Perinatology

PerinatologyService at Nyle Hospital Complete Care for Mother and Foetus

PerinatologyService

Perinatology or maternal-foetal medicine is a subspecialty of obstetrics that is associated with the care of high-risk, complicated pregnancies and the foetus. Apart from the 4 years of training in gynaecology and obstetrics, the perinatologist undertakes 2 to 3 years of education and training for diagnosing and treating the disorders of pregnant woman and foetus.

The services offered by the maternal-foetal specialists are numerous including managing multiple gestations, diabetes care, level II foetus ultrasound, genetic amniocentesis, chorionic villus sampling and foetus surgery. A perinatologist cares a high-risk baby before birth, while a neonatologist cares after birth.

Perinatology department is dedicated to provide comprehensive care all through your pregnancy weeks and during delivery. The hospital offers wide range of services including:

  • All round pregnancy care such as prenatal, labour, childbirth and postpartum care
  • Prenatal screening and diagnosis
  • Counselling, respect and support for mothers
  • Ultrasound (both 3-D as well as 4-D)
  • Vaginal birth after C-section (VBAC)
  • Foetal therapy programmes
  • Radiology, including foetal MRI
  • Genetic testing
  • Foetal cardiology, such as foetal echocardiogram

Perinatology Services for High-Risk Pregnancies:

Nyle Hospital offers perinatology care before and during pregnancy to mothers regarded as high-risk due to existing medical problems, previous pregnancy complications and family medical history. Perinatologists collaborate with infertility experts, gynaecologist/obstetrician and others healthcare providers to keep track of mothers and babys health throughout the gestational period. Moreover, a woman can contact perinatologist for pre- and post-conception counselling. Antepartum tests are carried out before labour to evaluate foetal health and development.

Medical Conditions Examined and Treated by Perinatologist:

  • Maternal conditions or disorders such as preeclampsia (toxemia) and hypertension (high blood pressure)
  • Collagen vascular disorder such as maternal lupus
  • Maternal metabolic diseases such as pregestational and gestational diabetes
  • Infectious diseases including hepatitis, toxoplasmosis, parvovirus, HIV and AIDS
  • Platelet alloimmunization (NAIT or FMAIT) for Rh (-ve) mothers carrying Rh (+ve) babies
  • Severe past obstetrical records such as previous preterm labour, preterm deliveries, premature membrane rupture, preterm cervical dilatation and repetitive abortion
  • Multiple gestation, i.e. carrying twins or multiple babies
  • Abnormal foetal growth
  • A suspected or known foetal anomaly
  • A condition of macrosomia (baby being too large)
  • Restricted foetal growth (baby being too small)
  • Maternal family history of Cystic fibrosis, Cardiac disease, Gastrointestinal disease and Renal disease

Prenatal Genetic Testing and Consultation:

Theperinatologists collaborate with genetic counsellors for diagnosing and providing comprehensive care to women for the following:

  • Alpha fetoprotein (AFP) blood test for identifying neural tube defect
  • Antenatal serum screening, i.e. quad screen/triple screen for detecting chromosomal abnormality inclduing Trisomy 13, Trisomy 21 [Down syndrome] or Trisomy 18
  • Invasive foetal testing or in utero therapeutic procedure(s), such as blood transfusion/sampling, foetal bladder stent placement, platelet infusion, amniocentesis (amnio) or chorionic villus sampling (CVS) for maternal age and/or other factors.