and take antioxidant supplements to reduce semen oxidative stress and DNA fragmentation.

"Placental health is the key to
a successful and healthy

Provides Nutrition and Hormones
Conducts Brain Development
Sets General Growth & Health