Fetal Interventions

Fetal Interventions Specialist

Advanced technology is making it possible to diagnose problems like congenital heart defects at a very early stage of pregnancy. Violetta Lozovyy, MD, a maternal-fetal medicine specialist, can diagnose a comprehensive range of conditions, allowing you the opportunity to undergo fetal interventions that improve your baby’s chances of being healthy when they’re born. Call High Risk Pregnancy Doctors today to find out more.

Fetal Interventions Q & A

What are fetal interventions?

Fetal interventions are procedures where a specialized team carries out essential surgery on your baby before it’s born.

Genetic testing and the use of diagnostic imaging technologies like first-trimester fetal echocardiography enable High Risk Pregnancy Doctors to detect problems with a fetus from a very early stage.

In most cases, it’s possible to treat these problems without surgery, but some require fetal intervention. If the investigations High Risk Pregnancy Doctors carries out to uncover any of these issues, you will be able to receive an appropriate consultation from the Fetal Intervention team for potential treatment.

What conditions require fetal interventions?

The types of conditions that typically require fetal interventions include:

  • Aortic stenosis
  • Congenital heart disease (CHD)
  • Hypoplastic left heart syndrome (HLHS)
  • Amniotic band syndrome
  • Bronchopulmonary sequestration of the lung
  • Congenital diaphragmatic hernia (CDH)
  • Lower urinary tract obstruction (LUTO)
  • Mediastinal and sacrococcygeal teratomas
  • Spina bifida (myelomeningocele)
  • Twin anemia-polycythemia sequence (TAPS)
  • Twin to Twin Transfusion Syndrome (TTTS)
  • Congenital cystic adenomatoid malformation (CCAM) of the lung

If conditions like these are detected, your doctor discusses the effects of these conditions on your baby and how it can be addressed.

Fetal interventions aim to prevent the condition from worsening as the fetus develops, which could result in a more serious health problem or disability. However, as any procedure that involves your unborn fetus must also involve you as the mother, your health and well-being are critical to the decision-making process.

How are fetal interventions carried out?

There are several approaches to carrying out fetal interventions:

Open fetal surgery

Open fetal surgery is a procedure that’s similar to having a cesarean section, except it doesn’t involve the delivery of the baby. It’s a major operation that requires a large incision in your lower abdomen to provide access to your uterus.

Fetendo fetal surgery

Fetendo fetal surgery is a less invasive option than open fetal surgery. It involves using small, flexible tubes called endoscopes that the surgeon inserts into several much smaller incisions in your skin or abdomen.

Endoscopes have a tiny camera and light on one end that sends back images of the surgery site to a monitor in the operating room. They also use ultrasound images that display a cross-sectional view of the fetus to provide the optimal view.

The surgeon uses the images to carry out the necessary fetal interventions without needing to make any large incisions. Fetendo fetal surgery causes significantly less tissue damage than open fetal surgery, so your recovery will be faster and less painful.

FIGS-IT (fetal image-guided surgery for intervention or therapy)

FIGS-IT is a way of treating the fetus without needing to make an incision in your uterus or insert an endoscope. Instead, the surgeon uses ultrasound technology only to guide the surgical instruments.

If you’re concerned about preventing problems for your baby after the birth, call High Risk Pregnancy Doctors today or book an appointment online.

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