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Fetocare Fetal Medicine Center Nagpur

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Fetocare Fetal Medicine Center Nagpur

DR. NEHA MUNIYER PUNIYANI
Consultant Fetal Medicine & Genetic Counselor
FMF United Kingdom Certified

05/02/2025

Role of Ultrasound for evolving anomalies in Fetus :

Ultrasound (USG) is a cornerstone in diagnosing and monitoring evolving fetal anomalies during pregnancy.
These anomalies may not be evident early but develop or become apparent as the pregnancy progresses. Here’s how USG contributes to their management:

1. Early Screening and Detection
First-Trimester USG (11–14 Weeks):
Detects structural anomalies such as neural tube defects, abdominal wall defects, and nuchal translucency (NT) abnormalities, which may hint at chromosomal or syndromic conditions.
2. Monitoring Evolving Anomalies
Certain anomalies may not be evident initially but can develop or worsen over time. Regular USG evaluations help monitor these, such as:

Hydrocephalus : Progressive dilation of cerebral ventricles may evolve into severe hydrocephalus.

*Congenital Heart Defects : Subtle anomalies in the first trimester may become more apparent during mid-trimester anomaly scans.

Renal Abnormalities :
Pelvicalyceal dilatation (pyelectasis) can evolve into hydronephrosis.
Polycystic kidney disease or multicystic dysplastic kidneys may develop features as gestation progresses.

Gastrointestinal tract abnormalities :like Duodenal atresia , bowel obstruction, atresia, dilatation

Diaphragmatic Hernia : Initially detected as abnormal abdominal organ positions, these may evolve to cause pulmonary hypoplasia.

*Amniotic Band Syndrome : Evolving deformities as the fetus grows, leading to limb or facial abnormalities.

Some anomalies are part of syndromes that evolve:

Down Syndrome : Initial findings like NT thickening may be accompanied by cardiac anomalies or duodenal atresia later.

Skeletal Dysplasias : Subtle findings like short limbs may progress to severe deformities.

Neurodevelopmental Issues : Corpus callosum agenesis or holoprosencephaly features may only fully manifest later in gestation.

To know more, consult our Fetal Medicine Specialist Dr. Neha Puniyani at her FETOCARE FETAL MEDICINE CENTRE, congress nagar, Dhantoli Nagpur.

. For more info visit us at http://www.fetocarefetalmedicinecentre.com/latest-update/role-of-ultrasound-for-evolving-anomalies-in-fetus/5?utm_source=facebookpage

15/10/2024

A Target scan, also known as a fetal Anomaly scan or Level 2 ultrasound, is a detailed ultrasound examination that evaluates fetal anatomy and growth. Doctors refer patients for a Target scan for various reasons:

Purpose of Target Scan:

1. Evaluation of detailed fetal anatomy
2. Look for signs/markers of chromosomal /genetic abnormalities in fetus
2. Detect potential fetal abnormalities or birth defects.
3. Assessment of fetal growth
4. Assess fetal movement
5. Evaluate amniotic fluid levels.
6. Evaluate placenta & cervical length
7. Guides prenatal care and decision-making.

So don't miss your - ANONALY Scan at FETOCARE FETAL MEDICINE CENTER NAGPUR.

28/09/2024

Liquor abnormalities during pregnancy refer to issues with the amniotic fluid, which surrounds and protects the fetus.

Here are some common abnormalities:

Low Amniotic Fluid (Oligohydramnios) :

1. Causes: Placental insufficiency, hypertension, fetal kidney problems, or fetal growth restriction, rupture of membranes

2. Oligohydramnios can lead to decreased fetal movements, poor fetal growth.

3. Risks: Fetal distress ,birth defects, risk of stillbirth/intrauterine demise

High Amniotic Fluid (Polyhydramnios) :

1. Causes: Diabetes, fetal gastrointestinal anomalies, idiopathic (no reason)
2. Polyhydramnios can lead to maternal discomfort, shortness of breath, or premature labor.

3. Risks: Preterm birth, fetal distress, or postpartum hemorrhage.

Amniotic Fluid Infections (Chorioamnionitis)

1. Causes: Bacterial infection, premature rupture of membranes.
2. Symptoms: Fever, uterine tenderness, or foul-smelling discharge.
3. Risks: Maternal sepsis, fetal infection, or preterm birth.

Diagnosis and Monitoring

1. Ultrasound remains the main modality to diagnose Oligohydramnios/ Polyhydramnios
2. Clinical examination by Dr. Neha Puniyani

If you suspect or are experiencing liquor abnormalities during pregnancy, do get your ultrasound done Today ✅

To know more consult Dr. Neha Puniyani, Fetal Medicine Specialist in Nagpur.

BOOK OUR APPOINTMENT - https://www.fetocarefetalmedicinecentre.com/

24/08/2024

The Double Marker Test is a prenatal screening bloot test that is typically done during the 1st trimester of pregnancy, usually between 11 and 14 weeks. It is used to assess the risk of certain chromosomal abnormalities in the developing fetus, particularly down syndrome (Trisomy 21) Trisomy 18 and 13.

*What It Measures:
The Double Marker Test measures the levels of two specific substances in the mother's blood:

1. *Free Beta-hCG (Human Chorionic Gonadotropin):
This is a hormone produced by the placenta. Abnormal levels of beta-hCG can indicate a higher risk of chromosomal abnormalities.

2. *PAPP-A (Pregnancy-Associated Plasma Protein A):
This is a protein produced by the placenta. Low levels of PAPP-A can also suggest an increased risk of chromosomal abnormalities.

* How It Works:
- Blood Sample:- A small blood sample is taken from the mother.
- Risk Assessment:- The levels of these substances, along with other factors such as the mother’s age and the results of a nuchal translucency ultrasound (which measures the thickness of the fluid at the back of the fetus's neck), are used to calculate the risk of the fetus having certain chromosomal conditions.

* Purpose:
- Screening, Not Diagnosis: It's important to note that the Double Marker Test is a screening test, not a diagnostic test. It does not confirm whether the fetus has a chromosomal abnormality, but it helps to determine the likelihood. If the test indicates a higher risk, further diagnostic testing, such as amniocentesis or chorionic villus sampling (CVS), may be recommended.

Get Your Double Marker test done !!!

Book your appointment : www.fetocarefetalmedicinecentre.com

#

09/08/2024

The Nuchal Tanslucency "NT" Scan is a specialised ultrasound performed typically betweem 11 to 13 weeks 6days of pregnancy. It measurs the clear translucent space in the tissue at the back of a developing baby's neck. This measurement can help assess the risk of certain chromosomal abnormalities & other potential issues.

Here are the key aspects of NT Scan :

1. Screening fr Chromosomal Abnormalities :
The primary purpose of the NT scan is to screen for chromosomal abnormalities, such as Down Syndrome (Trisomy 21), Trisomy 18 and Trisomy 13. An increased NT measurement can indicate a higher risk of these conditions.
2. Early Detection of Congenital Heart Defects :
An increased NT measurement can also be associated with congenital heart defects. Early detection allows for closer monitoring and potential early interventions if necessary.
3. Determining Gestational Age and Viability :
The NT scan helps confirm the gestational age, assesses the viability of the pregnancy and checks for the presence of multiple pregnancies. e.g Twins/Triplets.
4. Guidance for Further Testing :
If the NT scan indicates an increased risk of chromosomal abnormalities, it helps guide decisions about further diagnostic testing, such as chorionic villus sampling (CVS) or amniocentesis, which can provide definitive results.
5. Reassurance for Parents :
For most parents, the NT scan provides reassurance about the health and development of their baby, especially if the results are within the normal range.
6. Part of routine Prenatal screening and Assessment of other risk factors :
The NT scan, combined with maternal age and blood test results, helps in assessing the overall risk for chromosomal abnormalities, providing a more comprehensive understanding of the pregnancy's progress.
7. Early Intervention Planning :
Identifying potential issues early on allows for appropriate planning and management of the pregnancy.

DO NOT SKIP YOUR NT SCAN

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For more info visit us at http://www.fetocarefetalmedicinecentre.com/

12/06/2023

Dr. Neha Puniyani did her fellowship in Feto-Maternal medicine from CIMAR hospital, Cochin, Kerala, which is one of a kind institute for Fetal medicine. Under the guidance of International faculty Dr. Bijoy Balakrishnan & Dr. Meenu Batra Parshuram after completing her basic education in Obstetric & Gynecology. Dr. Neha has also aquired training in Genetic Counselling and Medical genetics from the ICMR course on Genetic counselling held at SGPGI, Lucknow & is a certified Genetic counselor.

Address- 193, Jaiswal house, Opp. State bank of India, Congress Nagar, Nagpur-440012

keywords- Best Fetal medicine specialist, Fetal Echo, 3D & 4D sonography, Anomaly scan, NT scan, Amniocentesis, Chorionic Villous Sampling , Fetal Doppler, Fetal reduction, viability scan, Fetal neurosonography, Genetic counseling, best fetal sonography centre . For more info visit us at http://www.fetocarefetalmedicinecentre.com/latest-update/dr-neha-puniyani-di/0?utm_source=facebookpage

Address

191 Jaiswal House Opp SBI Congress Nagar
Nagpur
440012

Opening Hours

Monday	11am - 7pm
Tuesday	11am - 7pm
Wednesday	11am - 7pm
Thursday	11am - 7pm
Friday	11am - 7pm
Saturday	11am - 7pm

Telephone

+919823034771

Website

http://www.fetocarefetalmedicinecentre.com/

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