Fetal Care Clinic

Referral Criteria

Obstetrics and Gynecology Clinics– Mezzanine Floor

Referrals are welcomed for cases requiring specialized expertise in fetal and neonatal medicine, including the following:

Pregnant women with significant medical conditions that may affect fetal health, including:

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• Uncontrolled diabetes or gestational diabetes and its fetal complications
• Chronic or pregnancy-related hypertension
• Autoimmune diseases such as systemic lupus erythematosus or antiphospholipid syndrome
• Thyroid disorders affecting fetal development
• Maternal infections that may impact the fetus, such as TORCH infections or HIV
• Exposure to teratogenic agents during pregnancy

Cases with an unfavorable obstetric history, including:

• Recurrent pregnancy loss (three or more miscarriages)
• Intrauterine fetal demise
• Previous preterm birth related to fetal complications

2. Fetal-Related Factors

Cases involving suspected or confirmed fetal abnormalities identified through prenatal imaging, including:

• Structural anomalies such as congenital heart defects, neural tube defects, or skeletal dysplasia
• Fetal growth disorders such as intrauterine growth restriction (IUGR)
• Congenital infections or signs of fetal hydrops

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Genetic or chromosomal concerns, including:

• Positive non-invasive prenatal testing (NIPT) results
• Suspected or confirmed chromosomal abnormalities such as Trisomy 21, 18, or 13
• Previous pregnancies affected by confirmed genetic conditions

Complex multiple pregnancies, including:

• Twin-to-Twin Transfusion Syndrome (TTTS)
• Selective fetal growth restriction
• Discordant fetal anomalies

3. Familial and Genetic Risk Factors

Cases involving:

• Family history of genetic disorders
• Parents who are carriers of known genetic conditions such as sickle cell disease or thalassemia
• Previous child with a congenital anomaly or genetic disorder

Cases requiring multidisciplinary coordination, including:

• Genetic counseling and prenatal testing
• Pediatric neurology or neurosurgery consultations for central nervous system anomalies
• Pediatric cardiology evaluation for congenital heart disease
• Perinatal palliative care planning for severe or life-limiting conditions

Multidisciplinary Collaboration

The clinic works closely with several pediatric subspecialties, including:

• Pediatric Cardiology
• Pediatric Nephrology
• Pediatric Surgery
• Medical Genetics and Metabolic Disorders

This collaborative approach ensures comprehensive evaluation, coordinated care planning, and the best possible outcomes for both mother and baby.