PerinatologyService at Nyle Hospital Complete Care for Mother and Foetus
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.