Fetal Medicine NEPAL

02/06/2026

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24/04/2026

Experience the Future of Fetal Medicine Today! ✨

Expecting a miracle? 🤰💖 At Subha Ultrasound and Fetal Medicine Clinic, we bring you the pinnacle of prenatal care with our state-of-the-art VOLUSON S10 Expert ultrasound system – backed by the expertise of our Senior Fetal Medicine Consultant.

🔬 Why VOLUSON S10 Expert?

Exceptional 2D/3D/4D image clarity for detailed fetal anatomy evaluation

Advanced tools for early anomaly detection & growth assessment

Enhanced realistic 3D images of your baby’s face, fingers & movements

Low mechanical index for maximum safety

👩‍⚕️ Led by an Expert Fetal Medicine Consultant
Our specialist interprets every scan with precision, offering evidence-based guidance, high-risk pregnancy management, and compassionate counseling – so you can cherish every step of your journey with confidence.

🎯 Services include:

Early viability & dating scans

Anomaly scans (Level II / TIFFA)

Fetal echocardiography

Doppler studies & growth scans

High-risk pregnancy monitoring

📍 Visit Subha Ultrasound and Fetal Medicine Clinic – Where cutting-edge technology meets compassionate expertise.

📞 Call/WhatsApp: 984-1502647
📅 Book your appointment today!

Because your baby’s health deserves the best.

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19/04/2026

01/03/2026

Understanding Your Rh Negative Pregnancy

A Guide for Care from Your Fetal Medicine Team

At SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC, we are committed to providing you with the highest standard of care. If you have been told you have an Rh negative blood type, this brochure will help you understand what that means for your pregnancy and how we can work together, using the most advanced guidelines, to ensure the best possible outcome for you and your baby.

What Does Rh Negative Mean?
Your blood type includes a protein called the Rh factor. Most people are Rh positive, meaning they have this protein. If you do not have it, you are Rh negative. This is a common variation and does not affect your general health.

Why Does This Matter During Pregnancy?
The father of the baby may be Rh positive. If your baby inherits the Rh positive factor, it is called Rh incompatibility.

During pregnancy or birth, a small amount of the baby's Rh-positive blood could mix with your Rh-negative blood. Your body might see the baby's Rh protein as a "foreign" substance and produce antibodies to attack it. This is called sensitization.

In this pregnancy, sensitization usually does not harm the baby. However, the antibodies your body creates can stay with you. In a future pregnancy with another Rh-positive baby, these antibodies could cross the placenta and attack the baby's red blood cells, leading to anemia (low red blood cell count) or more serious conditions.

The good news is that this is almost entirely preventable.

How We Prevent Sensitization
We follow strict international guidelines (including WHO, ACOG, and FMF) to protect your pregnancy. The key is a medication called Rho(D) Immune Globulin, often referred to as "Anti-D."

This acts as a "bodyguard," clearing any of the baby's Rh-positive cells from your bloodstream before your immune system can react to them.

You will receive Rho(D) Immune Globulin at specific times:

1. Routine Antenatal Prophylaxis
Around the 28th week of pregnancy, we will give you an injection of Rho(D) immune globulin. This covers you for any small, undetected bleeds that can occur in the third trimester.

2. After Potential Sensitizing Events
You may need an additional dose of Rho(D) immune globulin any time there is a risk of your blood mixing with the baby's. This includes:
- Invasive procedures: such as amniocentesis or chorionic villus sampling (CVS).
- Bleeding: any vaginal bleeding during pregnancy.
- Abdominal trauma: such as a fall or car accident.
- External Cephalic Version (ECV): if your doctor needs to manually turn a breech baby.
- Pregnancy loss: miscarriage or termination at any stage.

3. After Birth
Immediately after your baby is born, we will test their blood type. If your baby is confirmed to be Rh positive, you will receive another dose of Rho(D) immune globulin, ideally within 72 hours of delivery .

Advanced Fetal Monitoring: MCA PSV Doppler
For patients who have already developed antibodies (are sensitized), or in certain high-risk situations, we utilize a specialized, non-invasive ultrasound technique called Middle Cerebral Artery Peak Systolic Velocity (MCA PSV) Doppler.

This advanced tool measures the speed of blood flow in the fetal brain. As outlined in SMFM (Society for Maternal-Fetal Medicine) guidelines, if a baby becomes anemic, the blood flows faster to compensate. By measuring this speed, we can accurately detect anemia without the need for invasive procedures like amniocentesis or cordocentesis.

What MCA PSV Monitoring Means for You:
- It is the Gold Standard: MCA PSV is now the primary technique recommended by experts to detect fetal anemia. It has replaced older, more invasive methods.
- Early and Safe Detection: If monitoring shows that the MCA PSV rises above 1.5 times the median (1.5 MoM) for your gestational age, it is a strong indicator of moderate or severe anemia.
- Guiding Treatment: This information allows our fetal medicine specialists to act immediately. A result above this threshold typically indicates the need for a fetal blood sampling and intrauterine transfusion (IUT) to correct the anemia.
- Monitoring After Transfusion: For babies who require one transfusion, MCA PSV is also used to determine the optimal timing for any subsequent transfusions. Studies show that using MCA PSV has led to better outcomes, including a reduction in fetal hydrops and improved survival rates.

Your Personalized Care Plan
As a Fetal Medicine Clinic, we create an individualized plan for you, which may include:

- Initial & Ongoing Antibody Screening: Your blood will be checked at your first visit and regularly throughout pregnancy to detect if any antibodies have developed.
- Fetal DNA Testing: In some cases, we can use a simple maternal blood test to determine the baby's blood type (Rh status) early in pregnancy. If the baby is found to be Rh negative like you, no further treatment is needed.
- MCA PSV Surveillance: If antibodies are present, you will undergo regular, scheduled MCA PSV Doppler scans (often weekly) to continuously monitor the baby's wellbeing .
- Kleihauer-Betke Test: After a significant bleed or trauma, this test measures the volume of fetal blood in your system to ensure we give you the precise dose of Rho(D) immune globulin needed for full protection .

Your Partner in Care
Having an Rh negative pregnancy is very common, and with modern medicine and advanced monitoring like MCA PSV, it poses very little risk to you or your baby when managed correctly. Our team is here to support you every step of the way.

Please always feel free to ask questions about your care plan.

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Contact Us & Schedule Your Appointment

SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC
https://maps.app.goo.gl/LdHC8iafVzGfP5DM6
9841502647, 9851035933
https://www.facebook.com/DrBidariSumit
[email protected]

29/01/2026

SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC

Fetal Echocardiography
A Window to Your Baby's Heart
Specialized Care for Your Baby’s Health, Before Birth

What is a Fetal Echocardiogram?
A fetal echocardiogram ("fetal echo") is a specialized, detailed ultrasound scan that focuses solely on your baby’s developing heart. It is not a routine scan, but a targeted examination performed by our expert fetal medicine specialists and cardiologists.
It allows us to evaluate:
The structure of the heart's chambers, valves, and major vessels.
The function and strength of the heart's pumping.
The heart rhythm and rate.
The blood flow through the heart.
Think of it as a comprehensive, non-invasive "blueprint" of your baby's cardiovascular system.

Why is it Important?
While most babies are born with healthy hearts, congenital heart disease (CHD) is the most common type of birth defect. A fetal echocardiogram is the gold-standard tool for detecting most significant heart conditions before birth.
Early detection means:
Informed Planning: You have time to understand the diagnosis, ask questions, and meet with a pediatric cardiologist and cardiac surgeon.
Coordinated Care: We can create a personalized birth plan to ensure your baby is delivered at the right place, with the right team ready.
Better Outcomes: For many conditions, prenatal diagnosis leads to immediate, life-saving care after delivery and improved long-term health.

When is it Recommended?
Your doctor may recommend this detailed scan if there is a reason to look more closely at the baby's heart. Common indications include:
For You (Maternal Factors):
Diabetes (Type 1, Type 2, or poorly controlled)
Autoimmune diseases (e.g., Lupus)
Certain medications or infections during pregnancy
Pregnancy via IVF/ICSI
For Your Baby (Fetal Factors):
Suspected heart issue on your routine ultrasound
Increased nuchal translucency (NT) in first trimester
Other organ system abnormalities found
Irregular heart rhythm detected
Twins, especially identical (monochorionic) twins
For Your Family (Genetic/Familial Factors):
A previous child or parent with a heart defect
A family history of genetic syndromes linked to heart conditions

If you have concerns, please discuss with your doctor to see if a fetal echo is right for you.

What to Expect During Your Scan
Timing: The scan is best performed between 18 and 24 weeks of pregnancy, when the heart is developed enough for clear imaging.
The Procedure:
1. Duration: The scan typically takes 30-45 minutes.
2. Process: Much like your anatomy scan, you will lie comfortably. Our specialist will apply gel and use an ultrasound transducer on your abdomen. We use advanced Doppler and 3D/4D technology to obtain the best images.
3. Comfort: The procedure is safe and painless for both you and your baby.
4. Results: In most cases, our specialist will discuss the findings with you immediately after the scan. If a detailed pediatric cardiology opinion is needed, we will coordinate that for you.

After the Scan:
Normal Result: This is highly reassuring. You can continue your prenatal care with the peace of mind that a major structural heart issue has been ruled out.
If a Finding is Detected: Do not panic. Our team will guide you through the next steps with compassion. We connect you with a full multi-disciplinary team—including genetic counselors, neonatologists, and pediatric cardiologists—to ensure a seamless plan for your baby’s care from pregnancy through delivery and beyond.

Our Expertise at Subha Ultrasound and Fetal Medicine Clinic
At our clinic, you are in expert hands. Our dedicated team includes:
Fetal Medicine Consultants accredited in advanced obstetric ultrasound.
Collaborating Pediatric Cardiologists with specialization in fetal heart disease.
Genetic Counselors to discuss any associated findings.
Coordinated Care Managers to plan for delivery and postnatal care.
We provide a compassionate, one-stop clinic where advanced technology meets personalized, supportive care.

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Frequently Asked Questions

Q: Is the scan safe for my baby?
A: Yes. It uses ultrasound waves, the same safe technology as your regular prenatal scans. No radiation is involved.

Q: Does a normal fetal echo guarantee a perfect heart at birth?
A: While it is the most detailed prenatal heart assessment, it cannot detect every possible condition (e.g., very small holes may close on their own). It rules out the vast majority of significant structural defects.

Q: What if an abnormality is found?
A: You will not be alone. We will explain everything clearly, connect you with the specialists your baby will need, and create a comprehensive management plan tailored to your family.

Contact Us & Schedule Your Appointment
SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC
https://maps.app.goo.gl/LdHC8iafVzGfP5DM6
9841502647, 9851035933
https://www.facebook.com/DrBidariSumit
[email protected]

A referral from your obstetrician is appreciated. Please bring your prior ultrasound reports.

Your journey to parenthood is precious. We are here to provide clarity, support, and expert care every step of the way.

SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC
Since 1990AD

1. Fetal Ultrasound
NT/NB, Early Anomaly, Anomaly, Fetal Echo, Fetal Neurosonography, Growth, Fetal Doppler studies.

2. Fetal Medicine
CVS, Amniocentesis, Reduction, Intra-uterine transfusion.

25/01/2026

OUR ADDRESS: https://maps.app.goo.gl/C4QSXLrjGKTTDvMH6