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Karthik Clinic & Karthik Ultrasound Scan Centre
MICO Layout, II Stage, Arekere, Bannerghatta Road, Bangalore - 560076
Fetal Medicine

What is Fetal Therapy



Fetal treatment (or fetal therapy) is the “operative branch” of fetal medicine. It includes a series of interventions performed on the “sick” fetus with the aim of achieving fetal well being. These interventions include medical (i.e. non-invasive) and surgical procedures.

In general a medical intervention is performed by administering medication to the mother. The drug crosses through the placenta and reaches the blood circulation of the fetus.

An example of medical intervention is a fetus who is diagnosed with arrhythmia, such as atrial flutter. This condition may result in hydrops, and if no intervention is performed the fetus may die. In this case, medication may be administered to the mother to treat the fetal arrhythmia.

Surgical intervention on the fetus may involve either a direct operation of the fetus, as with in utero correction of spina bifida (see also the MOMS trial) or an intervention on the placenta, as in the case of twin-twin-transfusion syndrome. In some cases, it may be performed at the time of delivery: the Ex Utero-Intrapartum (“EXIT”) procedure. These interventions are often complex, and are only performed when the prognosis suggests the fetus may either not survive or be severely handicapped without prenatal intervention.

Fetal treatment, and advanced fetal therapy in particular, is a relatively new field in medicine. Because of its complex nature and the significant risks involved with a surgical or medical intervention on a pregnant woman and her fetus, these procedures are usually performed in specialized centers and involve a multidisciplinary team of specialists
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Services offered:
Ultrasound
  • Early Pregnancy Scan
  • 11-14 Weeks (NT) Scan
  • Mid Trimester Anomaly Scan with Doppler
  • Interval Growth Scan with Doppler
  • End Term Assessment Scan with Doppler
  • 3D/4D Scan
  • Pelvic Scan
  • Abdomino Pelvic Scan
  • Breast Scan
  • Neonatal Abdoment Scan
Aneuploidy Screening
  • First Trimester Screening Test (FTS)
  • Second Trimester Screening Test
  • (Quadruple & Triple)
Genetic Counseling Consultations
  • General
  • Antenatal
  • Paediatric
  • Well-Woman Check Up including PAP Smear
  •   Ultrasound
  •   Aneuploidy Screening
  •   Genetic Counseling Consultations
     

Ultrasound training
  • To gain knowledge of the basics of ultrasound physics
  • To be confident in performing a targeted obstetric scan and identify the common fetal anomalies
  • Understanding fetal biometry
  • To image the normal uterus and adnexae and identify their pathology

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