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Fetal Medicine

BirthRight_RainbowHospitals_Bangalore_FetalMedicine

Fetal Medicine

BirthRight by Rainbow Hospitals, Bangaloreprovides a comprehensive foetal medicine speciality that deals with health issues of the growing foetus. Most of the adult health issues take shape while the baby is growing in the mother’s womb therefore it is vital to ensure proper health of the foetus such that various health concerns of the future can be addressed right at the beginning.

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Until the day of delivery, the mother & the foetus are a physically single unit – while being two different individuals. With their own physiological and developmental challenges, they require specialized care. Advancements in Obstetrics over the past few decades have helped shape a new field of medicine – foetal medicine – that focuses on the specific needs of the foetus.

At BirthRight by Rainbow Hospitals we lay a great deal of importance on the adequate growth of the foetus as well vital signs that indicate on the appropriate progression of the foetus during the gestation period. Any anomalies are promptly identified and diagnosed with advanced care provided by a specialized team of foetal medicine specialists. The team is highly-skilled, experienced and offer world class standards in foetal care.

The aim of the Department of Foetal Medicine is to help couples have healthy babies and provide advice on possible genetic diseases, prevent recurrent birth defects and help parents be prepared mentally, socially and emotionally for any unfortunate circumstances.

The specialized services offered at the Department of Foetal Medicine include:

The Nuchal Translucency/Nasal Bone or the NT Scan at 11-13+6 weeks

Carried out trans abdominally, this scan helps date pregnancy more accurately as well as assesses the risk of Down syndrome and other chromosomal abnormalities. Also foetal medicine specialists can diagnose possible multiple pregnancies and major foetal abnormalities with this scan. It is also possible to learn of possible pregnancy failure and provide mothers with appropriate counselling and help.

Foetal Anomaly scan at 18-23 weeks

Also known as the Mid-trimester anomaly scan or Targeted Imaging for Foetal Anomalies, this can examines all parts of the growing foetus with special attention on head, brain, face, spine, heart, stomach, bowel, kidneys and limbs. Abnormalities, if any, are brought to the attention of the parents to help them make well informed choices. This scan also helps determine possible preeclampsia, fetal growth restriction and preterm birth.

Foetal wellbeing scan with FoetalDopplers (Umbilical, Middle cerebral, and Ductus Venosus)

Carried out at 30-32 weeks of pregnancy this scan determines the health & growth of the foetus by measuring the head size, abdomen, thigh bones and possible weight of the foetus. The movement of the foetus and placental position and appearance also provide vital clues about the foetus. Specialists also measure the amount of amniotic fluid while a colour Doppler ultrasound assess the blood flow to the placenta & foetus.

Foetal Echocardiography scan

A foetal echocardiogram is a basic examination of the heart and connecting vessels. This is specially recommended for women with a history of heart disease or for those with a heightened nuchal translucency had been detected at the NT scan. The scan is also important for assessing the risk for Down syndrome as many of these babies go on to have heart defects.

Ultrasound guided invasive procedures for diagnosis and therapy

Foetal medicine experts at BirthRight by Rainbow Hospitals provide various prenatal invasive procedures to provide appropriate counselling. Invasive procedures offered include:

  • Chorionic Villus Sampling: Sampling of the placental tissue for chromosomal abnormalities and single gene defects is performed after 11 weeks.
  • Amniocentesis: Sampling of the amniotic fluid is performed usually after 16 weeks of pregnancy to identify chromosomal abnormalities or single gene defects.
  • Foetal Blood Sampling: Sampling of the foetal blood from the umbilical cord is done usually after 20 weeks of pregnancy. Foetal blood can be used for chromosomal,genetic or metabolic tests as indicated.
  • Foetal Blood Transfusion: Through the umbilical vein or fetal hepatic vein is performed for foetuses which are anaemic in feto – maternal blood incompatibility disorders.
  • Amnio drainage: It is performed where there is tense polyhydramnios threatening to lead to preterm labour or in cases of significant maternal respiratory distress. This procedure is performed to prolong the pregnancy so that sufficient maturity is gained for the foetus or to relieve the mother of her discomfort due to an unduly distended uterus as a result of excessive amniotic fluid.
  • Embryo reduction: Reducing higher order multiple pregnancies (triplets, quadruplets etc.) to a dichorionic twin pregnancy has been shown to have better outcome for the surviving foetuses in terms of perinatal mortality and morbidity. This is best achieved at 11-12 weeks after the NT scan so that the most normal appearing foetuses are allowed to continue.This is a very specialized procedure and each case deserves a complete preliminary work-up with detailed counselling of parents.

Monitoring for Foetal Growth Restrictions and Foetal Anaemia

  • Dr.Samatha Sonnappa MD, DCH, MRCP, FRCPCH, PhD Paediatric Pulmonologist
    LOCATIONS Rainbow Children’s Hospital – Marathahalli, Bangalore
    Rainbow Children’s Hospital – Bannerghatta, Bangalore

  • Dr. Saumil Gaur MBBS, MD (Pediatrics), FPN (Fellowship Pediatric Nephrology) Consultant Pediatric and Transplant Nephrologist
    LOCATIONS Rainbow Children’s Hospital – Marathahalli - Bangalore

  • Dr. Kavitha Bhat M.D Pediatrics, Fellowship in Pediatric Endocrinology (USA)
    Consultant Pediatrician & Pediatric Endocrinologist
    LOCATIONS Rainbow Children’s Hospital– Marathahalli – Bangalore

  • Dr. Nandana Bala MRCPCH (UK), CCT Paediatrics (London), PG Cert Allergy (Imperial College, London) Consultant - Paediatric Allergy and Respiratory Medicine
    LOCATIONS Rainbow Children’s Hospital – Marathahalli, Bangalore
    Rainbow Children’s Hospital – Bannerghatta, Bangalore