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The Lifeline Hospital

Fetal Medicine

Parents may have great difficulty when they learn that their long-anticipated kid may be born with a birth defect or a high-risk medical condition. Our Fetal Medicine Department assists from evaluation and diagnosis to therapy and community-based follow-up. To address the requirements of both mother and baby before, during, and after delivery, we bring together a multidisciplinary team of professionals from diverse medical and surgical subspecialties.

The Lifeline Hospital’s Fetal Medicine Department is dedicated to providing thorough, cutting-edge diagnosis and treatment for disorders affecting the fetus. It is a crucial aspect of the Department of Obstetrics and Gynecology. The main focus of this department is to carry out health diagnoses for the unborn child utilizing various diagnostic techniques. Our specialists conduct diagnosis, treatment, and counseling, particularly when pregnancies are complicated by fetal anomalies.

Ante-partum scans in the first, second, and third trimesters,  Down syndrome screening, Fetal ECHO, 3D/4D ultrasound, and ultrasound-guided procedures are done by our experienced faculty. Also Scheduled prenatal diagnostic consultations and targeted ultrasound examinations are available through the division six days a week. Invasive diagnostic and therapeutic procedures are also performed here.

Anomaly-Scan

Why Fetal Medicine Department?

  • Centre where fetal anomalies can be diagnosed early and accurately
  • To counsel the parents adequately and accurately, such that appropriate decisions can be made during pregnancy
  • To co-ordinate with the primary care physician/obstetrician to facilitate best results Spread awareness of fetal and neonatal care
  • To have a Centre of Excellence for the continuum of Initial evaluation by a Fetal Medicine Specialist and review of previous reports.
  • There may be a possibility of review after 2-6 weeks or as required Multidisciplinary Team Approach: Having established a diagnosis, the parents will be scheduled a joint appointment with the Foetal Medicine Specialist and a relevant consultant, e.g., Neonatologist, Paediatric surgeon/urologist or Paediatric neurologist/cardiologist for counselling regarding their various options available, with a fair idea of the survival rates in each situation
  • Ultrasound scan and counselling regarding the diagnosis Invasive testing as required (Chorionic villous sampling / amniocentesis)
  • In those cases where the parents opt for termination of pregnancy, they are advised to either contact their obstetrician or schedule the same in our hospital.
  • In either case, attempts may be made to acquire the products of conception for research purposes
  • Postnatal review for a complete discussion regarding the case, i.e. recurrence risks and planning for future pregnancy

Multidisciplinary Team Approach:

After a diagnosis has been made, the parents will be scheduled for a consultation with the fetal medicine specialist and a pertinent consultant, such as a neonatologist, pediatric surgeon/urologist, or pediatric neurologist/cardiologist, to discuss their options and get a good idea of the survival rates for each scenario.



The Department offers:

Ultrasonography to access fetal structural abnormalities and fetal health

  • Nuchal Translucency (NT) Scan (11wks to 13wks 6days)

    The nuchal translucency scan (also called the NT scan) uses ultrasound to assess your developing baby’s risk of having Down syndrome (DS) and some other chromosomal abnormalities, as well as major congenital heart problems.

  • Second trimester anomaly / Target scan

    This is a thorough pregnancy scan taken between weeks 18 and 20. The placenta’s location, the amount of amniotic fluid present, the size of the fetus, and each portion of its body are all assessed during the scan. The brain, face, spine, heart, stomach, colon, kidneys, and limbs receive particular attention. The importance of the findings will be explored if any anomalies are found.

  • Multiple Pregnancy Scan

    During the first trimester, ultrasound can be used to determine the existence or absence of nuchal translucency, the number of multiples, chorionicity and amnionicity, early growth discordance, severe abnormalities, and the cause of interactions and movements among multiples. Transvaginal ultrasound examination of the cervix during the second and third trimesters should not be skipped to assess the possibility of an early delivery. The detection of abnormalities and growth problems, as well as the early grading and treatment of twin-to-twin transfusion syndrome (TTTS), all depend on ultrasound. Last but not least, multiple positions are found via ultrasonography, and the best delivery path is chosen. This is crucial for managing multifetal pregnancies, delayed interval deliveries, and early cervical dilatation.

  • Fetal well being Scan (Growth Scan)

    Scans for fetal growth or health can be done at any point after 24 weeks of pregnancy. The purpose of this scan is to assess the fetus’ development and general health by:

    • Measurement of the fetus’s head, abdomen, and thigh bone, as well as estimation of the fetus’s weight
    • Observation of the fetus’s movements
    • Assessing the position and appearance of the placenta
    • Measurement of amniotic fluid
    • Evaluation of blood flow to the placenta and fetus ultrasonography with doppler

  • Fetal Doppler

    Fetal Dopplers are frequently used to assess the placental blood flow, the fetal umbilical blood flow, and the blood flow in the heart and brain to make sure everything is normal.

Fetal Echocardiography (Detailed examination of fetal heart)

Babies with heart issues are more prevalent than previously assumed; in roughly 5% of pregnancies and 1% of live births, a newborn has a heart abnormality. A fetal echocardiogram, sometimes known as “fetal echo,” is a thorough assessment of the developing fetus’s heart to look for any abnormalities and to help pregnant women make decisions that are best for the fetus.

3D & 4D Ultrasound

Baby’s three-dimensional still images can be taken from a 3D scan. With time as the fourth dimension, 4D scans display animated 3D images of the unborn child. Our experts at Lifeline prefer 3D and 4D ultrasounds because they can detect congenital problems like cleft palate that would not be visible on a regular ultrasound.

Invasive Procedures

  • Chorionic Villus Sampling

    To check for chromosomal abnormalities and other genetic issues, a prenatal test called chorionic villus sampling (CVS) involves collecting a sample of tissue from the placenta. CVS is done in pregnancies with a high probability of the infant inheriting a serious ailment.

    • Family history or previous child with a genetic disease, or chromosomal or metabolic disorder
    • Maternal age over 35 years by the pregnancy due date
    • Risk of a sex-linked genetic disease
    • Previous ultrasound with questionable or abnormal findings

  • Fetal Blood Sampling (Cordocentesis)

    Fetal blood sampling is a procedure to take a small amount of blood from an unborn baby (fetus) during pregnancy.

  • Amniocentesis

    A small sample of the amniotic fluid, which surrounds the fetus during pregnancy, can be taken via the amniocentesis process. Not all pregnant women are eligible for amniocentesis. Only in cases where there is a greater possibility that the kid will inherit a genetic disorder is it offered.

    Resons for offering Amniocentesis

    • Your unborn child may be born with a disorder like Down’s syndrome, Edward’s syndrome, or Patau’s syndrome, according to the results of a prenatal screening test.
    • You have had a previous pregnancy that was affected by a genetic condition
    • You have a family history of a genetic disorder such as muscular dystrophy, thalassemia, cystic fibrosis, or sickle cell disease.


  • Multi-fetal pregnancy Reduction

    Multifetal pregnancy reduction (MFPR) is a procedure used to reduce the number of fetuses in multiple pregnancies. When a pregnancy involves three or more fetuses (high-order pregnancy), the risks of miscarriage, stillbirth, and lifelong disability increase with each additional fetus. It is also known as “selective termination” when it involves a fetus with severe defects or one that is expected to die later in the pregnancy, which would threaten the life of the surviving fetus or fetus.

  • Intrauterine Transfusions

    During an intrauterine transfusion, red blood cells from a donor are infused into the fetus. When a fetus has anemia, intrauterine transfusion may be advised (low red blood cell count).

    Fetal blood infusions have the following objectives:

    • Prevent or treat fetal hydrops before delivery— Severe anemia is the root cause of hydrops. It causes fluid to build up under the skin, in the lungs, in the abdomen, or around the heart. It may progress to cardiac failure.
    • To continue the pregnancy so the fetus can be born close to the due date.

Prominent Equipment

GE VOLUSON E10 with Matrix Probe
GE VOLUSON E8

Working hours

Monday to Saturday : 9am – 5 pm

All scans are planned in advance by your doctor and you are advised to fix an appointment according to your scan dates

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