Fetal Medicine - Treatments & Services
At Apollo Centre for Fetal Medicine our team of experts identifies the fetus at risk from chromosomal defects such as Down syndrome and other genetic diseases or from structural problems which will impact on the life of the individual such as cardiac defects and renal disease. We can also care for the fetus which is not growing properly and for problem arising from multiple pregnancies for where the mother has a condition such as diabetes, epilepsy or other medical and surgical disorders. We strive to provide solutions to the problems identifies and initiate fetal therapy wherever possible.
Fetal Viability Scan 6-10 weeksThis 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. This scan is useful for women who are experiencing pain or bleeding in the pregnancy and those who have had previous miscarriages.
First Trimester Screening including NT scan.Also known as the combined screening or NT scanWe are only unit in north India who are accredited to 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 PAPPA and free beta- HCG and an integrated risk assessment is given. The First Trimester Screening (FTS) test has important implications for you and your family and explained here is how it is performed and what the results mean. Before undergoing this test it is very important that you have discussed this testing procedure.
Detailed Anomaly Scan 18-23 weeksThis 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 Senior Fetal Medicine Consultant.
Cervical screening 22-24 weeksThis is a transvaginal scan done to assess the women risk of going into preterm labour and delivery at less than 33 weeks by measuring the cervical length. The uterine artery Doppler's are also checked to assess the woman's risk of developing Pre-eclampsia or intra-uterine growth restriction
Fetal EchocardiographyA detailed examination of the fetal heart and connecting vessels is carried out usually at 20 weeks by a consultant cardiologist. It is especially recommended for people with a family history of heart abnormalities 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 24-42 weeksSome obstetricians advise that an ultrasound scan to assess fetal well being is offered to all women at about 30-32 week of pregnancy. Others reserve such scans 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.
Ancillary ServicesThe Apollo Advantage is our uncompromised care, compassion and commitment to offering you a 360 degree perspective to well-being. With the best physicians, best technology and personalized care, you are in good hands. Here are details of our incomparable screening package that offers unmatched value.
- High resolution ultrasound of fetus to assess for chromosomal defects including checking the nuchal translucency ( NT ) and structural abnormalities by Fetal Medicine Specialist ( Accredited by the Fetal Medicine Foundation, UK)
- Maternal Blood PAPP-A and beta hCG – to look for chromosomal/ genetic defects and adverse pregnancy outcome ( Accredited by the Fetal Medicine Foundation, UK)
- Hb Electrophoresis to screen for Thalassemia and other Hemoglobinopathies
- IgG Rubella-to check for immunity to the most common infectious cause of neurodevelopmental delay
- TSH- to look for Hypothyroidism