Fetal Medicine specialists are focused on early detection of anomalies as well as screening for different conditions.
This enables early disease prevention and treatment. When we detect various abnormalities of the fetus, we determine with what other structural and genetic anomalies we can link it to, reject or confirm, create a plan of action, give a prognosis of the outcome of the pregnancy.
Obstetricians and gynecologists, Fetal Medicine specialists work in close collaboration with specialists in Fetal Surgery, Genetics, Pediatric Surgery, Pediatric Cardiology, Pediatric Neurology, Pediatric Urology and Nephrology, Neonatology, Plastic Surgery and others to be able to consult and treat their patients with the highest quality.
The whole process of comprehensive pregnancy tracking usually begins between 11-14 week of gestation (WOG), but may be earlier, and ends with the delivery.
The main examinations are carried out in 11-14 WOG, 20-22 WOG, and 36 WOG. At week 11-14 the exact term of pregnancy and the estimated date of delivery are determined, the fetus is measured, early fetal morphology is performed, and several screening tests are made, including Down’s Syndrome Screening.
In 20-22 WOG, all organs and systems of the fetus are examined with great care to determine its proper development and growth.
In 36 WOG, it is important to determine the presenting part, the position of the placenta, the growth and the blood supply of the fetus, and the amniotic fluid, which are a marker of its health condition in the womb.
During these examinations, the following are also carried out:
- Screening for chromosomal and genetic abnormalities and structural (anatomical) defects - reading outcomes, explaining alternatives, diagnosing, tracking, treatment, advice on current and future pregnancies, giving detailed information
- Screening for complications of pregnancy - premature birth, preeclampsia, diabetes during pregnancy, and others; early disease prevention, follow-up, treatment and counseling
- Making consultations with a multidisciplinary team - neonatologist, child cardiologist, child nephrologist, child neurologist, child surgeon, geneticist, psychologist and others.
- Performing diagnostic and therapeutic invasive procedures – chorionic villus sampling, amniocentesis, embryo reduction, foeticide
Fetal Medicine training takes place in several places around the world.
The largest center is located in London, the Fetal Medicine Research Institute, under the guidance of the doyen of this specialty in the world, Professor Nicolaides. Professor Nicolaides has dedicated his life to this science; he is the leading scientist who conducts numerous studies annually with his graduates. You can learn more about studies, training, and find out who certified professionals are at https://fetalmedicine.org/.
I, Dr. Boris Stoilov, have undergone the full Fetal Medicine training and I am a graduate specialist, namely under the guidance of Professor Nicolaides and his team of consultants.