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Fetal Medicine at Lifecare Hospital



GYNAECOLOGY

Women at all stages of life, from early teens to menopause and beyond will experience a variety of hormonal, medical, physical and emotional conditions that require attention and care. Regular well woman screening, for instance, is essential for early detection of potential problems and should include smear tests, pelvic checks and breast examinations on a yearly basis. Gardasil vaccinations are currently recommended for girls and young women with evidence suggesting that it may protect against cancer of the cervix. Contraception is another important subject for many women and couples, as are the complex issues surrounding unplanned pregnancies. Abnormal, irregular or painful periods can be very distressing and these too can often be resolved. The menopause, its spectrum of symptoms and the many questions they pose, is another matter which needs to be addressed with sensitivity. Advancing years can also bring gynaecological concerns which, with the right approach, can often be alleviated completely. 'From routine gynaecological checks to treatment for period abnormalities, pelvic infection, ovarian cysts, fibroids. prolapse, sterilisation or hysterectomy, to name just a few, our doctors will give clear, careful and empathetic advice, always taking into consideration our patients' personal views and preferences.'

Fetal Medicine

The Fetal Medicine provides care for pregnant women by doctors who have specially trained in ultrasound scanning , councelling and invasive procedures . In fetal medicine detailed sonography is performed to the highest standards and is backed up with informative and sensitive counselling as well as with prenatal diagnostic and therapeutic procedures (Fetal Therapy).

Protocol for Pregnancy at Lifecare Hospital:

Routine Pregnancy Tests & Scans
Routine Pregnancy Tests & Scans
Timeline Description
6-10 weeks Fetal Viability Scan's(Sonography)
11 & 14 weeks Nuchal Translucency Scan and First Trimester Screening (Sonography + Maternal Blood Test)
16 weeks Triple Screen Test ---( Maternal Blood Test)
18-22 weeks Anomaly Scan's(Sonography)
28-32 weeks Growth Scan's(Sonography)
As Required Doppler
As Required 20 Weeks Onwards Fetal Echocardiography
Invasive Prenatal Procedures
Timeline Description
6-10 weeks Fetal Viability Scan's(Sonography)
11 & 14 weeks Nuchal Translucency Scan and First Trimester Screening (Sonography + Maternal Blood Test)
16 weeks Triple Screen Test ---( Maternal Blood Test)
18-22 weeks Anomaly Scan's(Sonography)
28-32 weeks Growth Scan's(Sonography)
As Required Doppler
As Required 20 Weeks Onwards Fetal Echocardiography
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Fetal Viability Scan 6-10 weeks

This is an ultrasound examination that is usually carried out vaginally. It aims to determine the number of fetuses present and whether the pregnancy is progressing normally inside the uterus [ and not an ectopic pregnancy ]. This scan is useful for women who are experiencing pain or bleeding in the pregnancy and those who have had previous miscarriages.

Nuchal Translucency and First Trimester Screening- [ 11 & 14 weeks ]

We perform the First Trimester Down's Syndrome Screening according to the standards laid down by the Fetal Medicine Foundation, UK. This screening involves an ultrasound assessment of the fetus including the nuchal translucency, and the new markers such as tricuspid regurgitation, ductus venosus, nasal bone and facial angle assessment.

The maternal blood is also checked for PAPP-A and free beta- HCG and an integrated risk assessment for the chromosomal abnormality is given. FTS is highly accurate and its sensitivity to identify fetus with Down`s Syndrome is 85% to 90%.

Anomaly Scan 18-22 weeks

This is a detailed scan during which each part of the fetal anatomy is examined. Special attention is paid to the brain, face, spine, heart, stomach, bowel, kidneys and limbs.

If any abnormalities are detected the significance of the findings will be discussed and the couple will be given the opportunity to have further counseling with a Fetal Medicine Consultant.

a. Cervical Screening 18-24 weeks

This is a transvaginal scan done to assess the women`s risk of going into preterm labour and delivery at less than 33 weeks by measuring the cervical length.

b. Colour Doppler

The uterine artery dopplers are checked to assess the woman's risk of developing Pre-eclampsia or intra-uterine growth restriction. The Umbilical artery , MCA ,Ductus Venosus , Fetal Aorta and other arterial and venous dopplers are performed in cases of Pre-eclampsia , intra-uterine growth restriction or other high risk pregnancies.

c. Fetal Echocardiography

A detailed examination of the fetal heart and connecting vessels is carried out usually at 20 weeks by a consultant Fetal Medicine specialist. It is especially recommended for people with a previous pregnancy history or family history of heart abnormalities, or in diabetic mother or where increased nuchal translucency has been found at the 12 week scan. It is also an important ultrasound scan when other abnormalities have been found in the fetus.

Fetal Well Being Scans 24-40 weeks

We advise an ultrasound scan to assess fetal well being and fetal growth to all women at about 30-32 week of pregnancy. This scan is especially important for those women who have had previous complications of pregnancy such as pre-eclampsia, growth retardation, diabetics, stillbirth and for those women who develop an abnormality during the course of their current pregnancy.

3D - 4D Scans

This is a scan during which fetal anatomy is examined in 3D - real time 4D. This scan is especially important for those women who have had previous complications and for those women who develop an abnormality during the course of their current pregnancy.

  • 3D sonography looks like a photograph & is much more clearer.
  • 4D Sonography (Real time live 3D) provides a three-dimensional view of the fetus in motion and is one of the most important modern innovations in the field of sonography.

The clear view of the fetus from all angles allows doctors to detect any congenital abnormalities at an early stage and chart a course for corrective measures at an early and preventable stage. The image quality is so clear and sharp that one can get a fairly accurate impression of how the baby's features will look upon birth.

One can view the baby yawning, sucking its thumb, kicking its feet, and moving its hands. We also provide all pregnancy sonography patients with a collection of video clips and images of the unborn child to create a lifelong memory for the mother and the child!