About Fetal Medicine

Fetal medicine can be defined as new age medical intervention science that helps in the detection of birth defects in the fetus. This field of science provides the detection of most abnormalities in the baby before it is born. Fetal medicine also aids in the prenatal management and the diagnosis of the defect through surgery, delivery and care post birth (multidisciplinary team approach). This new age medical field is able to empower the expecting parents and the doctors of what lie ahead. Based on the detection the parents now have the choice of managing most fetal defects intrauterine. This procedure helps them save their bundle of joy and enjoy the blissful experience of motherhood. Paras Bliss has a specialised unit that provides a well formulated multidisciplinary approach to treat and detect fetal abnormalities. Paras Bliss’ department of Fetal Medicine in panchkula also plans the pregnancy of the complicated cases along with your obstetricians, neonatologists, paediatric surgeons and cardiologists.

Fetal medicine also includes multi disciplinary approach and support of various other departments to deliver the best care that you need.

At Paras Bliss, Fetal Medicine is further divide into two specialisations.

1.Prenatal Diagnosis and 2. Fetal Treatment

  • Prenatal diagnosis is the ever-improving ability to detect abnormal conditions of the fetus (and to differentiate them from normal fetal development). The most common (and often first) test used for prenatal diagnosis is ultrasound.

Paras Bliss, is the only centre for fetal medicine in Panchkula, and adjoining cities of Chandigarh and Mohali.


Due to the advancements in medicine, we now have numerous methods to screen and detect the abnormalities that may be present in the fetus. The special techniques help parents be aware and manage pregnancies especially when they have a history of life altering genetic diseases. The science also provides options to rectify certain  defects in the womb itself, providing the parents hope and not blindly opting for medical termination

Common diseases for which fetal medicine look out are–Down’s syndrome,other chromosomal abnormalities like Edwards, patau syndrome,Di George syndrome and structural defects like Open Spina Bifida, limb abnormalities,skeletal abnormalities, bladder obstruction etc.

The various options for screening and detection are:


– This is the simplest and the most common detection technique.This helps us to pick up most structural abnormalities and gives a clue for the underlying chromosomal abnormality.

An important marker of the chromosomal abnormality especially Down syndrome is NUCHAL TRANSLUCENCY which with the advancement has been combined with the other markers like NASAL BONE< DUCTUS VENOSUS AND TRICUPID REGURGITATION , to know the risks of you having a Down syndrome baby.(e.g. 1in 50, 1in 10000)

Adding certain blood tests increases the accuracy of the diagnosis of Down syndrome. Depending on the weeks of gestation , they are referred to as DUAL  “quadruple” tests.Triple test is obsolete now a days as its efficacy is no more than flipping a coin

Invasive diagnostic tests

– They require a form of surgical intervention,in the form of insertion of a fine needle into the uterus under ultrasound guidance. The Most commonn invasive tests are: Amniocentesis, Chorion villus sampling,and fetal blood sampling.

In rare cases , fetal MRI is also used as a modality to diagnose defect especially for the fetal brain.

NIPT /NIFTY is a novel SCREENING test with a very high accuracy(99.6%) for Down syndrome without any risk of miscarriage , as it is done by segregating fetal DNA from mother’s blood by an advance technique.


Paras Bliss has a well developed and managed Fetal Medicine unit that is adept to peform a number of fetal medicine management interventions to ensure that your baby gets treated and delivered healthy. The team of specialists can perform a plethora of procedures that can be one at few locations in India

Intrauterine transfusion

– It can be defined as a procedure in which red blood cells from a donor are injected into the umbilical cord(usually) of the fetus. This procedure is required when the fetus is suffering from anemia, which may be caused due to an Rh isoimmunised pregnancy(Rh nehgative mothers and Rh positive fetus with a fetomaternal exchange) or Pavovirus B 19  infection in the mother.

Fetoscopic laser photocoagulation of TTSS

– This is a procedure that is seen 10-15% of the pregnancies with identical twins that end up sharing one placenta. In this case there are abnormally connected  blood vessels connecting the two twins , leading to unequal sharing. One twin ends up supplying blood to the other, due to which there is excess of blood in one twin to  leading tomore urine, enlarged bladder and subsequent heart failure. TTTS is often found in second trimester routine ultrasound scans. Fetoscopic laser photocoagulation is a minimally invasive surgical procedure used to treat most cases(depending upon the severity/staging) of TTTS. It uses  a small camera (fetoscope) to locate abnormal blood vessel connections in the placenta and Seal them using laser energy.

Radio frequency ablation/Cord coagulation for single twin anomaly – A highly selective fetal intervention where out of concern for the coexisting twin’s health or life, blood flow to the affected twin is interrupted using radio frequency waves or bipolar energy. A clinical example of this procedure being used is a TRAP sequence, where the life of the pump twin is in imminent danger or a discordant anomalous twin pregnancy(one twin anomalous).

Fetal shunt placement-

An ultrasound-guided fetal intervention where a tube (shunt) is placed in the the bladder to and other end  in the amniotic cavity, leading to drainage of the blocked urine.

Amniotic band resection

– Amniotic bands that are constricting the umbilical cord or the extremities and threaten amputation may be divided. With a combination of ultrasound guidance and fetoscopy (a tube with a camera at the tip inserted into the uterus), the bands can be identified and divided with surgical instruments or laser.

Selective Embryo Reduction

– In case of higher order multiple pregnancy, it is advisable to reduce the number of fetuses to two in order to minimize risks of multiple pregnancy both to the mother as well to the fetuses.

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The common reasons are: twin /triplet pregnancy, high risk for down syndrome on dual/triple/quadruple test, recurrent miscarriages, baby not growing properly, previous affected child or suspicious of birth defects.

They usually do it with the help of ultrasound, blood tests, Fetal MRI's. In some cases they might do a needle test like amniocentesis or CVS to take samples of the amniotic fluid/placenta so as to study the baby's chromosomes or know the infection status.

All the pregnant women should see a Fetal Medicine expert irrespective of the normalcy. This will avoid misinterpretation and mis-diagnosis of various conditions of pregnancy. Those with any pregnancy problems abnormalities or fetal growth problems mandate to seek an expert advise from a Fetal Medicine expert.

Ideally, a Fetal Medicine Expert is who has completed a fellowship and has certificates of competence from Fetal Medicine Foundation or an equivalent body. These experts are primarily motivated to minimize the risks to your baby before it is born. They are gynaecologists who have done an advanced degree in screening for fetal defects.

One may argue that birthing is since ages of Adam and Eve, then why do we need a special branch now? The specialised medical discipline- Fetal Medicine is an endeavour to bring a healthy baby to you, diagnosing the abnormalities-structural, chromosomal or growth, before it is born and perhaps treating the fetus in the womb through different medical techniques. The idea behind this is to have a paradigm shift to the management BEFORE the baby is born rather after.

It is a specialised branch of obstetrics, which includes assessing and maintaining the health of the fetus(baby inside the womb),diagnosing illnesses/abnormalities and treating them if possible before the baby is born. Fetal Medicine can be arbitrarily divided into prenatal diagnosis and fetal treatment (fetal surgeries).


  • Mrs. Sapna

    Has excellent experience and home like stay. Very cooperative staff nurses. Everyone including doctors, sisters & housekeeping staff provides their precious services. Unforgettable moments of my life. Special thanks to Dr. Ruchi, Dr. Sonia, Kritika, Rekha, Pooja & Monica. Thanks for giving Gem of my life.

    Mrs. Sapna

  • Mrs. Nisha Rathore

    I am very impressed with all the facilities given by the hospital. All the doctors, nursing staff and housekeeping is also good. I would recommend this to my other family members.

    Mrs. Nisha Rathore

  • Mrs. Divya Kaushal

    Overall I am pleased with the services. Appreciate the efforts and dedication of overall staff. Would like to highlight certain names below for their exceptional services towards the patient, relatives and the infant.

    • Shrishti
    • Rajni Thakur
    • Mridula
    • All housekeeping staff
    Mrs. Divya Kaushal

  • Mrs. Vandhna

    Hospital administrator and staff is very good. My experience with Miss Rajni and Ms. Monica is very satisfied. They both take care of me in good manner.

    Mrs. Vandhna

  • Mrs. Shally S. Kumar

    Nurses and staff is very co-operative and adjustable and caring. Doctors are very caring and concerned and track patients with all smiles. Overall experience is awesome and very good.

    Mrs. Shally S. Kumar

  • Dhyana Rathod

    I am very much happy with all services you provided. All staff members are very much supportive. We like their kind behaviour. Thank you to all of you for your kind service.

    Dhyana Rathod

  • Mrs Nicky Sandhu

    Just wanna say, big thanks to each and everyone, doctors and their staff. Brought my baby here in a worse condition, but they made us feel so comfortable and such a polite behavior. Treated the kid, like their own child. Thanks each and everyone.

    Mrs Nicky Sandhu


    Over all experience in the hospital before, during and after delivery was great. Staff has cooperated very well. Right from nurses to housekeeping behaviour was great and they treated the mother and child like family. Last but not least infact above all “hat’s off to Dr. Shilva” and special thanks to Dr. Krishan and all doctors involved in the process.


  • Dr Beena Singh & Dr. Awnindra Singh

    Dear Team Paras Bliss, We don’t have words to express our gratitude but thanks a ton for making one of the most precious moments of our lives so beautiful and memorable.

    -Lots of love, Dr. Awnindra, Dr Beena and Omisha”

    Dr Beena Singh & Dr. Awnindra Singh

  • Ms. Inderjeet Kaur

    Dear Team Paras Bliss, Thank you for a blissful experience. God Bless.

    -Inderjeet, Gaganpreet and Ranbir”

    Ms. Inderjeet Kaur

  • Ms Neha Jain

    Thanks to Paras Bliss, Panchkula for giving us excellent services. Special Thanks to Dr. Shilva for special care and personal focus. At last Thanks to all nurses staff, housekeeping, canteen services persons and all who were involved directly or indirectly to support us.

    Ms Neha Jain

  • Ms. Samreen & Mr. Mohammad Arshad

    Neat and clean hospital with satisfactory treatment for my patient and baby. I really appreciate team of doctors, anesthetists, support teams and other related people for tackling critical case of my wife. Highly recommended if you are looking for better and high quality services for your baby and wife.

    Ms. Samreen & Mr. Mohammad Arshad

  • Monika Kesar

    Experience with everyone in the hospital was awesome. I want to convey my best wishes and thanks to everyone involved (Staff), for making it a lifetime experience. Having a baby itself is an experience for life but, the kind of support and care I got from hospital was exceptional!

    Monika Kesar

  • Mr. Vimal Bhola

    My baby was a low weight & needed special attention so baby was brought to Paras Bliss Hospital under the care of Dr. Krishan Yadav and from the day I felt comfortable to leave the baby in hospital under his care. Initially my family members worried about the baby but very happy to see the care given to baby during his stay at Paras Bliss Hospital.

    Mr. Vimal Bhola

  • Ms Vidhu & Mr. Sumeet

    Hospital is clean and staff behaviour is excellent. Nursing staff is highly cooperative. Doctors , Hospital Facilities in the hospital are exceptional.

    Ms Vidhu & Mr. Sumeet

  • Ms Kunta Devi & Mr.Rinku

    Facilities in the hospital are really good. The hospital had excellent cleanliness. We are grateful to the doctors and staff for the constant support and information given to us time to time. This hospital has fulfilled our expectations to the fullest.

    Ms Kunta Devi & Mr.Rinku

  • Ambika and Madhur

    “We are really happy with the care we have received. It was just a home away from home.”

    Thank you PARAS for such an exceptional experience and genuine care!

    Ambika and Madhur

  • Ms Shweta Gaur & Mr. Sandeep Sharma

    I came here in an emergency. The hospital staff was quiet helpful. All the nurses especially Ms. Ritu, (OT nurse) helped me to settle down. Everything went fine. I am totally satisfied by the services. Glad I choose Paras Bliss. Thanks for the help and support.

    Ms Shweta Gaur & Mr. Sandeep Sharma

  • MS. Charu Sethi & Mr. Kunal Sethi

    We were fortunate to have our baby delivered at Paras Bliss, Gurgaon. The entire process was seamless and we met with thorough professionals, who tend to us with utmost warmth and care. The staff went out of the way to make our stay comfortable. The staff was methodical in the approach and I wish them good luck for future.

    MS. Charu Sethi & Mr. Kunal Sethi

  • Dr. Jasmeet Babbar & Dr. Gaurish Babbar – Dr. Shilva

    Really nice & favourable environment in this wonderful institute. The best guidance was provided to me by the labour room staff. The training given during the antenatal class also proved to be of great help. Thanks to all.

    Dr. Jasmeet Babbar & Dr. Gaurish Babbar – Dr. Shilva

  • Ms. Suneeta Kashyap & Mr. Anil Kumar – Dr. Shilva

    My experience with Paras Bliss is fabulous. Everything is so perfect and excellent. The entire staff is so supportive. Doctors are really excellent here. I would like to recommend Paras Bliss to everyone.

    Ms. Suneeta Kashyap & Mr. Anil Kumar – Dr. Shilva

  • Ms. Pooja Sarsar & Mr. Naveen Kumar

    Paras Bliss made my journey of motherhood a joyful. I appreciate the care and concern showed by doctors and nurses. I really treasure the overall services that are provided by hospital that has made my experience wonderful.

    Ms. Pooja Sarsar & Mr. Naveen Kumar

  • Mrs. Pooja Rai

    We like the facility given by the Paras Bliss Hospital and I like all the staff so much but one of the best staff member who was very supporting and very hard working as per my point of view is Vandana as she is very caring lady.

    Mrs. Pooja Rai

  • Tek Chand

    Doctors and staff are very cooperative and helpful

    Tek Chand

  • Vineet Gupta

    Outstanding services and hospitality. Dr Manoj Sharma has given a very good medical reference and treatment . We are very satisfied with overall performance.

    Vineet Gupta

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