Fetal Medicine is a specialty of obstetrics that is involved with the diagnosis and treatment in an unborn baby. At Mediclinic Welcare Hospital, we now have a Fetal Medicine Centre.
The centre aims to provide tertiary level fetal medicine services for mothers in collaboration with the obstetricians and neonatologists. We have evidence-based and patient centric care pathways and we offer counselling, support and timely intervention for fetuses, as needed.
In general, most pregnancies and babies are healthy. The aim of fetal medicine, as an integral part of antenatal care, is to ensure a healthy outcome for the mother and the baby. A small proportion (2-3%) of unborn babies however, may have abnormalities / conditions detected before birth. This includes chromosomal problems and medically or surgically correctable structural or genetic anomalies. The role of the fetal medicine centre is pivotal in these pregnancies, where the prospective parents are counselled extensively and a management plan is drawn involving a multidisciplinary team as required. This allows for appropriate management for correctable conditions and provision of optimal options in other situations.
The Fetal Medicine Centre offers the option of screening pregnancies to predict the possibility of certain fetal anomalies and also of maternal complications (like pre-eclampsia) earlier in the pregnancy. This can help us to reduce the risk (by certain medications) and also monitor such pregnancies closely, so that problems are picked up early and managed effectively before the onset of complications.
The Fetal Medicine Centre (FMC) services provided are:
- Prenatal Counselling
- Ultrasound Scans
- Dating and viability scans
- First trimester scan - 11-14 weeks scan
- Morphology scan – 18-23 weeks scan
- Fetal growth checks
- Detailed evaluation of the blood flows to baby and placenta (Doppler)
- Placental site check
- 3D and 4D scans
- Fetal Echocardiography – a detailed check of the fetal heart structure, function and rhythm
- Screening tests
- Screening for Down Syndrome and other chromosomal abnormalities
- Non-invasive prenatal testing – NIPT – cell free DNA testing
- Screening for pre-eclampsia and fetal growth restriction – Uterine Artery Doppler
- Invasive procedures
- Diagnostic – to confirm chromosomes, infections or other genetic conditions such as beta thalassemia. These include procedures such as Chorionic Villous Sampling (CVS) and Amniocentesis
- Therapeutic – amnio-reduction / fetal shunt placements for pleural effusion, etc., in very specific cases
The Fetal Medicine Centre is made up of a team of three doctors and supported by nurses.
- Dr Shantala Vadeyar is primarily based in Mediclinic Welcare Hospital. She did her basic Obstetrics and Gynaecology training in India and the advanced ultrasound (Advanced Obstetric Ultrasound Certification, RCOG / RCR) and Maternal Fetal Medicine Subspecialty (RCOG) training as well as Research in the UK. She is an FRCOG and holds a DM and a CCST from UK. She has an experience of more than 20 years as a Consultant in Maternal-Fetal Medicine, from the year 2000 in the UK (University of Nottingham) and from 2008 (Kokilaben Dhirubhai Ambani Hospital) in India.
- Dr Shanthi Sairam is primarily based in Mediclinic City Hospital. She trained in India and UK, holds an FRCOG degree. She also holds the Advanced Obstetric Ultrasound Certification (RCOG / RCR) and a Diploma in Fetal Medicine (Fetal Medicine Foundation). She has worked extensively in the field of fetal cardiology in the UK (St George’s Hospital) and in India (Mediscan Systems).
- Dr Anne-Frederique Minsart is primarily based at Mediclinic Parkview Hospital. She trained in Belgium and Canada. She holds a PhD, Obs / Gyn Specialty degree as well as a Maternal-Fetal Medicine Fellowship (University of Montreal, Canada) and a Diploma in Obstetric Ultrasound (University of Brussels, and University of Louvain, Belgium) and Fetal Medicine (University of Lille II, France).
- The three Fetal Medicine Consultants / Specialists are available in all three hospitals as they rotate between the three Mediclinic facilities during the week. They are happy to take referrals from all the Mediclinic hospitals as well as the cluster clinics from all over Dubai.