Services offered at our office are requested by your obstetrician.
A Targeted or Level II ultrasound involves a very detailed examination of your baby. We utilize state-of-the-art equipment which incorporates the latest technology in order to obtain the highest quality image.
We also offer elective 3D/4D ultrasounds.
Prenatal Diagnosis and Screening
We offer testing and screening for genetic conditions. These include:
- First Trimester Nuchal Translucency Screening - This screening test entails measuring the fluid space behind the baby's neck. We then obtain a small sample of the mother's blood by pricking the finger in order to determine the level of special proteins.The nuchal translucency measurement and the protein levels are combined to determine the baby's possibility for chromosomal abnormalities including Downs syndrome. This screening test is available to all pregnant women.
- Genetic Sonography - The genetic sonogram is performed during the second trimester of pregnancy between the 15th and 24th week of gestation. During the sonogram, we look for 'soft signs' or 'markers' which are variations in normal fetal anatomy. Based upon the presence or absence of these 'marker' we can estimate the possibility of Downs syndrome and other chromosomal abnormalities.
- Genetic Chorionic Villus Sampling - This is a diagnostic test done in early pregnancy which will determine chromosomal or genetic disorders in the baby. The chorionic villus sample can be collected by putting a thin flexible tube (catheter) through the vagina and cervix into the placenta. The sample can also be collected through a long, thin needle put through the belly into the placenta. Ultrasound is used to guide the catheter or needle into the correct spot for collecting the sample.
- Genetic Amniocentesis - This is the diagnostic test which will tell us the baby's chromosome profile. An amniocentesis is a procedure in which a thin needle is inserted through the abdomen into the uterus under ultrasound guidance. A small amount of amniotic fluid is collected. The amniotic fluid contains some of the baby's skin cells which are used to determine the baby's chromosomes.
- PUBS (Percutaneous Umbilical Blood Sampling) - Under ultrasound guidance, a small sampling of fetal blood is obtained from the umbilical cord in order to rapidly determine the baby's chromosome profile. This test is rarely indicated.
- Fetal Lung Maturity Testing - This test is performed when it may be preferable to deliver a baby before the due date. This procedure involves performing an amniocentesis in order to obtain amniotic fluid. The amniotic fluid is analyzed in order to determine if the baby's lungs are mature.
Genetic counseling is recommended to women who will be offered most of the above services. The Genetic Counselor will obtain an extensive family history and discuss the possibility of Downs syndrome and other genetic considerations. It is important to know that having genetic counseling does not mean that you should have a genetic amniocentesis. The purpose of genetic counseling is to provide the patient with a more thorough understanding of issues related to your pregnancy. Women commonly referred for genetic counseling include those who will be 35 years of age or older at the time of delivery, women who have an abnormal serum screen (Quad test), or who have a family history of a genetic disease or birth defect.
Our physicians offer the following non-invasive tests to assess the baby's well-being at different stages during pregnancy:
- Biophysical Profile - a test typically performed during the third trimester that assesses the baby's well-being. Components of this test include determining the amount of fluid around the baby, evaluating fetal movement which includes limb flexion and the motion of fetal breathing.
- Doppler Flow Analysis - a type of ultrasound that uses sound waves to measure the flow of blood in the umbilical artery, fetal brain and heart.
- Non-Stress Testing - a type of test typically performed in the third trimester that monitors the pattern of the baby's heart beat.
The practice offers many programs that aide in the management of pregnancy. Each program is customized for each patient.
- Diabetes Management
- Chronic Hypertension
- Multiple Gestation
- Recurrent Pregnancy Loss
- Antiphospholipid Antibody Syndrome
Our physicians provide outpatient and inpatient consultation regarding conditions that may impact your pregnancy. This includes those who are considering a future pregnancy.
- Recurrent Pregnancy Loss
- Preterm Labor
- Preterm Rupture of Membranes
- History of preterm delivery
- Multiple Gestation
- Thyroid Disease