Department of Fetal Medicine & Ultrasonography

• Fetal Viability Scan 6-10 weeks
• First Trimester Screening including NT scan.
• Detailed Anomaly Scan 18-23 weeks
• Cervical Screening 22-24 weeks
• Fetal Echocardiography
• Fetal Well Being Scans 24-42 weeks

Multiple pregnancies are a chance event for which one should be always prepared. The most common type of multiple pregnancies is twins. ISHA Multispeciality hospital’s Department of Fetal Medicine provides the specialised care and intensive monitoring for ensuring both maternal and fetal well being and for early detection of complications. ISHA‘s Department of Fetal Medicine boasts of obstetricians experienced in managing high risk pregnancy and Fetal Medicine specialist that would be involved in the care of these mothers. ISHA Multispeciality hospital is a tertiary care hospital with neonatal intensive care (NICU) and pre-natal intensive care (PICU) facilities.

ISHA Multispeciality hospital’s Fetal department offers uncompromised care, compassion and commitment for a 360 degree perspective to well-being. With the best physicians, best technology and personalized care, we ensure that you are in good hands. The services for mother and the fetus by ISHA offer unmatched value.

Chorionic villus sampling (CVS)

CVS is a medical procedure performed after 11 weeks of gestation in which tiny pieces of the chorionic villi, the early placenta (a tissue on the outside of the fetal gestational sac) is obtained for chromosome analysis.

Amniocentesis

Amniocentesis is a medical procedure in which a small amount of amniotic fluid is with- drawn from the amniotic sac surrounding the fetus. The amniotic fluid is then processed to separate the fetal cells for further genetic testing.

Fetal blood sampling

Fetal blood sampling as part of diagnosing, treating, and monitoring fetal problems at various times during pregnancy. A fetal blood sample may be taken to: diagnose genetic or chromo-some abnormalities check for and treat severe fetal anaemia or other blood problems such as Rh disease check for fetal infection give certain medications to the fetus.

There are several ways blood can be obtained from the fetus. After cleansing the mother’s abdomen with antiseptic, a long, thin needle is inserted into the mother’s uterus guided by ultrasound. Blood may be taken from the following sources: blood vessels of the umbilical cord (also called cordocentesis, or percutaneous umbilical blood sampling, or PUBS) a fetal blood vessel, usually in the liver or heart

Fetal blood transfusions are performed using a similar technique in cases of fetal anaemia.

Isha Multispeciality hospital’s Department of Fetal Medicine is supported by Molecular Genetics, Transfusion Medicine and Transplant Immunology Department which comprises of a team that is continuously striving for excellence in counseling, management, and testing, prenatal/ postnatal diagnosis of genetic disorders through Conventional cytogenetics and FISH.

The Perinatal Autopsy is considered as a ‘Gold standard’ test in investigating the cause of a perinatal death. The evaluation is done at several levels. First, there is a gross macroscopic external assessment of dysmorphologic features and photographs are taken in standard positions. This is followed by a skeletal examination by X-ray and subsequently it involves an open examination of the internal organs of the fetus through a surgical incision. Again the internal examination is macroscopic inspection and weight measurements of internal organ systems, and detailed histopathological evaluation of specific organs.

Perinatal Autopsy is also useful in completing the analysis of prenatally detected fetal anomalies in pregnancies that were discontinued. Several visceral abnormalities cannot be detected by ultrasonography and perinatal autopsy provides an opportunity to look for all the associated problems and make a final diagnosis.

We at ISHA offer a comprehensive fetal post natal evaluation service for Fetal Medicine with the help of dedicated team of specialists in Fetal Medicine, Genetics, Pathology and Radiology. When the parents are not comfortable with the idea of an open fetal autopsy, we also provide the option of a ‘Virtopsy’. This is a relatively new technique which involves a postnatal MRI to delineate internal viscera non-invasively.

We’re the only fetal center offering comprehensive care in one location, from diagnosis through delivery in a special unit for mothers carrying babies with known birth defects.

• Congenital Cystic Adenomatoid Malformation of the lung (CCAM)
• Congenital Diaphragmatic Hernia (CDH)
• Hydrocephalus
• Fetal anemia (Immune Hydrops Fetalis)
• Neural Tube Defect
• LUTO (Lower Urinary Tract Obstruction)
• Twin-to-Twin Transfusion Syndrome (TTTS)
• Twin reversed arterial perfusion (TRAP)

Fetal medicine is a relatively new specialty that often requires the expertise and input from various specialists. Isha Multispeciality Hospital’s Department of Fetal Medicine boasts of specialists expert in their field and state-of-the-art technology to provide the best services to the “unborn patient.”