For appointments Call (91)-11-71793018 or use our online form.

For Virtual Counselling, use:

For appointments
Call (91)-11-71793018 or use our online form. Click here.

For Virtual Counselling, use:

Online Appointment Form

Please fill in the required fields marked with an asterisk *

Patient Information
Patient's First Name: *
Patient's Last Name:  *
Email: *
Phone: *
Post code:
Date of Birth (mm/dd/yyyy):

Appointment details
Preferred Appointment Time:





When would you like the appointment?
Were you referred by a physician?
Referring Physician's Name:
Referring Physician's Phone Number:

Sender Information
Sender's First Name: *
Sender's Last Name: *
Phone Number: *
Email: *
Security(Prove your humanity):

Anomaly Certification - Sample Images

Education & Training
  • HomeEducation & TrainingBlog > Twin Pregnancy – Risk Stratification : Need of the hour !
  • Blog
    Twin Pregnancy – Risk Stratification : Need of the hour !

    comprised of multiple pregnancies especially in the setting of rising trends due to advanced maternal age and Assisted Reproductive Techniques(ART).

    Multiple pregnancies contribute significantly to perinatal and neonatal mortality and morbidity and need specialised antenatal care .

    The twin pregnancy needs to be classified as the following:


    It is very disheartening on this day and time to come across ultrasound reports at 12-14 weeks without a mention of chorionicity. The chorionicity is identified by the classic signs of

    Lambda Sign in Dichorionic Twins(DCDA)

    The “T” Sign in Monochorionic Diamniotic (MCDA) Twins

    A brief review of the importance of identifying the chorionicity at the time of First Trimester Screening is highlighted by the following differences between the Monochorionic (MC) and Dichorionic Twins(DC):

    Complications DC MC
    Miscarriage (11-23 weeks) 2% 10%
    Perinatal death (>23 weeks) 2% 4%
    Preterm delivery (<32 weeks) 5% 10%
    Fetal growth restriction 20% 30%
    Major defects 1% 4%

    In view of the increased complications in multiple pregnancies in general and Monochorionic Twins in particular, RCOG suggests 2 weekly growth scans in MCDA twins and 4 weekly growth scans in DCDA Twins.

    It is fortunate that once the complications are diagnosed, effective intervention therapy in the form of Laser Coagulation of anastomosing vessels in Twin to Twin Transfusion Syndrome, Laser Ablation of the interstitial vessels in the Acardiac Twin, decision of early delivery in severe IUGR, these pregnancies can be salvaged well in time and a favourable prognosis can be expected.

    We routinely come across such complications, some fortunately referred to us at the right time, whereas the others at a stage when the in-utero demise of one twin has already damaged the living co-twin. Read about two of our recent cases at:!/media/set/?set=a.362269117174982.81691.137389039662992&type=1


    Education & Training
    Contact us form

    Please use the form below to send us your comments, questions or feedback. If you prefer the telephone, we've added below a list of helpful phone numbers.

    Please fill in the required fields marked with an asterisk *

    Name: *
    Email: *
    Subject: *
    Message: *
    Security(Prove your humanity):
    © 2024 Apollo Centre for Fetal Medicine. | All Rights Reserved
    Credits: Grey Coconut Designs Pvt. Ltd.