Fetal medicine

The science of detecting & treating anomalies in fetus in utero by ultrasonography is fetal medicine. Fetal medicine is one of the most rapidly flourishing branch of Gynecology & obstetric specialty. We have high resolution 3D ultrasonography machine from very renowned & Internationally accepted brand I.e, GE-voluson. Dr. Kana Odedra is performing anomaly scan and interventional procedure in fetus.

Aim of ultrasunography in fetus
Aim is to detect any anomaly, growth & genetic abnormality in fetus.
When to perform USG in pregnant woman
1st- as early as possible when patient first came to know about her pregnant status or during 1st visit in any clinic.
2nd- at 12 weeks This scan is performed to detect any genetic abnormality in fetus. Like down's syndrom, Edward syndrome etc.
3rd- at 20-22 weeks. (anomaly scan/ target scan) This scan is target scan. Aim is to detect any structural anomaly or cardiac anomaly in fetus.
4th- at 30 weeks. This scan performed to detect growth curve of fetus, liquor & colourdoppler to predict if any chances of developing IUGR is there.
In case of emergency ,usg can performed at any time during 9 month of gestation. It can perform to detect any complication.
Interventional procedure- If any genetic disorder suspected in NT scan/ anomaly scan than Interventional procedure such as CVS or Amniocentesis is offered to confirm diagnosis according to gestational age.

Fetal reduction

To reduce the number of fetuses in utero by injecting some drug in fetus via ultrasonography guidance is called fetal reduction.
Generally it is done at 12 weeks of gestations.
Indication- multiple pregnancy ( triplet / quadruplet)
Twin pregnancy with one fetus is anomalous
This procedure carries some risk of abortion. But risk is substantially low if performed by expert, in short duration and in triplet pregnancy.

CVS (chorionic villous sampling)

This is procedure to retrieve placental tissue with the help of needle inserted under USG guidance in uterus than chromosomal or genetic study performed in placental tissue in genetic lab to confirm diagnosis.
This can be done at 12-13 weeks.

Indication
history of any genetic disorder in previous child
NT scan + double marker is high risk for chromosomal abnormality (aneuploidy)

Amniocentesis:-

This is procedure to withdraw amniotic fluid from around the fetus (20ml) by needle inserted in uterus under USG guidance in such a way that it will not damage placenta or fetus structure.
This amniotic fluid contain fetal cells. Genetic test performed in this fetal cell to detect any chromosomal/genetic abnormality in fetus.
This procedure can be done between 16-20 weeks.
Indication-
Any suspected genetic anomaly in fetus which diagnosed after 14 weeks.

Venus hospital providing all kind of services related to fetal medicine division. We are performing diagnostic as well as interventional procedure. After interventional procedure not a single complication happened in our hospital till date.