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Why the Second Trimester Anomaly Scan Should Never Be Missed in Pregnancy

The second trimester anomaly scan is a crucial part of prenatal care, typically performed between 18 and 22 weeks of pregnancy. This detailed ultrasound examination plays a key role in assessing the baby’s development, helping detect any structural abnormalities early. Missing this scan can mean losing a valuable opportunity for early diagnosis and timely intervention.

What is the Second Trimester Anomaly Scan?

Also referred to as the level 2 ultrasound, the anomaly scan goes beyond the basic pregnancy check-up by offering an in-depth look at the fetal anatomy. This includes examination of:

  • The brain and spinal cord
  • The heart and its chambers
  • The facial structure, including the lips and jaw
  • The limbs and digits
  • Major organs like the kidneys, stomach, and bladder
  • Fetal growth measurements to ensure the baby is developing properly
  • The placenta’s position and the amount of amniotic fluid

Why is the Anomaly Scan So Important?

Here are some of the key reasons why you should never skip the second trimester anomaly scan:

  • Detect Congenital Anomalies Early:
    Many birth defects such as congenital heart defects, neural tube defects (e.g., spina bifida), and cleft lip and palate, and limb deformities can be diagnosed during this scan. Early detection allows better preparation and possible treatment options.
  • Helps Plan Pregnancy and Delivery:
    If abnormalities are found, doctors can design a detailed care plan for the pregnancy and delivery. For example, some conditions may require delivery at a specialized centre equipped for neonatal surgery or intensive care.
  • Provides Reassurance for Parents:
    Seeing that the baby is growing well and has no detected anomalies offers immense peace of mind and reduces anxiety during pregnancy.
  • Monitors Placental Health and Amniotic Fluid:
    Problems with the placenta or amniotic fluid levels can affect pregnancy outcomes. Detecting these issues early allows timely management to protect both mother and baby.

What Happens If You Skip the Anomaly Scan?

Skipping this important scan can have several implications:

  • Missed Early Diagnosis of Treatable Conditions:
    Without this scan, structural defects might only be found after birth, limiting treatment options and increasing risks.
  • Increased Risk of Being Unprepared:
    Parents and healthcare providers might face unexpected complications during delivery without prior planning.
  • Limited Prenatal Counselling and Support:
    Knowing about fetal conditions early helps families access counselling, make informed decisions, and arrange appropriate care.

When Should You Schedule the Anomaly Scan?

The best time for this scan is between 18 and 22 weeks of gestation when fetal structures are developed enough for detailed assessment. Scheduling within this window ensures accurate and comprehensive evaluation.

The second trimester anomaly scan is a cornerstone of prenatal care. It provides detailed insights into fetal development, helps anticipate potential challenges, and enables optimal pregnancy management. For the health and safety of both mother and baby, this scan should never be missed.

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Why Can’t Parents Hear the Fetal Heartbeat in Early Pregnancy Even When Doctors Confirm It?

One of the most anticipated and joyous moments during early pregnancy is hearing the fetal heartbeat. However, many parents experience confusion or anxiety when their doctor confirms a fetal heartbeat on an ultrasound, yet they themselves cannot hear it. Understanding why this happens can provide reassurance and clarity during those first weeks.

Why Can’t Parents Hear the Fetal Heartbeat Early On?

There are several reasons why parents may not be able to hear the heartbeat even though it is detected by medical equipment:

  • Ultrasound Imaging vs. Doppler Device:
    Doctors often use ultrasound scans (either transvaginal or abdominal) during early pregnancy to visualize the fetal heartbeat. The heartbeat is seen as a flicker or motion on the screen. The “sound” heard during these scans usually comes from the ultrasound machine’s speaker and is not the actual heartbeat sound audible to parents.
    In contrast, handheld Doppler devices, which pick up sound waves from the heartbeat, are typically used later in pregnancy to allow parents to hear the heartbeat directly.
  • Early Pregnancy Limitations:
    Before approximately 10 to 12 weeks of gestation, the fetal heart is extremely small, and the sound waves it generates are very faint. This makes it difficult for Doppler devices to pick up and amplify the heartbeat sound reliably.
  • Position and Size of the Fetus:
    The fetus’s position inside the uterus and its small size can also affect the clarity and audibility of the heartbeat sound. If the baby is positioned deep inside the uterus or behind the placenta, it may be harder to detect the heartbeat audibly.

When Can Parents Expect to Hear the Fetal Heartbeat?

  • Typical Timeline for Audible Heartbeat:
    Most parents can hear the fetal heartbeat using a Doppler device or a stethoscope-like tool around 10 to 12 weeks of pregnancy. This is when the fetal heart has grown enough and the sound waves are strong enough for detection.
  • Before Audible Detection:
    Prior to this period, doctors primarily rely on ultrasound imaging to confirm the heartbeat visually rather than audibly.

Tips for Parents During Early Pregnancy

  • Don’t Panic if You Can’t Hear It:
    Not hearing the heartbeat at an early stage is completely normal and usually not a sign of any problem.
  • Trust the Doctor’s Ultrasound Confirmation:
    The visual confirmation of a heartbeat via ultrasound is the most reliable and important sign of fetal viability.
  • Ask Questions and Stay Informed:
    Use your prenatal visits to clarify doubts and ask your healthcare provider for reassurance and explanation.
  • Be Patient:
    Remember that fetal development and detection technology have limits in very early pregnancy, and the audible heartbeat is usually detected soon after this early phase.

Hearing the fetal heartbeat is an exciting milestone, but parents should not worry if it is not audible in the very early weeks. The doctor’s confirmation through ultrasound is what truly matters at this stage. As pregnancy progresses, the heartbeat sound becomes easier to detect and hear, providing increasing reassurance to parents.

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Why Transvaginal Scan (TVS) Is Done in Early Pregnancy Over Abdominal Ultrasound (USG)

Early pregnancy is a delicate and crucial period that requires accurate monitoring to ensure the health of both mother and baby. Ultrasound scans play an essential role in confirming pregnancy and assessing early fetal development. Among the different ultrasound methods, Transvaginal Scan (TVS) and Abdominal Ultrasound (USG) are commonly used. However, in the first trimester, TVS is often preferred. This article explores what TVS is, why it is done over abdominal USG in early pregnancy, and its advantages.

What is a Transvaginal Scan (TVS)?

A Transvaginal Scan (TVS) is an ultrasound technique where a small, specially designed probe is gently inserted into the vagina. This approach places the probe closer to the uterus, providing clearer and more detailed images of the early pregnancy structures such as the gestational sac, yolk sac, and fetal pole.

Unlike the abdominal ultrasound (USG), where the probe is moved over the abdomen, TVS bypasses the abdominal wall and bladder, which can obscure or reduce the clarity of early pregnancy images.

Advantages of TVS Over Abdominal Ultrasound in Early Pregnancy

TVS offers several critical advantages during the early weeks of pregnancy, typically up to 12 weeks gestation:

  • Earlier Pregnancy Detection:
    TVS can detect pregnancy as early as 4 to 5 weeks, identifying the gestational sac and fetal pole much earlier than abdominal USG, which usually performs better after 6 weeks.
  • Sharper, Clearer Images:
    Because the probe is closer to the uterus, TVS produces high-resolution images that allow for detailed visualization of early fetal structures, helping in accurate dating and viability assessment.
  • Better Fetal Heartbeat Detection:
    Fetal cardiac activity can be detected earlier and with greater accuracy via TVS, often as early as 5.5 to 6 weeks, which is critical for confirming a viable pregnancy.
  • Early Complication Assessment:
    TVS is the gold standard for diagnosing potential early pregnancy complications such as:

    • Ectopic pregnancy (implantation outside the uterus)
    • Threatened miscarriage
    • Subchorionic haemorrhage
  • Assessment of Uterine and Ovarian Health:
    It allows detailed examination of the uterus, cervix, and ovaries, helping identify fibroids, cysts, or other abnormalities that may affect pregnancy.

When is TVS Recommended?

Your doctor may advise a transvaginal scan in early pregnancy under the following circumstances:

  • Confirmation of Early Pregnancy: To verify pregnancy location and viability.
  • Vaginal Bleeding or Abdominal Pain: To assess risks such as miscarriage or ectopic pregnancy.
  • Inconclusive Abdominal Ultrasound Results: When abdominal USG does not provide clear information.
  • History of Previous Pregnancy Complications: To closely monitor pregnancy development.
  • High-Risk Pregnancies: To ensure early and precise fetal monitoring.

What to Expect During a TVS?

  • The procedure is generally safe and painless.
  • The probe is covered with a sterile sheath and lubricated before insertion.
  • It usually takes 10-20 minutes.
  • No special preparation is required, but a full bladder is generally not needed (unlike abdominal USG).

In early pregnancy, TVS is preferred over abdominal ultrasound due to its superior ability to detect pregnancy earlier, provide clearer images, and identify potential complications promptly. This early and accurate assessment enables better monitoring and management, ensuring the best possible care for mother and baby. If you experience any symptoms or require early pregnancy evaluation, consult your healthcare provider about the benefits of a transvaginal scan.

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Foods to Eat During Pregnancy for Fetal Brain Development

Why Nutrition Matters for Fetal Brain Development

The developing brain is one of the most important organs forming during pregnancy. Proper nutrition provides the essential nutrients needed for healthy brain growth and cognitive function in the baby.

Top Foods That Support Fetal Brain Development

Here are some nutrient-rich foods that are especially beneficial during pregnancy:

  • Eggs: Rich in choline, which supports brain cell development and memory function.
  • Fatty Fish (e.g., salmon, sardines): High in DHA, an omega-3 fatty acid crucial for brain and eye development.
  • Leafy Green Vegetables: Spinach, kale, and broccoli provide folate, which helps prevent neural tube defects.
  • Nuts and Seeds: Almonds, walnuts, and flaxseeds supply healthy fats and vitamin E, which protect brain cells.
  • Berries: Blueberries and strawberries contain antioxidants that reduce oxidative stress in developing brain tissue.
  • Avocados: Loaded with healthy fats and folate that promote brain cell formation.
  • Whole Grains: Oats and brown rice provide energy and B vitamins needed for brain growth.

Nutrients to Focus On

  • Choline: Critical for brain development and function.
  • DHA (Omega-3): Builds brain and retinal tissue.
  • Folate: Supports proper neural tube closure.
  • Iron: Ensures oxygen delivery to the developing brain.
  • Antioxidants: Protect brain cells from damage.

Tips for a Brain-Healthy Pregnancy Diet

  • Include a variety of the above foods daily.
  • Consider prenatal vitamins as recommended by your healthcare provider.
  • Stay hydrated and limit processed foods and excessive sugar.
  • Avoid high-mercury fish such as king mackerel or swordfish.

Eating a balanced diet rich in brain-supporting nutrients can have lasting positive effects on your baby’s cognitive development. Prioritize nutrient-dense foods and consult your doctor for personalized dietary advice during pregnancy.

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Importance of Genetic Counselling in Pregnancy

What is Genetic Counselling?

Genetic counselling is a specialized service provided to expectant parents to help them understand the risks of inherited genetic conditions during pregnancy. It involves meeting with a trained genetic counsellor who evaluates family and medical histories, discusses available genetic tests, and explains the implications of test results.

Who Should Consider Genetic Counselling?

Genetic counselling is especially recommended if:

  • There is a family history of genetic disorders like cystic fibrosis, thalassemia, or Down syndrome
  • The mother is over 35 years old, increasing the risk of chromosomal abnormalities
  • Prenatal screening tests indicate potential risks
  • The couple belongs to a population with a higher incidence of specific genetic diseases
  • Previous pregnancies were affected by genetic conditions

What Happens During Genetic Counselling?

During the counselling session, the genetic counsellor will:

  • Collect detailed family medical histories
  • Explain the types of genetic tests available, such as carrier screening or non-invasive prenatal testing (NIPT)
  • Discuss the benefits, limitations, and possible outcomes of testing
  • Help parents understand what the test results mean for their pregnancy and baby’s health
  • Provide emotional support and guidance for decision-making

Benefits of Genetic Counselling

  • Informed decision-making: Parents gain clarity about potential risks and testing options
  • Personalized care: Enables doctors to tailor prenatal care based on risk assessment
  • Early intervention: Identifies conditions that may require monitoring or treatment before or after birth
  • Emotional support: Helps families prepare for different outcomes and connect with resources

Is Genetic Counselling Right for Everyone?

While not mandatory for all pregnancies, genetic counselling is a valuable tool for those with increased risk factors. Even couples with no known family history may opt for counselling to gain peace of mind.

Genetic counselling empowers parents with knowledge and support to navigate pregnancy with confidence. If recommended by your healthcare provider, it can be a vital part of prenatal care to ensure the best outcomes for you and your baby.

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Viability Scan vs. NT Scan: What’s the Difference?

Understanding Early Pregnancy Scans

Early pregnancy involves several important ultrasound scans to monitor fetal health and development. Two common scans during the first trimester are the viability scan and the nuchal translucency (NT) scan. Although both are ultrasound procedures, they serve different purposes and are performed at different stages.

What is a Viability Scan?

A viability scan is usually performed between 6 to 9 weeks of pregnancy. Its primary goals include:

  • Confirming the presence of an intrauterine pregnancy
  • Detecting a fetal heartbeat
  • Estimating the gestational age of the embryo
  • Checking for multiple pregnancies (twins or more)
  • Identifying early pregnancy complications such as ectopic pregnancy or miscarriage risk

This scan reassures parents that the pregnancy is developing normally in the early stages.

What is the NT Scan?

The Nuchal Translucency (NT) scan is a screening test performed between 11 and 13 weeks of pregnancy. It measures the thickness of the clear fluid-filled space at the back of the baby’s neck called the nuchal translucency.

An increased NT measurement can indicate a higher risk for certain chromosomal abnormalities, including:

  • Down syndrome (Trisomy 21)
  • Edwards syndrome (Trisomy 18)
  • Patau syndrome (Trisomy 13)

The NT scan is usually combined with blood tests to provide a risk assessment for these conditions.

Key Differences Between Viability Scan and NT Scan

Feature

Viability Scan

NT Scan

Timing

6 – 9 weeks

11 – 13 weeks

Purpose

Confirm pregnancy and heartbeat

Screen for chromosomal abnormalities

What it measures

Presence of embryo and heartbeat

Thickness of nuchal translucency

Additional use

Check for multiples, early risks

Combined with blood tests for risk score

Why Are Both Scans Important?

  • The viability scan provides early confirmation and peace of mind that the pregnancy is progressing normally.
  • The NT scan offers valuable information about genetic risks that help parents make informed decisions about further testing and pregnancy management.

Both scans are non-invasive, safe, and vital parts of comprehensive prenatal care.

Understanding the difference between the viability scan and NT scan can help expectant parents navigate early pregnancy with confidence. Always follow your healthcare provider’s advice on when to schedule these important ultrasounds.

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Pregnancy Scans: Ensuring a Healthy Journey for You and Your Baby

Pregnancy is a transformative journey, and timely scans play a crucial role in ensuring the health and well-being of both the mother and baby. At the Institute of Fetal Medicine, Kolkata, we provide advanced prenatal ultrasound services to help expectant parents monitor fetal development and detect any complications early.

Are Pregnancy Scans Safe?

Yes, pregnancy scans are completely safe when performed by experienced specialists. Ultrasound imaging uses sound waves, not radiation, making it a non-invasive, risk-free procedure for both the mother and baby.

Essential Pregnancy Scans You Should Take

1️⃣ First Trimester Scans (6 to 14 Weeks)

Early Pregnancy Scan (Viability Scan) – Confirms pregnancy, checks heartbeat, and determines gestational age.
NT & NB Scan (Nuchal Translucency & Nasal Bone Scan) – Helps detect the risk of chromosomal abnormalities like Down Syndrome.
Pre-eclampsia Screening – Assesses the risk of high blood pressure complications during pregnancy.

👉 Available at our prenatal ultrasound clinic in Kolkata under expert supervision.

2️⃣ Second Trimester Scans (18 to 24 Weeks)

Anomaly Scan (Level II Ultrasound) – A detailed examination of the baby’s organs, spine, brain, heart, and limbs to check for structural abnormalities.
Fetal Echocardiography – A specialized scan to detect congenital heart defects in high-risk pregnancies.

👉 Visit our fetal diagnostics center in Kolkata for expert evaluations.

3️⃣ Third Trimester Scans (28 to 40 Weeks)

Growth Scan – Monitors fetal growth, weight, and well-being.
Doppler Scan – Assesses placental blood flow to ensure proper oxygen and nutrient supply to the baby.
Biophysical Profile (BPP) – A combination of scans to check fetal movement, breathing, and amniotic fluid levels.

👉 Essential for high-risk pregnancy care in Kolkata to ensure a safe delivery.

Why Choose the Institute of Fetal Medicine?

Best fetal medicine doctor in Kolkata for expert evaluations.
Advanced fetal medicine services in Kolkata for high-risk pregnancies.
State-of-the-art fetal care clinic in Kolkata with cutting-edge ultrasound technology.
Comprehensive maternal-fetal care in Kolkata to ensure healthy pregnancy outcomes.

Book Your Pregnancy Scan Today!

Ensure a safe and healthy pregnancy by undergoing timely scans at our fetal medicine center in Kolkata. Early detection leads to better management and peace of mind.

💙 Your Baby’s Health Starts Here! 💙

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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! 💙