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Fetal Medicine

The department of fetal medicine at Manipal Hospitals is one of the largest and most effective prenatal care practices in the country, dedicated to the care of pregnant women through all stages of their pregnancy.

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Why Manipal?

Manipal Hospitals' team of maternal-fetal medicine specialists include gynaecologists, obstetricians, neonatologists, perinatologists, paediatricians and ultrasonologists who are experts in their respective fields. The team is equipped with state of the art equipment and labs to monitor, diagnose and treat patients through all stages of their pregnancy.

Treatment & Procedures

Non-Invasive Testing

Scans and diagnostic tests are crucial to an effective prenatal care program. The safest and most reliable procedures are non-invasive tests like ultrasounds. A routine prenatal care program usually includes a fetal viability scan in the first 6 to 10 weeks, followed by a first-trimester screening and NT scan. A detailed anomaly scan between 18 to…

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Follicular Imaging…

This is one of the foremost tests in assisted reproduction that gives hope to millions of couples who want to have a baby. Follicular study and monitoring are done to study ovarian follicles that are used to identify ovulation of egg.

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Obstetric Scans

Manipal Hospitals sports top of the line screening equipment manned by a team of brilliant technicians who leave no room for error. The accuracy of their diagnosis is commendable and helps our gynaecologists to map the action plan for treatment.

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Doppler Studies

Manipal Hospitals’ lab is appropriately furbished with top of the line scanning equipment to enable accurate outcomes. The high precision Doppler ultrasound uses sound waves to detect the movement of blood in vessels. It is thus used in pregnancy to study blood circulation in the baby, uterus and placenta.

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Fetal Echo Studies

The fetal echocardiography is similar to an ultrasound. Only, this machine uses sound waves that ‘echo’ off the structures of the fetus's heart. This exam allows your doctor to clearly view the structure and function of your unborn child's heart to spot any complications. It's typically done in the second trimester, between weeks 18 to 24.

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Gynecological Scans

Among the range of gynaecological scans, the pelvic ultrasound is a noninvasive diagnostic exam which produces images that are used to assess organs and structures within the female pelvis. A pelvic ultrasound allows quick visualization of the female pelvic organs and structures including the uterus, cervix, vagina, fallopian tubes and ovaries.

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Cyst Aspiration

A cyst aspiration is a procedure used to drain fluid from a breast cyst. The vast majority of cysts are benign (non-cancerous), though some are quite tender. Aspirating the fluid from a cyst may alleviate symptoms or discomfort. In some cases where your gynaecologist suspects a disorder like cancer, the specimens are sent to our pathology lab to determine…

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Amniocentesis

Amniocentesis is a prenatal test in which a small amount of amniotic fluid is removed from the sac surrounding the fetus for testing. The sample of amniotic fluid (less than one ounce) is removed through a fine needle inserted into the uterus through the abdomen, under ultrasound guidance.

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Fetal Blood Sampling

Fetal blood sampling (FBS) refers to three techniques used to gain access to fetal blood: cordocentesis - also known as percutaneous umbilical blood sampling, intrahepatic blood sampling, and cardiocentesis. The techniques for FBS can also be used for intravenous administration of medication such as digoxin) or blood products that include platelets…

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Fetal blood transfusion

A fetal blood transfusion is a procedure used to treat anemia in the fetus. Fetal anemia occurs when the baby's blood count is too low. The condition can be life threatening, which is why fetal blood transfusions need to be conducted shortly after discovering fetal anemia.

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Diagnostic and…

Fetoscopy is an endoscopic procedure conducted during pregnancy to allow surgical access to the fetus, the amniotic cavity, the umbilical cord, and the fetal side of the placenta. A smal incision is made in the abdomen, and an endoscope is inserted through the abdominal wall and uterus into the amniotic cavity. The scope is introduced through a small…

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Laser Ablation…

The most common procedure to treat TTTS is reduction amniocentesis. This procedure involves draining the amniotic fluid from around the recipient twin. This procedure may improve circulation in the donor twin especially if the anastomosis or cross connection is superficial in the placenta and the TTTS is at a lower stage. 

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Evidence based…

The goal of prepregnancy care is to reduce the risk of adverse health effects for the woman, fetus, and neonate before people plan to have a baby. This is done to optimize health, address modifiable risk factors, and provide education about a healthy pregnancy.

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Manipal Hospitals' team of maternal-fetal medicine specialists monitor the health of both mother and child throughout the pregnancy to detect complications early and intervene at the right time with such facilities as Diagnostic Ultrasound, visibility scan, NT Scan and aneuploidy risk calculation, diagnosis, counseling, and management of multiple pregnancies/Rh immunized pregnancy.

Some of the routine offerings are:

  • Scanning and Diagnostics 
  • Ultrasound 
  • NT Scan & risk calculation 
  • Anomaly scanning 
  • Fetal growth & wellbeing scan 
  • Screening for genetic/ chromosomal defects 
  • Fetal 2-D echo/Fetal echocardiography 
  • Fetal & Maternal Doppler Study 
  • calculation, diagnosis, counseling, and management of multiple pregnancies/Rh immunized pregnancy
  • 3D/4D Imaging 
  • High-Risk Pregnancy Consultation 
  • Risk Reassessment Scan 
  • Pre-Pregnancy Counselling 

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Facilities & Services

Scans and diagnostic tests are crucial to an effective prenatal care program. The safest and most reliable procedures are non-invasive tests like ultrasounds. A routine prenatal care program usually includes a fetal viability scan in the first 6 to 10 weeks, followed by a first-trimester screening and NT scan. A detailed anomaly scan between 18 to 23 weeks is done to detect or rule out any abnormalities in the fetus. Around this time, fetal echocardiography is conducted to check the health of the fetus' heart. At the end of the 2nd trimester, a fetal well-being scan is recommended to monitor the development of the fetus.

The best way to reduce the risk for the expecting mother and her child is to monitor at regular intervals to make sure complications are detected at the earliest. It is much easier to intervene and correct any abnormalities in their earlier stages. Non-invasive testing methods ensure that the risk to both mother and child are minimized.

Advance Service Offerings:

- Fetal Interventional Treatments

- Fetal cord blood sampling

- Intrauterine blood transfusion

- Amniocentesis

- Chorionic villus sampling

- Fetal pleurocentesis/tapping

- Fetal shunting

- Fetal reduction

FAQ's

Ideally, your first visit should be before becoming pregnant. This allows a doctor to provide counseling to help you prepare for pregnancy and also to identify any risk factors that can be reduced and address them before pregnancy. If your first visit is after pregnancy, the first step is confirmation of pregnancy and then counseling.

High blood pressure Diabetes Carrying multiple fetuses Age - Teens and women above 35 years of age are at higher risk Existing health complications in the mother

If any abnormalities or complications arise in the developing fetus, interventional procedures may be required to help the fetus survive or grow. Interventional treatments are only carried out if recommended by a multidisciplinary team of maternal-fetal medicine experts. All risks and options will be presented with advice to make the right decision.

In pregnancies, medical supervision comes highly recommended due to the risks of complications in pregnancy going unnoticed until it is too late. Regular scans and timely interventions are life-saving procedures that form a crucial part of prenatal care.

Manipal Hospitals is committed to providing high-quality, state of the art, personalised care that helps women safe throughout their pregnancy and become healthy, happy mothers. Our deeply involved team of maternal-fetal medicine specialists is a testament to this.

Reach out to us to learn more about prenatal care and book an appointment with our team of specialists!

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