Caring for two hearts on one precious journey
From the first heartbeat to the first cry, we walk beside every mother, keeping both hearts safe and sound.
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From the first heartbeat to the first cry, we walk beside every mother, keeping both hearts safe and sound.
Book Appointment
Most pregnancies are uncomplicated and regular antenatal care usually ensures an uneventful pregnancy and childbirth. However, some women have problems anteceding pregnancy or have had problems in their previous pregnancies which puts them at risk of developing complications in pregnancy which can affect both the mother and her unborn child. Such conditions include an advanced maternal age > 35 years, obesity, previous medical conditions like Diabetes, Hypertension, previous baby with a genetic disorder like Down’s or Thalassemia or a family history of the genetic disorder.
Foetal Medicine is a sub-speciality branch of Obstetrics and is now an integral part of all pregnancy care, both low risk and high risk. It deals with the well-being of the unborn child to ensure the birth of a healthy and normal child.
In case of a previous history/family history of a genetic disorder, Prenatal Genetic Counselling by a genetic counsellor can be offered to such parents to help them plan their future pregnancies. Screening for risk of such genetic disorders can be offered to all pregnant women in early and mid – pregnancy. Sometimes an unborn child may have a structural deformity which may be lethal or sometimes associated with a chromosomal or genetic abnormality and this can affect 5 – 6 in 100 babies.
Foetal Medicine can help in detecting these abnormalities in pregnancy and early detection can help in planning the management. In conditions where the maternal disease as mentioned earlier can affect the growth and the well-being of the foetus later in pregnancy, dedicated foetal medicine unit can monitor these babies and advise timely delivery of such babies who may be born premature, small or big to ensure a good outcome.
A multidisciplinary approach is adopted for a more comprehensive care for mothers and babies with complex conditions. Our team of experts include maternal foetal medicine specialists, obstetricians, neonatologists and paediatric surgeons who share a passion for providing exceptional care to these pregnancies.
Foetal Medicine Services we offer
Prenatal Screening
Foetal Diagnosis
Genetic Counselling
Prenatal screening is done to assess the chance of the foetus in utero having any genetic conditions or any structural abnormality. Screening test cannot tell for sure whether the baby has any genetic condition but only the chance of having it. To find out for sure, a diagnostic test must be done.
This is done by the
NT scan + Double Marker test- known together as the First trimester Screening test which is done from 11 to 13 weeks 6 days. The ultrasound markers and blood tests are combined together to give a probability
For those who missed the FTS, a Genetic Sonogram and the Quadruple test can be done from 16-20 weeks
Pre-eclampsia Screening
It is done between 11 to 13 weeks
It involves ultrasound scan to assess the placental blood flow, in combination with the mean arterial blood pressure, Serum PAPP-A, maternal blood marker and Placental Growth Factor (PLGF)
Cervical Screening by transvaginal ultrasound is done at 11-13 weeks and 18-24 weeks. A short cervix may lead to preterm birth and appropriate management can be adopted when detected early.
Foetal Birth Defects can be detected before birth because of the world class imaging and diagnostics. Foetal Medicine Specialists use high tech tools and the best USG machines to assess and diagnose Foetal conditions.
Some of the common diagnostic USGs are:
It is done to diagnose certain foetal conditions.
In cases of certain hereditary diseases which can be picked up from parents such as Thalassemia.
In cases of a screen positive FTS or a Quadruple test.
In cases of detection of structural abnormalities, picked up by the USG, which may be genetically associated.
Chorionic Villus Sampling: 11-13 weeks 6 days
Genetic amniocentesis 16 weeks onwards
The aim is to diagnose and treat if treatable, the abnormalities in the unborn for its well-being.
We offer comprehensive foetal care which includes:
Intrauterine Foetal blood transfusion
Foetoscopic laser photocoagulation for twin-twin transfusion syndrome
MultiFoetal reduction
Foetal shunt placement
Amniotic band resection
Ex utero intrapartum treatment (EXIT)
Amnioreduction in case of polyhydramnios
After the diagnosis, the parents are counselled by the Foetal Medicine Specialist along with a relevant consultant e.g. – paediatric surgeon, paediatric cardiologist regarding further treatment if required.
At Neotia Bhagirathi Woman and Child Care Centre, New Town we provide a holistic ambience for the children.
Utmost care for women who are experiencing complications in pregnancies.
Dedicated Obstetrics and Gynaecological department with fully equipped adult ICU.
Level 3 NICUs, SCBU backed by an experienced neonatologist, Paediatrician to take care of your ill child.
High-risk pregnancies and problems with the unborn child are not uncommon. Foetal Medicine thus focuses on the health of the foetus in the uterus, thereby detecting Foetal abnormalities, treating them if treatable, checking for Foetal growth and well-being, planning delivery at the optimum time to prevent intrauterine deaths along with prior planning of the management with the department of neonatology (neonatologists, paediatric surgeons & cardiologists) to provide optimal treatment to the unborn child.
