Fetomaternal Medicine

Our Fetomaternal Medicine centre is unique and probably the first and only unit in South India that combines the expertise of fetal medicine and finesse of high-risk pregnancy management. A group of committed obstetricians, radiologists, geneticists and neo-neonatologists ensure that both the mother and child complete their 9 month-long journey from pregnancy to motherhood, smoothly. The centre provides complete and compassionate care to the expecting mother with proper counselling and timely tests to ease the process towards delivery.

Specialities

  • First trimester screening
  • Targeted scan
  • Fetal echo
  • Growth & Doppler Scan
  • Prenatal Invasive Diagnostic tests
  • Fetal Therapy
  • High-Risk Pregnancy Management
  • Fetal Autopsy
  • Genetics

First trimester screening

Every pregnancy either normal/assisted carries a risk of aneuploidies. A 12th-week scan that measures the NT and combines it with maternal serum BHCG & PAPP-A is used to determine the risk of each woman. An increased risk would require INVASIVE TESTING. A unique feature of the first-trimester scan is that it allows us to pick up major structural anomalies at the earliest. All the consultants performing the NT scan are accredited with Fetal Medicine Foundation, UK

Targeted USG

A sophisticated high and USG machine with state of the art 3D & 4D capabilities is used to detect congenital abnormalities in the fetus.

This scan is usually done at 18 to 22 weeks and has a high sensitivity to pick up malformations.

Growth Scan

After ensuring that the fetus is both structurally and genetically normal. The next important step is to ascertain adequate growth and development of the fetus. This is achieved through serial Doppler assessment which scrutinizes well being of the fetus

  • Fetal Echo
  • A highly specialized evaluation of the fetal heart is done at 20-22 wks gestation.
  • Indications:
  • Previous child with heart disease
  • Mother with heart disease
  • Mother with G.D.M.
  • Pre-natal Invasive Diagnostic tests:
  • Test – Amniocentesis
  • Timings – 16-24 wks
  • Indications – Karyotyping
  • Test – Chorionic Villous Sampling
  • Timings – 11-14 wks
  • Indications – Single-gene studies, Karyotyping
  • Test – Percutaneous Umbilical Blood Sampling
  • Timings – 24 wks
  • Indications – Karyotyping, single-gene studies, Infection screening
  • Fetal Therapy
  • Procedure – Amnioinfusion
  • Indications – Oligamnios
  • Procedure – Amnioreduction
  • Indications – Polyhydramnios, TITS
  • Procedure – Amniopatch
  • Indications – “PPROM”
  • Procedure – Fetal reduction
  • Indications – Multiple pregnancies
  • Procedure – Fetal Blood transfusion
  • Indications – Rh Isoimmunisation/other fetal anaemia

High-risk Pregnancy Management:

Pregnancy and childbirth are routine affairs but for a certain group of women, this seemingly innocuous event requires specialized care. Women with Diabetes, high blood pressure, heart disease, autoimmune disorders, multiple pregnancies, etc., fall into this high-risk group.

Our Feto Maternal Unit uses an integrated approach that utilizes various surveillance modalities like NST, BPP & Doppler to ensure that even these high-risk groups have a safe and uneventful pregnancy.

Fetal Autopsy:

Fetal autopsy aids USG in reaching a final diagnosis in babies with structural abnormalities. An accurate diagnosis helps in predicting the recurrence risk for each couple. Fetal autopsy is carried out by fetal medicine specialists with special training in fetal autopsy.

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