Complete obstetric ultrasound includes and assessment of the fetal anatomy and growth, as well as position of the fetus and placenta.
Comprehensive or targeted ultrasound evaluates in depth the above information as well as evaluating the fetus who is at risk for anomalies or growth disorders.
Genetic counseling is available to discuss the risk and benefits or various screening and testing options. We provide counseling for issues related to advanced maternal age, inherited disorders and abnormal maternal serum screening tests.
First trimester screening is testing done to evaluate the risk of a fetus having one of the more common chromosome abnormalities (trisomy 13, 18 & 21). Ultrasound measurements and testing of maternal blood is done to obtain the screening results. This test is done between 11 and 13 6/7 weeks gestation.
Non-invasive prenatal screening is a test done with improved prediction to evaluate the risk of a fetus having one of the more common chromosome abnormalities (trisomy 13, 18 & 21). This test can also determine the fetal gender. The test uses a fairly new technology to measure dell-free fetal DNA (from the placenta) circulating in mother's blood. This test can be done after 10 weeks gestation. Most labs will do this testing only on mothers who are at risk for having a baby with the chromosome problem (such as personal or family history, maternal age, abnormal ultrasound findings, or abnormal maternal serum screen results).
Amniocentesis is a procedure done by the maternal-fetal medicine specialist under ultrasound guidance whereby amniotic fluid is collected by a needle through the mother's abdomen and used to diagnose to chromosome disorders (such as Down syndrome) or genetic disorders (such as cystic fibrosis or sickle cell disease). This test can be generally be done during the 15th week of gestation.
Chorionic villus sampling (CVS) is another test used to diagnose fetal chromosome or genetic disorders. This procedure is also done by the maternal-fetal medicine specialist under ultrasound guidance whereby a small portion of placental tissue is collected through a needle that passes through the mother's abdomen. This test is generally done at 11 weeks gestation.
Percutaneous umbilical blood sampling (PUBS) is a procedure done by the maternal-fetal medicine specialist under ultrasound guidance to obtain fetal blood from the umbilical cord. This procedure is done in the labor and delivery suite at the hospital for the fetus suspected of anemia (usually due to Rh disease or similar conditions). During the procedure, the fetal blood is tested and the fetus can receive a blood transfusion if needed.
Cervical cerclage is a surgical procedure done by the maternal-fetal medicine specialist for women with cervical insufficiency during the current or previous pregnancy. Under anesthesia, the cervix is sewn closed in a purse-string fashion. This procedure is done in the hospital, either as an in-patient or out-patient and is intended to help prevent preterm delivery.
Biophysical profile (BPP) is an ultrasound evaluation of fetal well-being done by a nurse or sonographer and interpreted by the maternal-fetal medicine specialist. This test is generally done after 28 weeks gestation for the at-risk fetus and is sometimes done in conjunction with an umbilical artery doppler, which measures blood flow through the umbilical cord. Parameters assessed during the BPP include fetal movement, tone, breathing motions and amniotic fluid volume. Patient's having this procedure are asked to eat prior to the testing and to refrain from smoking 3-4 hours prior to the testing.
Non-stress test is another method of evaluating fetal well-being. It is performed by a nurse and interpreted by the maternal-fetal medicine specialist. The electronic fetal monitor is used to assess changes in the fetal heart rate. We expect to see increases in the heart rate related to movement. Patient's having this procedure are asked to eat prior to the testing and to refrain from smoking 3-4 hours prior to the testing.
External version is a procedure done to turn a fetus from breech position (bottom down) to a head down position in an attempt to achieve a vaginal birth. This procedure is done at 37 weeks gestation in the labor and delivery unit of the hospital by a maternal-fetal medicine specialist after evaluating risks, benefits and likelihood of success.