Foetel Medicine

Maternal foetal medicine is a subspecialty in the field of obstetrics that focuses on specialized care of the mother and foetus in high risk pregnancies. We offer a wide range of pertinent foetal services, from preconception counselling, 1st trimester screening for anomalies and genetic conditions, NIPT, Targeted anomaly scan including 3D/4D scan, foetal echocardiography and foetal diagnostic procedures and foetal therapy.

Our Doctors

Dr. Anitha Joseph

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The Services Offered Here Include:-

  • First trimester screening for chromosomal disorders and early detection of anomalies. This is a detailed ultrasound scan( NT scan) done between 11-13 weeks + 6 days of pregnancy. addition, blood tests that assess risk for conditions like Down syndrome are offered at this stage of pregnancy
  • Targeted anomaly scan :
    This is a detailed scan along with 3D/4D scan if indicated done between 18 – 20 weeks where each part of the foetal anatomy is examined to detect any structural anomalies. About 98% of foetal structural anomalies can be detected during this time.
  • Foetal Echocardiography :
    A detailed examination of foetal heart is done to ascertain the structure and function of the foetal heart.
  • Foetal wellbeing scan :
    This is done at 34-38 weeks in low risk women and earlier in high risk pregnancies. This is done to assess the baby’s position, growth, amount of liquor and the blood flow to the placenta and foetus by Doppler studies.
  • Surveillance of multiple pregnancies :
    Twins are at higher risk of complications compared to singletons and require specialised care starting from the first trimester. Ultrasound screening during the 11-14 weeks scan is crucial to determine the type of twins as identical or monochorionic or nonidentical or dichorionic twins. The monochorionic twins needs more careful monitoring as the complications are more due to placental sharing compared with dichorionic twins.
    Twins are also at higher risk for anomalies and growth disorders which necessitates the need for specialised care in these cases throughout the pregnancy.
  • Invasive diagnostic procedure :
    • Amniocentesis
    • Chorionic Villous sampling
    • Cordocentesis
  • Diagnosis and management of Rh disease including monitoring of MCA PSV and performing intrauterine transfusion
  • Selective Foetal reduction in indicated cases of twins and higher order multiples
  • Management of complicated twins including management of selective growth restriction and TTTS
  • Screening and diagnosis of genetic disorders with tests like NIPT, karyotyping, chromosomal microarray, Sanger sequencing and clinical/ whole exome sequencing