Whether you travel across town or across the country to reach us, our team is prepared to support you every step of the way, making sure you have the resources you need to make the best decision for your family and find the best possible care for your unborn child.
When a fetal abnormality is found, you or your referring physician should call our Center at 011-29873018 where an experienced clinical coordinator will gather your initial information.
The clinical coordinator will ask that your prenatal records be emailed. As soon as we are able to review your records, we will contact your referring physician with our recommendations.
If you reach out to our Center individually, one of our clinical coordinators will speak with you to gather information and answer any preliminary questions you have. The coordinator will schedule a consultation as soon as possible and arrange to receive all test results and reports from your referring physician.
In some cases, a family coming from afar may need to temporarily relocate to New Delhi for a period of time to undergo evaluation and care.
Evaluation and diagnostic testing
Because accurate diagnosis is essential to planning treatment, we will perform a variety of diagnostic tests using advanced imaging technology to establish or confirm the suspected condition. You will undergo a combination of the following procedures depending on your baby’s diagnosis:
- High-resolution fetal ultrasound
- Fetal echocardiogram to assess the structure and function of your baby’s heart
- Ultrafast fetal MRI
- Low-dose fetal CT scan
- Diagnostic fetoscopy
- Chorionic villus sampling (CVS)
- Fetal blood sampling
- Fetal skin/muscle biopsy
- Microarray analysis
There are specific protocols designed for each suspected fetal anomaly, and families can observe the projected scans while they are in progress.
After your evaluation is complete, you will meet with members of our expert multidisciplinary team to go over your results.
Team members you may meet with include a maternal-fetal medicine specialist, fetal or pediatric surgeon, genetic counselor, and a nurse coordinator. Depending on your diagnosis, you will also meet other pediatric sub-specialists who may be involved in your child’s care.
At this time, we will explain our findings in detail and answer your questions. We will provide educational resources and detailed information about your baby’s condition and outline treatment options, making sure you have all the information you need to make the best decision for your family.
Within 24-48 hours after our meeting, we will contact your physician and provide information regarding the consultation. Throughout the entire process, we will work closely with your physicians back home to coordinate your care.
Your baby’s condition and other factors will determine whether delivery occurs at your home hospital or in Apollo Hospitals under our care and world class facilities at Apollo.
About 10 percent of the conditions we see require minimally invasive fetoscopic procedures. Other patients require only careful monitoring until delivery, with treatment planned for after your baby is born.
Considerations for fetal intervention
If fetal intervention is needed, we will go through a detailed evaluation of the risks and benefits. We will discuss what the remainder of your pregnancy will be like, including potential bed rest restrictions; delivery planning; and the impact fetal surgery will have on future pregnancies. You will receive detailed consultations and are encouraged to call our team at any time with questions.
After your evaluation, we will contact your referring physician to go over our complete findings and recommendations for fetal intervention.
If you have fetal surgery, you will stay in Apollo Hospitals before and after fetal surgery, and again when it is time to deliver your baby.
If you are not a candidate for fetal intervention, monitoring can often be co-managed with your physician. For delivery, we will co-manage your pregnancy with your referring physician and will assist in the timing of the delivery and coordination of services.
Whatever plan of treatment you follow, our team is here to answer your questions, provide information and support you in any way we can. We are experienced working with insurance companies and other payers to ensure you and your baby have access to the most appropriate treatment.