Fetal Medicine
Fetal medicine is a new branch of medicine
that includes the assessment of fetal growth
and well being, the maintenance of fetal
health and the diagnosis of fetal illnesses
and abnormalities. As technological advances have improved
the ability of sonologists for prenatal diagnosis,
so has our capability to diagnose problems before birth.
Fetus is therefore increasingly becoming
an independent individual, and fetal medicine
is the specialty that deals with this unborn patient. Fetal
medicine is a relatively new specialty that often
requires the expertise of a team which includes specialists,
namely obstetricians, perinatologists (also called maternal
– fetal medicine specialists), neonatalogists, paediatric
cardiologists, paediatric surgical specialists, geneticists
and others.
Fetal Medicine deals with two aspects of a typical Pregnancy:
- Prenatal Diagnosis
- Fetal Treatment
The Purpose of Prenatal Diagnosis includes
- Providing reassurance and reducing anxiety especially among high risk groups
- To inform and prepare the parents for the birth of an affected child
- To allow inutero treatment
- Plan for transfer to a tertiary centre
- Discontinue pregnancy with an affected fetus
Methods of Prenatal Diagnosis includes
- Non Invasive
- Invasive
Non Invasive Testing Includes
- Ultrasonography
- Maternal Serum Screening
Invasive Testing Includes
- Second Trimester Screening
- Chorionic villus Sampling
- Fetal Therapy
- Genetic Counseling