Maternal-Fetal Medicine (MFM) and High-Risk Pregnancy

Maternal Fetal Medicine (MFM) Service 

Our MFM service strives to provide the highest standards of well-being for the mother and fetus, especially in high-risk pregnancies. This includes assessing fetal growth, diagnosing diseases, and detecting malformations through specialized ultrasound,3D and 4D ultrasound, Fetal echocardiography , Doppler studies, and interventional procedures.

Ų®ŲÆŁ…Ų© Ų§Ł„Ų·ŲØ Ų§Ł„Ų¬Ł†ŁŠŁ†ŁŠ ŁˆŲ§Ł„Ų­Ł…Ł„ Ų¹Ų§Ł„ŁŠ Ų§Ł„Ų®Ų·ŁˆŲ±Ų©MFM : Ų®ŲÆŁ…Ų© Ų§Ł„Ų·ŲØ Ų§Ł„Ų¬Ł†ŁŠŁ†ŁŠ Ł„ŲÆŁŠŁ†Ų§ ŲŖŲ³Ų¹Ł‰ Ų„Ł„Ł‰ ŲŖŁ‚ŲÆŁŠŁ… Ų£Ų¹Ł„Ł‰ Ł…Ų³ŲŖŁˆŁŠŲ§ŲŖ Ų§Ł„Ų±Ų¹Ų§ŁŠŲ© Ų§Ł„ŲµŲ­ŁŠŲ© Ł„Ł„Ų£Ł… ŁˆŲ¬Ł†ŁŠŁ†Ł‡Ų§، ŁˆŲ®Ų§ŲµŲ© ŁŁŠ Ų­Ų§Ł„Ų§ŲŖ Ų§Ł„Ų­Ł…Ł„ Ų§Ł„Ų¹Ų§Ł„ŁŠ Ų§Ł„Ų®Ų·ŁˆŲ±Ų©. ŁŠŲ“Ł…Ł„ Ų°Ł„Łƒ ŲŖŁ‚ŁŠŁŠŁ… Ł†Ł…Łˆ Ų§Ł„Ų¬Ł†ŁŠŁ†، ŲŖŲ“Ų®ŁŠŲµ Ų§Ł„Ų£Ł…Ų±Ų§Ų¶ ŁˆŲ§Ł„ŲŖŲ“ŁˆŁ‡Ų§ŲŖ Ų¹ŲØŲ± Ų§Ł„Ų³ŁˆŁ†Ų§Ų± Ų§Ł„ŲŖŁŲµŁŠŁ„ŁŠ، ŲÆŲ±Ų§Ų³Ų§ŲŖ Ų§Ł„ŲÆŁˆŲØŁ„Ų± ŁˆŲ§Ł„Ų„Ų¬Ų±Ų§Ų”Ų§ŲŖ Ų§Ł„ŲŖŲÆŲ®Ł„ŁŠŲ©.

Advanced Diagnostics and Therapy

Our diagnostics utilize Specialized Ultrasound, including the First Trimester Ultrasound, the detailed Morphology Scan of second trimester, Fetal Echocardiography, and Doppler Ultrasound for monitoring of fetal growth restriction and assessing fetal well-being in high risk pregnancy cases. For definitive diagnosis, we perform Interventional Procedures like Amniocentesis and Chorionic Villus Sampling (CVS) to diagnose fetal genetic or chromosomal anomalies. Additionally, we may use Perctuaneous Umbilical Blood Sampling (PUBS), also known as Cordocentesis, to assess and treat fetal anemia. Treatment is provided for fetal conditions like anemia (via intrauterine blood transfusion), and complications in multifetal pregnancies, such as Twin-to-Twin Transfusion Syndrome (TTTS).

Ų§Ł„ŲŖŲ“Ų®ŁŠŲµ ŁˆŲ§Ł„Ų¹Ł„Ų§Ų¬ Ų§Ł„Ł…ŲŖŁ‚ŲÆŁ…: ŲŖŲŖŁˆŁŲ± Ł„ŲÆŁŠŁ†Ų§ ŁŲ­ŁˆŲµŲ§ŲŖ Ų§Ł„Ų³ŁˆŁ†Ų§Ų± Ų§Ł„Ł…ŲŖŲ®ŲµŲµ، ŲØŁ…Ų§ ŁŁŠ Ų°Ł„Łƒ Ų³ŁˆŁ†Ų§Ų± Ų§Ł„Ų«Ł„Ų« Ų§Ł„Ų£ŁˆŁ„، Ų§Ł„Ų³ŁˆŁ†Ų§Ų± Ų§Ł„ŲŖŁŲµŁŠŁ„ŁŠ، Ų³ŁˆŁ†Ų§Ų± Ł‚Ł„ŲØ Ų§Ł„Ų¬Ł†ŁŠŁ†، ŁˆŲÆŲ±Ų§Ų³Ų§ŲŖ Ų§Ł„ŲÆŁˆŲØŁ„Ų± Ł„Ł…ŲŖŲ§ŲØŲ¹Ų© Ł†Ł…Łˆ Ų§Ł„Ų¬Ł†ŁŠŁ†. Ł„Ł„ŲŖŲ“Ų®ŁŠŲµ Ų§Ł„ŲÆŁ‚ŁŠŁ‚، Ł†Ł„Ų¬Ų£ Ų„Ł„Ł‰ ŲØŲ²Ł„ Ų§Ł„Ų³Ų§Ų¦Ł„ Ų§Ł„Ų£Ł…Ł†ŁŠŁˆŲ³ŁŠ ŁˆŁŲ­Ųµ Ų§Ł„Ų²ŲŗŲ§ŲØŲ§ŲŖ Ų§Ł„Ł…Ų“ŁŠŁ…ŁŠŲ© CVS Ł„ŲŖŲ“Ų®ŁŠŲµ Ų§Ł„Ų£Ł…Ų±Ų§Ų¶ Ų§Ł„ŁˆŲ±Ų§Ų«ŁŠŲ© ŁˆŁ…Ų“Ų§ŁƒŁ„ Ų§Ł„ŁƒŲ±ŁˆŁ…ŁˆŲ³ŁˆŁ…Ų§ŲŖ. ŁŠŁ…ŁƒŁ† Ų£Ų®Ų° Ų¹ŁŠŁ†Ų§ŲŖ ŲÆŁ… Ł…Ł† Ų§Ł„Ų­ŲØŁ„ Ų§Ł„Ų³Ų±ŁŠ PUBS Ł„ŲŖŲ­ŲÆŁŠŲÆ ŁˆŲ¹Ł„Ų§Ų¬ ŁŁ‚Ų± Ų§Ł„ŲÆŁ… Ł„ŲÆŁ‰ Ų§Ł„Ų¬Ł†ŁŠŁ†. ŁŠŲŖŁˆŁŲ± Ų¹Ł„Ų§Ų¬ Ł„Ų­Ų§Ł„Ų§ŲŖ ŁŁ‚Ų± Ų§Ł„ŲÆŁ… (Ų¹ŲØŲ± Ł†Ł‚Ł„ Ų§Ł„ŲÆŁ… ŲÆŲ§Ų®Ł„ Ų§Ł„Ų±Ų­Ł…)، ŁˆŁ…ŲŖŲ§ŲØŲ¹Ų© ŁˆŲ¹Ł„Ų§Ų¬ Ł…Ų¶Ų§Ų¹ŁŲ§ŲŖ Ų§Ł„Ų­Ł…Ł„ Ų§Ł„Ł…ŲŖŲ¹ŲÆŲÆ Ų§Ł„Ų£Ų¬Ł†Ų© ŁˆŲ®Ų§ŲµŲ© Ł…ŲŖŁ„Ų§Ų²Ł…Ų© Ł†Ł‚Ł„ Ų§Ł„ŲÆŁ… Ł…Ł† Ų¬Ł†ŁŠŁ† Ł„Ų¢Ų®Ų± TTTS.

 

What is a High-Risk Pregnancy?

A high-risk pregnancy is defined as one affected by maternal diseases—such as diabetes, hypertension, autoimmune disorders, or heart conditions—or complications like multifetal pregnancy or advanced maternal age. This classification also includes patients with a history of complications, such as a previous baby with a congenital malformation, IUGR, or fetal death (IUFD).

Ł…Ų§ Ų§Ł„Ł…Ł‚ŲµŁˆŲÆ ŲØŲ§Ł„Ų­Ł…Ł„ Ų¹Ų§Ł„ŁŠ Ų§Ł„Ų®Ų·ŁˆŲ±Ų©؟ Ł‡Łˆ Ų§Ł„Ų­Ł…Ł„ Ų§Ł„Ų°ŁŠ ŁŠŲŖŲ£Ų«Ų± ŲØŁ€Ų£Ł…Ų±Ų§Ų¶ Ł„ŲÆŁ‰ Ų§Ł„Ų£Ł… (Ł…Ų«Ł„ Ų§Ł„Ų³ŁƒŲ±ŁŠ، Ų§Ų±ŲŖŁŲ§Ų¹ Ų¶ŲŗŲ· Ų§Ł„ŲÆŁ…، Ų£Ł…Ų±Ų§Ų¶ Ų§Ł„Ł…Ł†Ų§Ų¹Ų© Ų§Ł„Ų°Ų§ŲŖŁŠŲ©، Ų£Ł…Ų±Ų§Ų¶ Ų§Ł„Ł‚Ł„ŲØ، Ų„Ł„Ų®.) Ų£Łˆ Ł…Ų¶Ų§Ų¹ŁŲ§ŲŖ Ł…Ų«Ł„ Ų§Ł„Ų­Ł…Ł„ Ų§Ł„Ł…ŲŖŲ¹ŲÆŲÆ Ų§Ł„Ų£Ų¬Ł†Ų© Ų£Łˆ ŲŖŁ‚ŲÆŁ… Ų¹Ł…Ų± Ų§Ł„Ų£Ł…. ŁƒŁ…Ų§ ŁŠŲ“Ł…Ł„ ŁŲ¦Ų© Ų§Ł„Ų­ŁˆŲ§Ł…Ł„ Ų§Ł„Ł„Ų§ŲŖŁŠ ŲŖŲ¹Ų±Ų¶Ł† Ų³Ų§ŲØŁ‚ًŲ§ Ł„Ų­Ł…Ł„ Ų¹Ų§Ł„ŁŠ Ų§Ł„Ų®Ų·ŁˆŲ±Ų©، Ł…Ų«Ł„ Ł…ŁˆŁ„ŁˆŲÆ ŲØŲŖŲ“ŁˆŁ‡ Ų®Ł„Ł‚ŁŠ، Ł†Ł‚Ųµ Ł†Ł…Łˆ Ł„ŲÆŁ‰ Ų§Ł„Ų¬Ł†ŁŠŁ† UGR)، Ų£Łˆ ŁˆŁŲ§Ų© Ų§Ł„Ų¬Ł†ŁŠŁ† ŁŁŠ Ų§Ł„Ų£Ų“Ł‡Ų± Ų§Ł„Ł…ŲŖŁ‚ŲÆŁ…Ų©.

Managing Your High-Risk Care

We assess the risk of preterm delivery and the need for prophylactic cervical cerclage by accurate ultrasound measurement of cervical length. For Multifetal Pregnancies (twins, triplets), we closely monitor fetal growth and manage specific complications(TTTS, selected IUGR, TRAP..). Crucially, for cases with fetal congenital malformations or growth restriction, we engage an integrated multidisciplinary team (including neonatologists and pediatric subspecialists) to develop a comprehensive, case-specific plan and determine the optimal mode, place, and timing of delivery to ensure the safety of both mother and fetus.

Ų„ŲÆŲ§Ų±Ų© Ų±Ų¹Ų§ŁŠŲ© Ų§Ł„Ų­Ł…Ł„ Ų¹Ų§Ł„ŁŠ Ų§Ł„Ų®Ų·ŁˆŲ±Ų©: Ł†Ų­ŲÆŲÆ Ų®Ų·Ų± Ų§Ł„ŁˆŁ„Ų§ŲÆŲ© Ų§Ł„Ł…ŲØŁƒŲ±Ų© ŁˆŲ§Ł„Ų­Ų§Ų¬Ų© Ł„Ų„Ų¬Ų±Ų§Ų” Ų±ŲØŲ· Ų¹Ł†Ł‚ Ų§Ł„Ų±Ų­Ł… Ų¹ŲØŲ± Ł‚ŁŠŲ§Ų³ Ų·ŁˆŁ„ Ų¹Ł†Ł‚ Ų§Ł„Ų±Ų­Ł… ŲØŲ§Ł„Ų³ŁˆŁ†Ų§Ų± Ų§Ł„ŲÆŁ‚ŁŠŁ‚. Ł†ŲŖŲ§ŲØŲ¹ Ų­Ų§Ł„Ų§ŲŖ Ų§Ł„Ų­Ł…Ł„ Ų§Ł„Ł…ŲŖŲ¹ŲÆŲÆ Ų§Ł„Ų£Ų¬Ł†ّŲ© Ų¹ŲØŲ± Ų§Ł„Ų³ŁˆŁ†Ų§Ų± ŁˆŲ§Ł„ŲÆŁˆŲØŁ„Ų± ŁˆŁ†Ų“Ų®Ųµ ŁˆŁ†Ų¹Ų§Ł„Ų¬ Ł…Ų“Ų§ŁƒŁ„ Ł…Ų«Ł„ TTTS Łˆ TRAP. Ł†Ų¹Ł…Ł„ Ų¶Ł…Ł† ŁŲ±ŁŠŁ‚ Ł…ŲŖŁƒŲ§Ł…Ł„ Ł…ŲŖŲ¹ŲÆŲÆ Ų§Ł„ŲŖŲ®ŲµŲµŲ§ŲŖ Ł„ŲŖŲ­ŲÆŁŠŲÆ Ł…Ų³Ų§Ų± Ų§Ł„ŁˆŁ„Ų§ŲÆŲ© Ų§Ł„Ų£Ł…Ų«Ł„، ŁˆŲ§Ł„Ł…ŁƒŲ§Ł†، ŁˆŲ§Ł„ŲŖŁˆŁ‚ŁŠŲŖ Ų¹Ł†ŲÆ ŁˆŲ¬ŁˆŲÆ Ų­Ų§Ł„Ų© Ł…Ų±Ų¶ŁŠŲ© Ł„Ł„Ų¬Ł†ŁŠŁ†، Ł„Ų¶Ł…Ų§Ł† Ų³Ł„Ų§Ł…Ų© Ų§Ł„Ų£Ł… ŁˆŲ§Ł„Ų¬Ł†ŁŠŁ†. 

 Q: What types of specialized ultrasound examinations are available in this field?

We provide specialized fetal examinations performed according to the fetal condition and gestational age, including:

• First Trimester Ultrasound to measure NT nuchal translucency and for diagnosis of fetal anomalies at earlier gestational age GA.

• Morphology Scan: which is the detailed ultrasound performed in the second trimester with complementary 3D/4D imaging after the 20th week of gestation, which helps in accurate diagnosis of a number of congenital malformations in the fetus.

• Fetal echocardiography for accurate diagnosis of congenital heart malformations.

• Doppler ultrasound to evaluate blood flow in the maternal and fetal vessels, for diagnosis and monitoring of cases of intrauterine growth restriction IUGR, multifetal pregnancy, and to assess fetal wellbeing in cases of maternal disease (diabetes, hypertension, kidney disease, rheumatoid disease, coagulation disorders, and others).

 

Ų³: Ł…Ų§ Ų£Ł†ŁˆŲ§Ų¹ Ų§Ł„ŁŲ­ŁˆŲµŲ§ŲŖ ŲØŲ§Ł„Ł…ŁˆŲ¬Ų§ŲŖ ŁŁˆŁ‚ Ų§Ł„ŲµŁˆŲŖŁŠŲ© Ų§Ł„Ł…ŲŖŲ®ŲµŲµŲ© ŁŁŠ Ł‡Ų°Ų§ Ų§Ł„Ł…Ų¬Ų§Ł„؟ ŲŖŲŖŁˆŁŲ± Ł„ŲÆŁŠŁ†Ų§ ŁŲ­ŁˆŲµŲ§ŲŖ Ł…ŲŖŲ®ŲµŲµŲ© Ł„Ł„Ų¬Ł†ŁŠŁ† ŲŖŲŖŁ… Ų„Ų¬Ų±Ų§Ų¦Ł‡Ų§ ŁˆŁŁ‚Ų§ Ł„Ų­Ų§Ł„Ų© Ų§Ł„Ų¬Ł†ŁŠŁ† ŁˆŁŲŖŲ±Ų© Ų§Ł„Ų­Ł…Ł„ ŁˆŁ…Ł†Ł‡Ų§ Ų§Ł„ŁŲ­Ųµ Ų§Ł„Ų³ŁˆŁ†Ų§Ų± ŁŁŠ Ų§Ł„Ų«Ł„Ų« Ų§Ł„Ų£ŁˆŁ„ Ł…Ł† Ų§Ł„Ų­Ł…Ł„ Ł„Ł‚ŁŠŲ§Ų³ (First Trimester Ultrasound) Ų§Ł„Ų“ŁŲ§ŁŁŠŲ© Ų§Ł„Ł‚ŁŁˆŁŠŲ© (nuchal translucency) Ų§Ł„Ų³ŁˆŁ†Ų§Ų± Ų§Ł„ŲŖŁŲµŁŠŁ„ŁŠ ŁŁŠ Ł„ŁŲµŁ„ Ų§Ł„Ų«Ų§Ł†ŁŠ Ł…Ł† Ų§Ł„Ų­Ł…Ł„ ŁˆŲ§Ł„Ų«Ł„Ų§Ų«ŁŠ ŁˆŲ§Ł„Ų±ŲØŲ§Ų¹ŁŠ Ų§Ł„Ų§ŲØŲ¹Ų§ŲÆ ŲØŲ¹ŲÆ Ų§Ł„Ų£Ų³ŲØŁˆŲ¹ Ų§Ł„Ł¢Ł  Ł…Ł† Ų¹Ł…Ų± Ų§Ł„Ų­Ł…Ł„، Ų§Ł„Ų°ŁŠ ŁŠŲ³Ų§Ų¹ŲÆ ŁŁŠ ŲŖŲ“Ų®ŁŠŲµ ŲÆŁ‚ŁŠŁ‚ Ł„Ų¹ŲÆŲÆ Ł…Ł† Ų§Ł„ŲŖŲ“ŁˆŁ‡Ų§ŲŖ Ų§Ł„Ų®Ł„Ł‚ŁŠŲ© Ł„ŲÆŁ‰ Ų§Ł„Ų¬Ł†ŁŠŁ† ، Ų§Ł„Ų³ŁˆŁ†Ų§Ų± Ų§Ł„ŲŖŁŲµŁŠŁ„ŁŠ Ł„Ł‚Ł„ŲØ Ų§Ł„Ų¬Ł†ŁŠŁ† Ł„ŲŖŲ“Ų®ŁŠŲµ Ų§Ł„ŲÆŁ‚ŁŠŁ‚ ŁŁŠ Ų§Ł„ŲŖŲ“ŁˆŁ‡Ų§ŲŖ Ų§Ł„Ų®Ł„Ł‚ŁŠŲ© ŁŁŠ Ų§Ł„Ł‚Ł„ŲØ . Ų§Ł„Ų³ŁˆŁ†Ų§Ų± Ų§Ł„Ł…ŲŖŲ®ŲµŲµ ŲØŲ§Ł„ŲÆŁˆŲØŁ„ŁŠŲ± Ų¹ŲØŲ± ŲŖŁ‚ŁŠŁŠŁ… Ų¶Ų® Ų§Ł„ŲÆŁ… ŁŁŠ Ų§Ł„Ų“Ų±Ų§ŁŠŁŠŁ† Ų§Ł„ŲŖŲ§ŲØŲ¹Ų© Ł„Ł„Ų¬Ł†ŁŠŁ† ŁˆŲ§Ł„Ų§Ł… ŁˆŲ°Ł„Łƒ Ł„ŲŖŲ“Ų®ŁŠŲµ ŁˆŁ…ŲŖŲ§ŲØŲ¹Ų© Ų­Ų§Ł„Ų§ŲŖ Ł†Ł‚Ųµ Ų§Ł„Ł†Ł…Łˆ Ł„ŲÆŁ‰ Ų§Ł„Ų¬Ł†ŁŠŁ† ŁˆŲ­Ł…Ł„ Ł…ŲŖŲ¹ŲÆŲÆŲ© Ų§Ł„Ų£Ų¬Ł†Ų©، Ł…Ų±Ų¶ Ų§Ł„Ų³ŁƒŲ±ŁŠ ŁˆŲ§Ł„Ų¶ŲŗŲ· Ų£Ł…Ų±Ų§Ų¶ Ų§Ł„ŁƒŁ„Ł‰ ŁˆŲ§Ł„Ų±ŁˆŁ…Ų§ŲŖŁŠŲ²Ł… ŁˆŲ§Ł…Ų±Ų¶ ŲŖŲ®Ų«Ų± Ų§Ł„ŲÆŁ… ŲŗŁŠŲ±Ł‡Ų§..).