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Understanding the workings of a High-Risk Pregnancy Clinic

High-Risk Pregnancy (HRP) is a condition during pregnancy that threatens the health and life of the mother and/or the unborn foetus that needs special care, follow up and management. There is an increased incidence of HRP due to Obesity, PCOS, Advanced maternal age, Infertility/Artificial Reproductive Techniques, Medical disorders and Multiple pregnancies.
The High-Risk Pregnancy Clinic aims to provide education, surveillance and management of pregnancies at risk.

Multidisciplinary Team (MDT) approach isfollowed, involving theConsultant Obstetrician, HRP Clinic Coordinator, Pediatricians, Neonatologist, Radiologist, Fetal Medicine Consultant and other specialists like Physician, Endocrinologist, Cardiologist, Hematologist, Nephrologist, Rheumatologist, Gastroenterologist etc. according to the individual case scenario. It involves all specialists under one roof consulting as a team.

The multidisciplinary team approach has emerged as a way of providing comprehensive medical care by bringing together professionals from a wide range of disciplines in a coordinated and effective manner to improve maternal and neonatal outcomes.

High Risk Pregnancy Clinic Services include Genetic counselling, Pre-conceptional counselling, Prenatal screening and diagnosis with facilities which include biochemical marker screening like double marker, enhanced first trimester screening, quadruple marker test, NIPT; advanced ultrasound for the detection of fetal anomalies like NT scan and a detailed malformation scan, fetal 2D Echo whenever required; advanced procedures like chorionic villous sampling, selective fetal reduction, amniocentesis, fetal blood sampling, intrauterine transfusion in cases of Rh isoimmunisation, fetal therapy; other special investigations like karyotype and microarray for products of conception etc., Regular follow up with obstetrician in OPD, Extensive antepartum and intrapartum fetal surveillance, State of the art LDRP suites with hydrotherapy, Labour Room and well equipped Operation Theatre, Labour analgesia by the anaesthetists, Blood bank facility in case of obstetric emergencies and NICU with advanced neonatal care managed by neonatologist.

To improve our maternal and fetal outcomes in the High-Risk Pregnancy Clinic, we follow Protocols with the use of tools like Diet charts/ hand-outs for patients and best practice evidence based protocols. We improve outcomes by following Standard Operating procedures, Clinical Pathway, Multidisciplinary Team approach, Training the students and staff adequately, Safety checklist, Complete documentation, Ensure continuity of care after discharge, Simulation programs, Continuing Medical Education (CMEs) and Clinical Audit. We have many success stories to date and wish to continue the good work and aim to optimise our maternal and fetal outcomes!

Dr Anita Soni
MD, DNB, FCPS, DGO, FICOG
Full-Time Consultant Obstetrician and Gynecologist

Dr Seeru Garg

DNB, FICOG, DGO

Junior Consultant Obstetrician and Gynecologist and

High-Risk Pregnancy Clinic Coordinator

For Appointment Call: 022 25763500/ 022 25763337/022 25763338

Email ID: anita.soni@hiranandanihospital.org

Website: www.hiranandanihospital.org

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