We are going to begin this information with the definition. Maternal fetal medicine or MLM is one of the obstetrics branches that emphasizes on both surgical and medical treatment of high-risk pregnancy. The obstetrician who deals with high-risk pregnancy conditions is called as perinatologists. This branch involves various services such as genetic amniocentesis, chorionic villus sampling, as well as comprehensive ultrasound. Besides those services, it is also deal with both fetal treatment and surgery. If you are a pregnant woman who wants to get prenatal medical care, you can use those services. In this article, we are also talk about what kind of pregnancy issue that can be taken care by this obstetric branch.
Services You Can Get From Maternal Fetal Medicine
In order to give the best service for the pregnant women, maternal fetal medicine utilizes several procedures such as blood test, amniocentesis, and ultrasound. It is important to evaluate how the fetus inside the abdomen grows and develops to determine what the best treatments for the case are. The ultrasound used in the procedures is commonly incorporates both 3D and 4D system. Using those technologies, the obstetricians are capable of observe the fetus on the echocardiogram screen to see whether there are chromosome problems or defects on the fetus. The following are the routine procedures to monitor the condition of both fetus and pregnant women.
A normal fetus commonly surrounded by amniotic fluid. However, the fetus will be in harm if the amniotic fluid in the womb is too much. When the obstetricians on the maternal fetal medicine found out too much amniotic fluid on the womb of pregnant women, they need to do certain procedure. They are going to inject a certain needle to suck out some of the extra amniotic fluid from the womb. In order to do this procedure, the obstetricians use ultrasound guidance. There are two main benefits of this procedure. It reduces the chance of early birth problem and helps the obstetricians to analyze fetal disease that might happen.
As mentioned in the explanation of therapeutic amniocentesis above, the obstetricians also utilize ultrasound guidance in order to inject needle. The needle extracts the amniotic fluid inside the womb. Besides to reduce the extra amniotic fluid that might harm the fetus, the amniotic fluid is also used for other purposes. The amniotic fluid is important to diagnose genetic diseases in early stage. Infection or fetal lung maturity can also be diagnosed by this certain procedure. The maternal fetal medicine also works together with genetic counselors. Generally, the genetic counselors conduct several testing such as non-invasive parental testing and integrated screening.
Chorionic villus sampling
The needle on the both previous processes is not only used to extract amniotic fluid for therapeutic amniocentesis and diagnostic amniocentesis but also for chorionic villus sampling. The maternal fetal medicine uses different type of needle to extract placenta from the womb. This procedure commonly conducted at the first trimester age of pregnancy. In order to perform chorionic villus sampling, obstetricians also use the ultrasound guidance as well. Either the needle is injected through abdomen or cervix depends on the condition of the patient. It is important to perform this procedure to analyze the fetal disease in early pregnancy age.
Pregnancy Problem That Can Be Found By Maternal Fetal Medicine
After conducting those procedures, obstetricians are capable of determining the condition of the fetus. It is good if you do not have any serious problem related to the pregnancy. However, the obstetricians of maternal fetal medicine sometimes found pregnancy problems. The most common problem found after conducting those procedures is related to the preterm birth. If you have any of those pregnancy problems, you do not have to be worried. They are ready to help you. These are five most common preterm births.
Prior pregnancy with preterm birth
Various aspects can be responsible in preterm birth that happen in prior pregnancy. Those aspects are increasing the risk of your risk of delivering the baby too soon. Therefore, it is important for you to visit the maternal fetal medicine to undergo medical procedures. They are going to help you identifying the pregnancy problem. One aspect that potentially happens to preterm birth in prior pregnancy is the misshapen uterus. If this pregnancy problem happens to you, the obstetricians are usually recommending therapy session. It is important to prevent the preterm birth in prior pregnancy to happen in your next pregnancy.
As the fetus grows bigger and older, it pushes the cervix. In some cases, the cervix might turn weakens. The maternal fetal medicine is capable of helping you to make your cervix strong again. Usually, they perform surgery procedure to do so. The surgeons work together with obstetricians to sew your cervix and seal it. This procedure is also performed in order to prevent both preterm birth and pregnancy loss. They do it carefully so that it does not damage or harm the fetus inside your womb while doing the procedure.
During the pregnancy, the cervix helps the uterus remain closed. This condition normally happens until the fetus is ready to be born. When maternal fetal medicine performs the checking up procedure to analyze the condition of your pregnancy, they usually found shortened cervix problems. It refers to a condition where the cervix becomes thinner. This condition is dangerous since you are not feeling any pain when it happens. The obstetricians need to treat this thinning cervix problem as soon as possible. It can be treated in two different options. They can do it by either surgery or medication to make it thicker.
Contraction and water breaking is considered as initial stage of normal labor. When this happen to you, it means that you are going to deliver your baby soon. Although it is a normal stage at the end of pregnancy, some women get early contractions. It is dangerous for the baby to be born when the baby is not ready yet. In order to prevent this labor problem from happening, maternal fetal medicine gives you certain medication to slow down the labor. As the alternative solution, they might also give you steroid injections. It helps you and your baby to be ready for his or her birth.