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Is It Important to Do a Fetal Echo in High-Risk Pregnancy?

Is It Important to Do a Fetal Echo in High-Risk Pregnancy?

Pregnancy is a time filled with anticipation and joy, but for some, it carries added concerns due to certain risk factors. One critical tool in managing these concerns is the fetal echocardiogram or fetal echo. This specialized ultrasound scan provides a detailed look at the baby’s heart before birth, offering invaluable insights, especially in high-risk pregnancies. But why is fetal echo so important, and when should it be done? Let’s explore this in detail.

What is a Fetal Echo?

A fetal echocardiogram is an advanced ultrasound examination focused specifically on the fetal heart. Unlike a routine ultrasound, which provides a general overview, a fetal echo captures detailed images of the heart’s anatomy and function. It assesses the size and shape of the heart chambers, valves, and the flow of blood through the heart, and the heart’s rhythm and rate. This detailed evaluation helps detect congenital heart defects (CHDs) — structural problems in the heart present from birth.

Why Is Fetal Echo Crucial in High-Risk Pregnancies?

Certain pregnancies carry a higher risk of fetal heart abnormalities due to maternal or familial factors. In such cases, fetal echocardiography becomes a vital diagnostic step. Here’s why:

  • Family History of Heart Defects: If one or both parents have a history of congenital heart disease or if a previous child had a CHD, the risk to the current fetus increases. Fetal echo allows early detection and timely planning.
  • Maternal Health Conditions: Diseases such as diabetes mellitus, lupus, phenylketonuria (PKU), or infections like rubella during pregnancy can increase the chance of fetal heart defects.
  • Abnormal Findings on Routine Ultrasound: Sometimes, during a regular anomaly scan, subtle signs may hint at a possible heart problem. A fetal echo helps confirm or rule out these suspicions.
  • Exposure to Teratogens: Use of certain medications, alcohol, drugs, or environmental toxins during pregnancy can adversely affect fetal heart development.
  • Multiple Pregnancies: Twins or higher-order multiples specially monochorionic pregnancies have a higher risk of heart defects, warranting a fetal echo.

Early identification of heart abnormalities allows doctors to:

  • Plan for specialized care during pregnancy
  • Counsel parents about the condition and expected outcomes
  • Decide the optimal time and mode of delivery to ensure immediate new-born care
  • Arrange for postnatal interventions, including surgery if needed

When Should a Fetal Echo Be Performed?

The ideal time for a fetal echocardiogram is typically between 18 and 24 weeks of gestation. By this stage, the fetal heart is developed enough to provide detailed images for accurate assessment. However, in some cases, especially where early concerns arise, the scan can be done earlier or repeated later.

What Does a Fetal Echo Involve?

  • The procedure is non-invasive and safe for both mother and baby.
  • It uses high-frequency sound waves to generate heart images.
  • Usually performed by a trained fetal cardiologist or sonographer.
  • May take 30-60 minutes, depending on fetal position and complexity.

Benefits of Fetal Echo in High-Risk Pregnancies

  • Early Detection of Heart Defects: Enables prompt medical decisions and reduces complications.
  • Better Parental Counselling: Families receive accurate information and psychological preparation.
  • Coordinated Multidisciplinary Care: Obstetricians, pediatric cardiologists, and neonatologists work together to optimize outcomes.
  • Improved Survival and Quality of Life: Early intervention can significantly improve prognosis for many congenital heart conditions.

Common Congenital Heart Defects Detected by Fetal Echo

  • Ventricular Septal Defect (VSD)
  • Hypoplastic Left Heart Syndrome (HLHS)
  • Tetralogy of Fallot
  • Transposition of the Great Arteries
  • Atrioventricular Septal Defect

Detecting these early guides management before and after birth.

For pregnancies with risk factors, undergoing a fetal echocardiogram is not just important; it is essential. This detailed heart scan provides clarity and reassurance, helping doctors prepare for the best possible care tailored to each baby’s needs. If you or your healthcare provider identify risk factors, consult a fetal cardiology specialist to schedule this vital scan. Early knowledge means better planning and better outcomes for both mother and child.

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

regnant with Monochorionic Twins

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

Worried About Your First Trimester Screening Results

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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Ways Thalassemia Can Impact Pregnancy and Family Planning

Thalassemia-Test

Blood-related genetic problems are a complex issue that can affect one’s family planning. Thalassemia is a common blood transfused disease that passes on from the parent to the child. It is transmitted by mutated haemoglobin cells. In India, around 10000 to 15000 babies are born with this problem.

More About Thalassemia:

Thalassemia, being an inherited medical condition, affects an infant badly. The body suffers from genetic mutation, where it cannot produce enough haemoglobin. Haemoglobin is a protein structure in RBC responsible for carrying and supplying Oxygen to different body parts.

Symptoms of Thalassemia:

Conducting a thalassemia test of both parents is crucial before conceiving. The haemoglobin forming DNA of the thalassemia patients mutates in this problem. One can identify it through different symptoms, including:

  • Fatigue
  • Dark urine
  • Abnormal growth of the child
  • Yellow or pale skin
  • Deformities in facial structure

Causes of Thalassemia and its Testing:

The haemoglobin in the RBC is formed of two identical chains of proteins. These are identified as Alpha and Beta. Thalassemia is categorised into two parts. One can confirm on which the protein chain is damaged. Therefore, these are known as Alpha Thalassemia and Beta Thalassemia.

One can also classify thalassemia based on its severity. These are broadly classified into three parts:

  • Thalassemia Trait: In this case, one parent possesses an abnormal DNA haemoglobin molecule. The other one may have a normal genetic structure. In such cases, the child will carry the Thalassemia trait with mild anaemia.
  • Thalassemia Major: As the name suggests, this type of thalassemia is a major issue that needs immediate medical attention. The baby of a parent with two defective gene sets may suffer from this problem.
  • Thalassemia Intermedia: It is an intermediate thalassemia condition. Here one needs close health monitoring with periodic check-ups.

If someone thinks that thalassemia is a deterrent to family planning, they are wrong. One can conceive through these effective processes:

  • CVS Testing: It is a vital testing method involving collecting chorionic villi cells from the placenta.
  • Amniocentesis: In this test, the tester collects a small amount of fluid from the amniotic sac. The amniotic fluid surrounding the embryo can effectively indicate the signs of thalassemia.

IFM Fetal Medicine Unit Kolkata

Now that one knows all the details about thalassemia and its effects on family planning; it will be easier to make the right decisions. For better testing assistance, one should contact a reliable source like Institute of Fetal Medicine. We are a premier source in Kolkata for thalassemia tests. For more information, one can visit our website today.

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All You Need To Know About Thalassemia During Pregnancy

Thalassemia Test

Most expectant mothers with Thalassemia traits have very little knowledge about the condition during pregnancy and the tests they have to undertake after they have conceived a child. So, the first thing you have to do is get your partner screened if you have Thalassemia. It will help you determine whether there is a chance for the condition to pass onto your child.

What Do You Mean By Thalassemia? How Is It Caused?

It is a hereditary condition that prevents our body from producing adequate haemoglobin, responsible for carrying oxygen through our bloodstream.  Haemoglobin is a protein present in red blood cells and comprises four protein subunits. More than 9000 children are born with Beta Thalassemia every year, making it one of India’s most common single-gene disorders. If you don’t want your child to be the next, visit the Institute of Fetal Medicine for Thalassemia Test in Kolkata.

How To Test For Thalassemia During Pregnancy?

You and your partner can get screened for Thalassemia both before and after conceiving a baby. Two common tests are the High-Performance Liquid Chromatography and Hemoglobin electrophoresis test. In addition, the doctor will conduct a blood test known as Complete Blood Count to track the presence of the Thalassemia trait in one’s body, the number of red blood cells and haemoglobin concentration.

What Does The Test Result Indicate?

Did you and your partner undergo the test before your pregnancy, and the test result showed that both of you are a silent carrier of Thalassemia? There is a 50% chance that your baby will become a carrier, there is a 25% chance that both of you being Thalassemia carrier won’t impact him and a 25% chance that your child will get the inherited blood disorder.

Do You Have To Worry About Thalassemia During Pregnancy?

Thalassemia is harmful to the unborn child during pregnancy if you fail to detect it at the right time. Expectant mothers should visit the Institute of Fetal Medicine for antenatal checkups at fixed intervals so doctors can closely monitor their health. Some doctors consider pregnancy with Thalassemia as a high-risk pregnancy.

The expectant mother can develop anaemia during her pregnancy if she only carries the traits. Proper management is necessary to prevent the condition from becoming severe. Prenatal testing will be necessary if both the parents have the trait. The test is done before the mother crosses her 12th-week pregnancy and helps in determining whether the baby will be born with Thalassemia Major.

What Is Beta-Thalassemia Major?

It is a severe condition when the child inherits one faulty gene from each parent. The number of healthy red blood cells in their body might be less than required. It makes them incapable of supplying sufficient oxygen through their body and causes life-threatening anaemia.

Conduct a Thalassemia test at the right time and you can decide whether you want to continue with the pregnancy or not.

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