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Fetal Medicine |
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Activities |
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We offer a detailed examination of the fetus. These are the activities
that we perform: |
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11 - 14 week scan
Down screening
Target ultrasound
Growth Scan |
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11 - 14 week scan |
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This includes |
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A detailed examination of the fetus
Measuring the nuchal translucency.(as per the guidelines of FMF, UK)
Detecting major anomalies |
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Down screening |
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First trimester screening |
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First trimester screening is the preferred time to screen
for Down syndrome. |
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This institution has been instrumental in establishing
the MoM's for both second and then first trimester screening in India.
In 1994, population Multiples of Median (MoM) values were established
and specific median curves plotted for second trimester maternal serum
screening for standardisation for an indian population. Subsequently,
first trimester screening with NT and biochemistry were introduced in
2006 for the first time in India. Since then they have built up a training
program for first trimester screening and helped to establish the screening
program in different parts of the country.
MediScan works closely with the Down syndrome society of India. They have,
in association with National Rural Health Mission, made it possible to
make this screening test available free of cost to the lower socioeconomic
strata as well.
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Second trimester screening |
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The second window of opportunity to screen for Down syndrome is between
16 - 20 weeks when the triple marker test is done. |
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Target ultrasound |
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A detailed ultrasound examination of the baby is
essentially done to ensure and give the reassurance that the baby is normal.
In about 2 % of the general population and in some women with medical
problems or a family history of genetic diseases there is a possibility
of an abnormality in the baby. An ultrasound exam done by a person who
is experienced in obstetric ultrasound can pick up a large number of such
anomalies.
Over the years MediScan has come to stay as the referral centre for fetal
abnormalities. Many (can give percentage) of the scans done here are second
opinions or referrals to confirm anomalies.
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Ultrasound at 20 weeks of gestation is done following the guideline "Rule
of 3".
- Which include lethal anomalies (incompatible at birth), correctable anomalies
- Which can be treated after birth - Eg. hydronephrosis
- Which can be treated inutero - Eg. Vesico amniotic shunt, blood transfusion
for the fetus in Rh -ve mother
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Growth scan |
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In most uncomplicated pregnacies, a single growth scan is often done around
32 weeks to assess size of the fetus and its well being. In some conditions
serial scans may be done to assess if the baby is growing well. Here a Doppler
is often done to assess the bood flow to the baby. |
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These include:
Fetal growth restriction
Maternal problems such as diabetes / Hypertension
Twins |
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