Inner vision

Ultrasound is like art.. you start seeing form in images if you know what you are seeing. Here Prof Rabih Chaoui is making sense of early fetal echocardiography at 11--13 weeks

Shared from Treetop fetal medicine centre

Detailed fetal echo is done at Inner Vision. Here's who should have a fetal echo- diabetic mothers, parents with history of heart disease or previous baby with heart problems, exposure to certain toxins, other abnormalities seen in the unborn fetus, cardiac abnormalities suspected on a routine scan and babies from IVF etc.
Seen here is a very unusual anomaly of the fetal heart- Common Arterial Trunk. Seen 1 in 10000 births.

First trimester certification by Fetal medicine foundation FMF. Perhaps the only one in Patna

Hi folks!
Today we are gonna talk about Nuchal scan/ NT scan/ Nuchal translucency.
This scan is ideally done between 11weeks and 13weeks6days of pregnancy. At the same time you should also have a blood test- the DUAL MARKER study.
The study aims to look at the fluid collection in the nape of the neck of the baby.
This is a very important scan.
We also check for presence or absence of nasal bone.
This test along with the blood test would tell you your risk of having a baby with a chromosomal abnormality (Down’s syndrome, trisomy 18, trisomy 13, Turner’s syndrome, triploidies and some others).
We also look at few other things in the baby-- like flow in a small vein in the baby’s tummy- the ductus venosus, flow across the tricuspid valve in baby’s heart, intracranial translucency thickness, facial angle and a morphological survey.
And the NT is high or if the nasal bones are absent, the test is considered to be abnormal.
We combine the report of the dual marker, NT scan and mother’s age and if the composite result shows high risk, then we may need to sample the placenta to confirm or refute it.
More soon!

Hi folks!
Today we are gonna talk about diabetic pregnancy.
Some mothers develop diabetes only during their pregnancy known as gestational diabetes and generally become alright after pregnancy. These pregnancies are otherwise uncomplicated and the problems are mainly related to the increased sugar levels.
Here the baby is big (macrosomia) and shows increased fluid around the baby. Some babies may develop a large heart. Patient should be monitored every week after 32 weeks for signs of big baby, increased fluid and closed attention paid to thickness of heart.
Other type of condition is when mother is already diabetic. This may have renal/vascular complications in the mother. Here the problem is that of fetal growth restriction (small baby) with increased fluid as well as risk of mother developing high BP (pre-eclampsia). Here monitoring should be liberal after 32 weeks and may be once/twice every week to more. This would look at growth of baby, fluid and include Doppler study for fetal monitoring.
More soon.