FETAL MEDICINE AND OBGYN ULTRASOUND

FETAL MEDICINE AND OBGYN ULTRASOUND

Follicular Imaging in Assisted Reproduction
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. It is an ultrasound scan done inside the vagina to study the ovaries, uterus and uterus lining. A follicle scan should be done several times during a woman's menstrual cycle, usually from days 9-20. A basically painless procedure, a follicle scan lets the doctor see the development of the follicle within the ovary.

Obstetric Scans-Fetal Viability,Anomaly and Growth 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. A few of these obstetric scans include the
Anomaly scan: which is a detailed scan at 20-24 weeks of pregnancy. During the scan we examine each part of the fetal body, determine the position of the placenta, assess the amount of amniotic fluid present around it, and measure fetal growth. Special attention is paid to the brain, face, spine, heart, stomach, bowel, kidneys and limbs of the foetus. 
Viability scan: This is an ultrasound examination that is usually carried out vaginally at 6-10 weeks of pregnancy. This scan determines the number of embryos present and whether the pregnancy is progressing normally inside the uterus. 
The fetal growth ultrasound scan: assesses the baby’s size and the amniotic fluid volume. This type of ultrasound scan is referred to as a fetal growth scan. A fetal scan is recommended if your abdomen measures smaller or larger than expected, you have a previous history of pregnancy complications, and maternal diabetes or high blood pressure. 

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. It’s usage in high- risk pregnancies, where there is concern about the baby's condition, shows benefits. 

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.

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.

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 the progress and accordingly plan the next line of treatment.

Chronic Villous Sampling(CVS)
Basically a prenatal test in which a sample of the chorionic villi is removed from the placenta for testing, Chorionic villus sampling (CVS) ing (CVS) is a prenatal test that is used to detect birth defects, genetic diseases, and other problems during pregnancy.

Why choose Manipal Hospitals
The transabdominal procedure is performed by inserting a needle through the abdomen and uterus and into the placenta where the fetus is forming.
During the test, a small sample of cells (called chorionic villi) is taken from the placenta where it attaches to the wall of the uterus. The sample can be taken through the cervix (transcervical) or the abdominal wall (transabdominal). Our pathology lab is one of the pioneering ones in the country which is equipped with high precision equipment and specialist pathologists who are efficient in diagnosing genetic anomalies with distinction.

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.

Why choose Manipal Hospitals
Our state of the art pathology lab is appointed with all the testing paraphernalia to conduct comprehensive prenatal tests. Amniocentesis detects chromosome abnormalities, neural tube defects, and genetic disorders. While Down syndrome or Trisomy 21 is the most common chromosome abnormality, genetic disorders include cystic fibrosis. The most common neural tube defect is spina bifida. As soon as these disorders are identified, our gynaecologists chalk out personalized mode of treatment before the baby is born.

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 and red blood cells to the fetus.

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.
 
Why choose Manipal Hospitals
Our high definition Blood Bank is a hub of activity at all times, conducting vital blood tests and transfusion to save precious little lives in the womb. We have a dedicated team of excellent pathologists who assist gynaecologists in the blood management of fetuses.


Diagnostic and Therapeutic Fetospic Procedures
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 incision on the mother's abdomen and placed into the amniotic sac through the uterus. This allows a visual assessment of any abnormalities of the fetus during pregnancy. 

Why choose Manipal Hospitals
The obstetrics department in Manipal Hospitals brings with it the promise of comprehensive services for reproductive health and wellbeing of new mothers to be. We employ the best practices and procedures to ensure mother and fetus safety. 
Fetoscopy is used for several different diseases and has been used to perform surgical procedures and collecting biopsies. The fetoscope is a hollow horn, made up of wood, plastic or metal which amplifies sound from the fetal heart through a bone construction to the doctor's ear. Hand-held Doppler is ultrasound with a transducer used to detect the fetal heart beats.

Laser Ablation and Cord Coagulation in Twin-to- Twin transfusion Syndrome
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. 

Why choose Manipal Hospitals
Twins are a double delight, but sometimes, they can pose double trouble during pregnancy and this procedure may need to be performed multiple times during the pregnancy.
Fetoscopic laser photocoagulation of chorionic plate vessels is a highly specialized procedure performed in a few centers around the world and we take pride in having the expertise and state of the art testing equipment to conduct it. This is mostly reserved for more severe cases, especially those that do not respond to amnio-reduction. 


Evidence based Counselling for Pregnancy and Non Pregnancy related Conditions
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.

Why choose Manipal Hospitals
We believe that all those planning to initiate a pregnancy should be counseled on what to expect during this precious period, regardless of their gender. Prepregnancy counseling is appropriate whether either is currently using contraception or planning pregnancy. Because health status and risk factors can change over time, prepregnancy counseling should occur several times during a woman’s reproductive lifespan to potentially maximize her reproductive and pregnancy outcomes. Many chronic medical conditions such as diabetes, hypertension, psychiatric illness, and thyroid disease can cause complications and prevent women from getting pregnant. These can be optimally managed before pregnancy.


 

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