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Pregnant with Monochorionic Twins? Expert Care for a Safe and Healthy Pregnancy

Carrying monochorionic twins is a rare and exciting experience, but it also comes with unique challenges that require specialized monitoring and care. Since identical twins share the same placenta, they are at a higher risk of certain pregnancy complications, making regular fetal monitoring essential. At the Institute of Fetal Medicine, Kolkata, we offer advanced prenatal screening and expert fetal care to ensure the best possible outcome for both mother and babies.

Understanding Monochorionic Twins

Monochorionic twins develop when a single fertilized egg splits into two embryos, resulting in genetically identical babies. Unlike fraternal twins, monochorionic twins share a placenta, which increases the risk of specific complications, including:

🔹 Twin-to-Twin Transfusion Syndrome (TTTS) – Unequal blood flow between twins due to shared placental circulation, requiring early detection.
🔹 Selective Intrauterine Growth Restriction (sIUGR) – One twin may receive fewer nutrients, leading to restricted growth.
🔹 Twin Anemia-Polycythemia Sequence (TAPS) – A rare condition where one twin becomes anemic while the other has an excess of red blood cells.
🔹 Cord Entanglement (in Monochorionic-Monoamniotic Twins) – Increased risk in twins sharing the same amniotic sac.

Why Regular Monitoring is Essential

Early detection of complications is key to managing risks and improving outcomes. Our fetal medicine specialists in Kolkata offer:

First Trimester Screening – To assess risk factors and confirm chorionicity (whether twins share a placenta).
Frequent Growth and Doppler Scans – To monitor fetal well-being and detect early signs of TTTS or sIUGR.
Fetal Echocardiography – To assess heart development, as monochorionic twins have a higher risk of congenital heart defects.
Expert Second Opinions & Genetic Counselling – Helping parents make informed decisions regarding their pregnancy.

Why Choose Us for Twin Pregnancy Care?

Best fetal medicine doctor in Kolkata for expert twin pregnancy management.
State-of-the-art fetal care clinic in Kolkata for high-risk pregnancy care.
Advanced fetal medicine services in Kolkata to ensure the safest outcomes.
Dedicated prenatal ultrasound clinic in Kolkata for frequent and specialized monitoring.

Book a Consultation with Our Fetal Medicine Experts

If you are expecting identical twins, don’t leave your pregnancy to chance. Get expert guidance and specialized care at our fetal diagnostics center in Kolkata to ensure a safe and healthy journey for you and your babies.

💙 Your Twins Deserve the Best Care! 💙

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What Does an Anomaly Scan Detect in Pregnancy?

The Anomaly Scan, also known as the Level II Ultrasound, is a crucial mid-pregnancy screening performed between 18 to 22 weeks. This detailed scan helps assess the baby’s growth, development, and overall well-being, ensuring early detection of any abnormalities.

At our fetal medicine center in Kolkata, we offer advanced anomaly scans to provide expectant parents with comprehensive insights into their baby’s health.

1️⃣ Fetal Anatomy Examination

The anomaly scan provides a detailed view of the baby’s organs and structures, including:
Brain and skull – Detects neural tube defects like spina bifida
Heart – Identifies congenital heart defects (fetal echocardiography in Kolkata may be recommended for further evaluation)
Face – Checks for cleft lip and palate
Limbs – Assesses proper development of arms, legs, fingers, and toes
Spine – Screens for spinal deformities

👉 This scan is crucial for ensuring your baby’s structural development is progressing normally.

2️⃣ Detection of Structural Abnormalities

The anomaly scan in Kolkata is performed by fetal medicine specialists to identify:
🔹 Brain abnormalities (Hydrocephalus, Anencephaly)
🔹 Heart defects (Congenital Heart Disease)
🔹 Kidney issues (Multicystic Dysplastic Kidney, Hydronephrosis)
🔹 Limb abnormalities (Clubfoot, Skeletal Dysplasia)
🔹 Facial defects (Cleft Lip, Micrognathia)

Early detection allows for better medical planning and management of high-risk pregnancies.

3️⃣ Monitoring Fetal Growth

The anomaly scan also checks if the baby is growing as expected. Key parameters measured include:
Head circumference (HC)
Abdominal circumference (AC)
Femur length (FL)

👉 If any growth concerns arise, fetal growth monitoring in Kolkata is recommended for continued assessment.

4️⃣ Assessing Amniotic Fluid Levels

Amniotic fluid is vital for fetal movement and lung development. The anomaly scan helps detect:
🔹 Low amniotic fluid (Oligohydramnios) – Can indicate placental insufficiency or fetal kidney issues
🔹 Excess amniotic fluid (Polyhydramnios) – May be linked to diabetes, fetal swallowing issues, or chromosomal abnormalities

Abnormal fluid levels may require additional screening at our fetal medicine clinic in Kolkata.

Why Get an Anomaly Scan at Our Fetal Medicine Center?

Best fetal medicine doctor in Kolkata for expert evaluation
Comprehensive prenatal diagnostics in Kolkata
Advanced fetal medicine services in Kolkata for high-risk pregnancies
Maternal-fetal care in Kolkata for ongoing monitoring

Book Your Anomaly Scan Today!

Ensure your baby’s health and development with an anomaly scan at our fetal care clinic in Kolkata. Early screening leads to better pregnancy outcomes!

💙 Your Baby’s Health is Our Priority! 💙

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Worried About Your First Trimester Screening Results? Don’t Stress

The first trimester screening is a crucial test that helps assess the risk of chromosomal abnormalities such as Down Syndrome, Trisomy 18, and Trisomy 13. While receiving unexpected results can be overwhelming, it’s important to remember that screening tests are not diagnostic—they only indicate risk levels. If you are feeling anxious about your first trimester screening results, seeking a second opinion from a fetal medicine specialist can provide clarity and reassurance.

Why Get a Second Opinion?

🔹 Confirm Accuracy – Sometimes, factors like maternal age, incorrect gestational age, or certain health conditions can influence screening results.
🔹 Comprehensive Evaluation – An expert fetal medicine doctor can recommend further tests such as NIPT (Non-Invasive Prenatal Testing) or diagnostic procedures like CVS (Chorionic Villus Sampling) or Amniocentesis for confirmation.
🔹 Personalized Counselling – Get a detailed explanation of your results, risks, and next steps with genetic counselling in Kolkata.

Advanced Diagnostic Options at Our Fetal Medicine Center

NIPT (Non-Invasive Prenatal Testing) – A highly accurate blood test to screen for chromosomal abnormalities.
Fetal Echocardiography – A specialized scan to check for congenital heart defects.
Detailed Ultrasounds & Anomaly Scan – Helps detect structural abnormalities early.
Genetic Counselling – Expert guidance to help you make informed decisions.

At our fetal medicine clinic in Kolkata, we provide comprehensive prenatal diagnostics to ensure the best possible care for you and your baby.

Why Choose Us for a Second Opinion?

Best fetal medicine doctor in Kolkata with expertise in high-risk pregnancies.
Advanced fetal medicine services in Kolkata for precise and reliable screenings.
A dedicated fetal diagnostics center in Kolkata for in-depth evaluation.
Expert maternal-fetal care in Kolkata to guide you at every step.

Book Your Second Opinion Consultation Today!

Don’t let uncertainty and stress take over—get the right advice from experts at our fetal care clinic in Kolkata. A second opinion can bring clarity and peace of mind!

💙 Your Baby’s Health is Our Priority! 💙

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Essential Pregnancy Scans You Should Take for a Healthy Baby

Prenatal ultrasounds play a vital role in monitoring fetal development and maternal health throughout pregnancy. These scans help detect abnormalities, assess growth, and ensure timely medical intervention if needed. Here are three essential pregnancy scans every expectant mother should undergo:

1️⃣ NT & NB Scan (Nuchal Translucency & Nasal Bone Scan) – First Trimester

When? 11 to 14 weeks of pregnancy
Why? This scan is part of first-trimester screening to detect the risk of chromosomal abnormalities like Down Syndrome (Trisomy 21), Edwards Syndrome (Trisomy 18), and Patau Syndrome (Trisomy 13).

🔹 NT (Nuchal Translucency) Scan – Measures the fluid at the back of the baby’s neck.
🔹 NB (Nasal Bone) Scan – Checks if the nasal bone is properly formed, as its absence can indicate genetic concerns.

👉 This scan is usually accompanied by pre-eclampsia screening and a maternal blood test for better accuracy.

Performed at our prenatal ultrasound clinic in Kolkata under the guidance of expert fetal medicine specialists.

2️⃣ Anomaly Scan – Second Trimester

When? 18 to 22 weeks of pregnancy
Why? Also known as the Level II ultrasound, this detailed scan examines:
Baby’s organs, brain, spine, and heart
Facial features and limbs
Placental position and amniotic fluid levels

👉 The anomaly scan in Kolkata is crucial for detecting structural abnormalities and guiding high-risk pregnancy care.

If necessary, additional tests like fetal echocardiography in Kolkata may be recommended for heart-related concerns.

3️⃣ Growth Scan & Doppler Study – Third Trimester

When? 28 to 40 weeks of pregnancy
Why? These scans monitor:
Fetal growth & weight
Placental health and blood flow
Oxygen and nutrient supply to the baby

🔹 Doppler Ultrasound measures the blood flow in the umbilical cord, brain, and heart, ensuring the baby is getting adequate nutrients and oxygen.
🔹 Helps assess conditions like fetal growth restriction (FGR) and guides delivery planning.

Available at our fetal diagnostics center in Kolkata, ensuring best fetal care in Kolkata for both mother and baby.

Why Choose Our Fetal Medicine Center?

Best fetal medicine doctor in Kolkata for expert guidance
Advanced fetal medicine services in Kolkata for high-risk pregnancies
Maternal-fetal care in Kolkata for comprehensive support
Genetic counselling in Kolkata for informed decision-making

Book Your Pregnancy Scans Today!

Ensure the best care for you and your baby with essential pregnancy scans at our fetal care clinic in Kolkata. Early detection leads to better outcomes!

💙 Your Baby’s Health Starts Here! 💙

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Pre-eclampsia Screening: Early Detection for a Healthier Pregnancy

Pre-eclampsia is a pregnancy-related condition characterized by high blood pressure and protein in the urine, affecting 5 to 8% of pregnancies. It can lead to complications for both the mother and baby if left undiagnosed. However, early screening in the first trimester—done at the time of the Nuchal Translucency (NT) scan—can help identify women at risk and allow for timely medical intervention.

At our fetal medicine center in Kolkata, we offer advanced prenatal screening for pre-eclampsia to ensure optimal maternal and fetal health.

What is Pre-eclampsia?

Pre-eclampsia typically develops after 20 weeks of pregnancy and can cause:
High blood pressure (hypertension)
Protein in the urine (proteinuria)
Swelling in the hands, face, and legs
Severe headaches and vision disturbances
Complications affecting the liver, kidneys, and placenta

First Trimester Pre-eclampsia Screening

Pre-eclampsia screening is done between 11 to 14 weeks of pregnancy as part of the NT scan and first trimester combined screening at our prenatal ultrasound clinic in Kolkata. This screening assesses:

  • Maternal risk factors (age, weight, medical history)
  • Blood pressure measurements
  • Uterine artery Doppler scan (to check blood flow to the placenta)
  • Placental growth factor (PlGF) and PAPP-A blood tests

Why is Early Screening Important?

Early Risk Identification – Helps predict the likelihood of developing pre-eclampsia.
Timely Preventive Measures – Low-dose aspirin and lifestyle adjustments can reduce risks.
Better Pregnancy Monitoring – Women identified as high-risk receive specialized maternal-fetal care in Kolkata.
Prevention of Severe Complications – Reduces risks of preterm birth, fetal growth restriction, and organ complications.

Who Should Get Screened?

Screening is especially recommended for women with:

  • First pregnancy
  • History of pre-eclampsia in previous pregnancies
  • High blood pressure, diabetes, or kidney disease
  • Obesity or advanced maternal age
  • Multiple pregnancies (twins or more)

Comprehensive Fetal & Maternal Care in Kolkata

Our fetal medicine specialists in Kolkata provide high-risk pregnancy care through advanced fetal medicine services like:
🔹 Anomaly scan in Kolkata for fetal health assessment
🔹 Fetal echocardiography in Kolkata to detect heart defects
🔹 Fetal growth monitoring for at-risk pregnancies
🔹 Genetic counselling in Kolkata for personalized guidance

Book Your Pre-eclampsia Screening Today!

Early detection can make all the difference! Visit our fetal care clinic in Kolkata for pregnancy health screening and expert evaluation by the best fetal medicine doctor in Kolkata.

Your Health & Your Baby’s Well-Being Matter! 💙

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First Trimester Combined Screening: Early Detection for a Healthy Pregnancy

First Trimester Combined Screening (FTCS) is a crucial prenatal test conducted between 11 to 14 weeks of pregnancy to assess the risk of chromosomal abnormalities like Down Syndrome (Trisomy 21), Edwards Syndrome (Trisomy 18), and Patau Syndrome (Trisomy 13). This non-invasive screening combines a blood test and nuchal translucency (NT) ultrasound to provide essential insights into the baby’s health.

At our fetal medicine center in Kolkata, we offer advanced prenatal screening conducted by expert fetal medicine specialists to ensure early detection and timely intervention.

What Does First Trimester Combined Screening Include?

FTCS consists of two key components:

1. Nuchal Translucency (NT) Scan

This specialized ultrasound measures the fluid-filled space at the back of the baby’s neck. An increased NT measurement may indicate a higher risk of chromosomal abnormalities or congenital heart defects. The anomaly scan in Kolkata and fetal echocardiography in Kolkata may be recommended for further evaluation.

2. Maternal Blood Test

A blood sample is analyzed for two pregnancy-related proteins:
Free Beta-hCG: Higher levels may indicate an increased risk of chromosomal conditions.
PAPP-A (Pregnancy-Associated Plasma Protein-A): Low levels may be linked to genetic disorders.

The results of these tests, combined with maternal age and other risk factors, help assess the likelihood of chromosomal abnormalities.

Why is First Trimester Screening Important?

  • Early Risk Assessment: Detects potential genetic conditions in the first trimester.
  • Non-Invasive and Safe: No harm to the baby or mother.
  • Helps in Decision-Making: Parents can opt for further prenatal diagnostics in Kolkata, such as Non-Invasive Prenatal Testing (NIPT), Chorionic Villus Sampling (CVS), or Amniocentesis, if needed.
  • Guides High-Risk Pregnancy Care: If a high risk is detected, specialized maternal-fetal care in Kolkata can be planned.

Who Should Get This Screening?

FTS is recommended for all pregnant women, particularly those:
With a history of chromosomal disorders
Who have had abnormal ultrasound findings
Who want early insights into fetal health

Expert Fetal Care in Kolkata

Our fetal diagnostics center in Kolkata offers state-of-the-art pregnancy health screening and fetal growth monitoring under the guidance of the best fetal medicine doctor in Kolkata. If necessary, our experts also provide genetic counselling in Kolkata to help parents understand their options.

Book Your Screening Today!

Ensure the best fetal care in Kolkata with First Trimester Combined Screening at our fetal medicine clinic in Kolkata. Schedule your appointment with our high-risk pregnancy specialist in Kolkata for expert evaluation and peace of mind.

Your baby’s health starts with early detection and the right care. 💙

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Preparing for Childbirth : Role of Prenatal Classes and Birth Plans

The journey to parenthood is an extraordinary and life-altering experience, culminating in the miracle of childbirth. To ensure a smooth and informed transition into parenthood, expectant parents are encouraged to take prenatal classes and create a birth plan. In this comprehensive and well-researched article, we will explore the significance of prenatal classes, the process of creating a birth plan, and the importance of being well-prepared for the delivery day.

Prenatal Classes: The Gateway to Informed Parenthood

Prenatal classes, also known as childbirth education classes, are a vital component of preparing for childbirth. They offer expectant parents a wealth of knowledge, guidance, and practical skills to navigate the journey to parenthood. Key aspects of prenatal classes include:

Education: Prenatal classes provide comprehensive education on pregnancy, labour and delivery, postpartum care, and infant care. Topics covered often include the stages of labour, pain management, breastfeeding, and new-born care.

Preparation: Expectant parents learn about the labour process, relaxation techniques, breathing exercises, and labour positions to prepare them for the physical and emotional challenges of childbirth.

Confidence Building: Prenatal classes empower expectant parents with knowledge and skills, helping them approach childbirth with confidence and a sense of control.

Communication: Prenatal classes encourage open communication between the expectant mother and her birth partner. This fosters a sense of teamwork during labour and delivery.

Peer Support: Prenatal classes provide an opportunity to connect with other expectant parents. Sharing experiences, concerns, and advice can create a supportive community.

Creating a Birth Plan: Tailoring Your Birth Experience

A birth plan is a personalized document that outlines a pregnant woman’s preferences and wishes for labour and delivery. It is a vital tool for effective communication with healthcare providers and ensuring a more positive childbirth experience. Key elements of a birth plan include:

Labour Environment: Preferences regarding the labour environment, including whether the expectant mother prefers a home-like setting, music, or dimmed lights.

Pain Management: Choices for pain management, such as natural methods, epidurals, or other pain relief options.

Labour Positions: Preferences for labour positions and mobility during childbirth, which can influence comfort and labour progress.

Interventions: The expectant mother’s stance on medical interventions, including inductions, episiotomies, and the use of forceps or vacuum extraction.

Feeding Preferences: Decisions regarding breastfeeding or formula feeding and the baby’s immediate care after birth.

Cultural and Personal Preferences: Considerations related to cultural traditions, preferences for a support person, and post-birth rituals.

Importance of Being Ready for the Delivery Day

Being well-prepared for the delivery day is essential for a smoother and less stressful experience. Key aspects of readiness include:

Hospital Bag: Packing a hospital bag with essentials such as clothing, toiletries, baby supplies, and important documents in advance.

Transportation Planning: Ensuring reliable transportation to the hospital or birthing centre and arranging for a backup plan in case of unexpected circumstances.

Support Person: Designating a support person who will accompany the expectant mother during labour and delivery, and ensuring they are prepared to fulfil this role effectively.

Contact Information: Having the contact information of healthcare providers readily accessible for easy communication.

Knowledge: Being well-informed about the signs of labour, timing contractions, and knowing when to head to the hospital or birthing centre.

Emotional Preparedness: Understanding that childbirth can be unpredictable and mentally preparing for various possible scenarios.

Prenatal classes and birth plans are indispensable tools in preparing for childbirth. Prenatal classes offer comprehensive education, foster confidence, and build a support network. A well-considered birth plan ensures the expectant mother’s preferences are communicated effectively, promoting a more personalized and positive childbirth experience. Being ready for the delivery day with a packed hospital bag, transportation arrangements, and emotional readiness further contributes to a smoother and more controlled childbirth journey.

Ultimately, childbirth is a unique and awe-inspiring experience, and these preparatory steps empower expectant parents to approach it with knowledge, confidence, and a sense of readiness. Through prenatal classes, birth plans, and thorough preparations, the path to parenthood is marked by informed decision-making, emotional support, and a more positive birth experience.

Medical History and Special Considerations

Expectant mothers should discuss their medical history, any pre-existing conditions, and potential complications with their healthcare provider. This information can help in tailoring the birth plan to specific needs and addressing potential risks.

Flexibility in the Birth Plan

While a birth plan provides a roadmap for childbirth, it’s essential to convey the importance of flexibility. Childbirth can be unpredictable, and sometimes, medical interventions become necessary. Expectant parents should be prepared for possible deviations from the original plan.

Involvement of the Birth Partner

The birth partner plays a crucial role in providing emotional and physical support during labour and delivery. Preparing the birth partner with knowledge and understanding of the birth plan can enhance the birthing experience.

Labour and Delivery Options

Discussing options such as water births, natural births, or C-sections, if necessary, ensure that expectant parents are aware of the choices available to them.

Hospital or Birthing Centre Tour

Taking a tour of the chosen hospital or birthing centre can help the expectant parents become familiar with the facility and the labour and delivery environment, reducing anxiety on the delivery day.

Post-Birth Considerations

Thinking beyond the birth, expectant parents should consider their preferences for immediate post-birth care, including skin-to-skin contact, delayed cord clamping, and new-born care.

Continued Support

It’s essential to remind expectant parents that support doesn’t end with the birth. They should be aware of postpartum resources, lactation support, and follow-up care for both mother and baby.

Role of a Doula

Explaining the potential benefits of having a doula—a trained labour support person—can be valuable. Doulas provide continuous emotional and physical support during labour and can help implement the birth plan effectively.

Dealing with Unexpected Outcomes

Discussing the emotional aspects of dealing with unexpected outcomes, such as the need for neonatal intensive care or medical interventions, can help expectant parents navigate difficult situations.

Preparation for Multiple Birth Scenarios

Incorporate information on preparing for different birth scenarios, whether it’s a smooth, uncomplicated birth, a medically managed birth, or a caesarean section. Knowledge of these scenarios can reduce anxiety.

Emotional Aspect of Birth Plans

Acknowledge the emotional weight of creating a birth plan. It’s not just a document; it represents the expectant parents’ hopes and desires for their childbirth experience.

Last-Minute Considerations

Emphasize that in the rush and excitement of labour, it’s easy to overlook some birth plan elements, so expectant parents should communicate their wishes clearly to their healthcare providers and support team.

Continuous Communication

The birth plan is a living document that should be discussed and reviewed with healthcare providers throughout pregnancy. This ensures that it aligns with the current health and circumstances.

Support Systems

Encourage expectant parents to build a strong support system consisting of friends, family, and healthcare professionals. Support is crucial not only during labour but also in the postpartum period.

Incorporating these additional considerations will provide a more holistic view of prenatal classes, birth plans, and childbirth preparation, making the article a comprehensive guide for expectant parents as they prepare for the beautiful journey of childbirth.