1. Detailed ultrasound scans by Specialist Fetal Medicine doctors to examine the baby in the womb
· When a Fetal abnormality is suspected/detected at ultrasound scan at any gestation.
· Where there is a previous history of fetal anomaly, chromosome or genetic conditions
· Where a pregnancy is affected by or at risk from maternal Rhesus disease or high/rising antibody titres.
· Where there are complications of multiple pregnancy.
· MCDA twins and higher order multiple pregnancy i.e. triplets.
· Pregnancy complicated by fetal infection
· Pregnancy complicated by genetic abnormality with possible recurrence.
· Anhydramnios or Oligohydramnios (< 24 weeks gestation)
· SGA fetus at second trimester anomaly ultrasound scan or abnormal Doppler’s at < 32 weeks of pregnancy.
2. Liaison with all relevant Paediatric specialties (e.g. neonatologists, neurologists, nephrologists and specialist nurses).
3. Referral to tertiary Fetal Medicine Units may be necessary for some ladies to seek a second opinion and review.
- Tertiary units include St Michaels Hospital in Bristol and University Hospital of Wales in Cardiff.
4. A Point of contact by midwives to provide ongoing advice and support.