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Fetal Medicine


Fetal Conditions We Care For

Every year, our Fetal Medicine team experts perform over 30,000 prenatal ultrasound scans and provide consultations to more than 300 women who carry a baby with a significant birth defect. We also serve as a referral center for many medical centers and communities in the tri-state area for severe and early fetal growth restriction as well as complications of monochorionic twins and triplets.

Most birth defects are best managed with medical and/or surgical treatment after birth. In many of these cases planning for delivery and first-rate post-natal care can greatly impact the survival of a sick infant. Together with our team members from CHAM we manage the pregnancy, plan for delivery and for postnatal care.

An increasing number of medical conditions in the unborn child can be treated before birth to reduce some of the life-threatening or devastating consequences of the defect. Our experienced team evaluates and treats some of these conditions. In cases where the outcome is poor regardless of any pre or postnatal therapy, we can offer the baby comfort care in the NICU. 

Here is a list of some of the more common anomalies we see and care for:

  • Abdominal Wall Defects
    • Gastroschisis
    • Omphalocele
  • Amniotic Band Syndrome
  • Brain and central nerve system conditions
    • Agenesis of corpus callosum
    • Brain cysts
    • Encephalocele
    • Dandy-Walker variant and malformation
    • Holoprosencephaly
    • Hydranencephaly
    • Hydrocephaly
    • Intra-Ventricular hemorrhage
    • Septo-optic dysplasia
    • Spina Bifida (Meningomyelocele, Arnold Chiari malformation)
    • Ventriculomegaly
  • Congenital Diaphragmatic Hernia (CDH)
  • Craniofacial Abnormalities
    • Cataracts
    • Cleft Lip and /or Cleft Palate
    • Neck masses
    • Micrognathia
  • Gastro-Intestinal conditions
    • Abdominal Cysts*
    • Duodenal Atresia
    • Esophageal Atresia
    • Jejunal or Ileal Atresia
    • Tracheo-esophageal Fistula
  • Heart - Fetal Conditions with Heart Rate
    • Congenital Heart Block
    • Fetal Cardiac Arrhythmias
  • Heart - Congenital Heart Disease
    • Anomalous pulmonary venous return
    • Aortic stenosis      
    • Atrioventricular canal
    • Double-outlet left ventricle
    • Double-outlet right ventricle
    • Hypoplastic left heart syndrome*
    • Hypoplastic right heart syndrome
    • Isomerisms
    • Pulmonary stenosis
    • Tetralogy of Fallot
    • Transposition of the great arteries (TGA)
    • Ventriculo-septal defects
  • Lung Lesions
    • Bronchopulmonary Sequestration (BPS)*
    • Congenital Cystic Adenomatous Malformation (CCAM)*
    • Fetal Hydrothorax*
    • Pulmonary hypoplasia/agenesis
  • Maternal Immune Disorders Affecting the Fetus
    • Platelet Alloimmunization (NAIT)*
    • Red Cell Alloimmunization (Hydrops)*
  • Multiple Gestations - Complications of Monochorionic Twins
    • Selective Intrauterine Growth Restriction (sIUGR)*
    • Twin-to-Twin Transfusion Syndrome (TTTS)*
    • Twin Reversed Arterial Perfusion (TRAP)*
    • Twin Anemia-Polycythemia sequence (TAPS)*
  • Non-immune Hydrops
    • Fetal anemia (Parvo B19 infection)*
    • Fetal myocarditis
  • Skeletal and joint conditions
    • Achondroplasia
    • Arthrogryposis (Pena Shokier)
    • Carniosynostoses
    • Clubbed feet
    • Femoral Hypoplasia
    • Polydactyly (extra digits)
    • Skeletal dysplasia (Dwarfism)
  • Fetal and Placental Tumors
    • Adrenal tumors
    • Cardiac Rhabdomyoma
    • Lymphangioma*
    • Placental Chorioangioma*
    • Sacrococcygeal Teratoma*
  • Urinary Tract Anomalies
    • Hydronephrosis (pyelectasis)
    • Low Urinary Tract Obstruction (LUTO)*
    • Polycystic or Multicystic Dysplastic Kidneys
    • Renal agenesis (Potter syndrome)

* In-utero therapy may be an option in selected cases