Maternal Fetal Medicine

All our patients enjoy a high level of coordinated care by a team of specialists in Maternal Fetal Medicine. These include obstetricians, clinical nurses, genetic counsellors and neonatologists.

Range of Services

Our Department of Maternal Fetal Medicine specialises in the management of high risk obstetrics and the screening of fetal anomalies, and is a tertiary referral centre for complicated pregnancies.

Peripartum Unit and Obstetric Medical Disorders

Range of Services:

Triaging of emergency obstetric admission
Monitoring of patients in active phase of labour
Prostin cervical priming for high risk obstetric patients
Obstetric deliveries (vaginal, normal)
Obstetric deliveries (vaginal, instrumental)
Obstetric deliveries (vaginal, breech)
Obstetric deliveries (caesarean section in obstetric operating theatre)
High risk obstetric deliveries
- Placenta Previa
- Placenta Accreta
External cephalic version
Outpatient Clinics for pregnant mothers with medical disorders e.g. diabetes, thyroid disorders, asthmas

KK Fetal Centre (KKFC)

Our Centre offers a comprehensive range of diagnostic, therapeutic, and counselling services focused on the assessment and management of the fetus as a patient. These services are designed to detect, monitor, and treat fetal conditions throughout pregnancy in collaboration with our obstetric, neonatal, and genetic teams.

Obstetric Ultrasound Service

First Trimester US examination
- Viability and dating scan (6–10 weeks)
- Assessment of multiple pregnancies and chorionicity
Early fetal anatomy survey at 15-16 weeks in high risk pregnancies
Fetal Anomaly Scans including screening for structural anomalies
Uterine artery Doppler for preeclampsia and growth restriction risk
3rd trimester Growth scans
Doppler Ultrasound scans for fetal well-being in High Risk Pregnancies
Multiple Pregnancies surveillance for TTTS, TAPS & fetal growth restriction
High Risk Obstetric Ultrasound Scans
Placental localization and accreta spectrum assessment

Prenatal diagnosis and counselling by experienced Maternal-fetal consultants of patients with Fetal Anomalies

including invasive genetic testing (Karyotyping, QF- PCR, FISH, Chromosomal Microarray, Whole Exome Sequencing)

Thalassaemia screening, prenatal diagnosis and counselling

Down Syndrome screening, prenatal diagnosis and counselling

First Trimester Screening (FTS)
Non-invasive Prenatal Test (NIPT)
Second trimester Quadruple Test

Specialised Fetal Assessments

Detailed neurosonography and cardiac scans (fetal echocardiography)
Assessment of fetal infections including CMV, toxoplasmosis, parvovirus infections
Evaluation of fetal growth restriction and Doppler surveillance
Diagnosis and evaluation of fetal anaemia
Assessment of non-immune hydrops fetalis
Targeted scans for previous abnormal pregnancy or family history

Fetal Surgery Suite – One-stop suite for Complex Fetal Treatments

Fetoscopic Laser Photocoagulation to treat complicated monochorionic twin pregnancies
Pleuro-amniotic shunt insertions
Bipolar cord coagulation
Radiofrequency ablation
Fetal reduction procedures
Amnioreduction/Therapeutic Amniocentesis
Fetal Blood transfusions
Invasive genetic testing (CVS, Amniocentesis, Fetal blood sampling)

Antenatal Risk Assessment Unit (in collaboration with KKFC)

Range of Services:

Pre-pregnancy and early pregnancy risk assessment and surveillance
1. FTS for common aneuploidies
2. First trimester Preeclampsia screening
3. First trimester CMV screening
Nurse counselling service for mothers undergoing prenatal invasive procedures
Nurse counselling for mothers undergoing screening test for Down Syndrome
Genetics and Perinatal Counselling
1. Pre- and post-test counselling for screening and invasive procedures
2. Interpretation of genetic test results and recurrence risk

Fetal Medicine Clinic Follow-Up and Perinatal Coordination

Cervical length measurement for high risk pregnancies
Serial growth and Doppler follow-up for high-risk fetuses
Multidisciplinary meetings with neonatologists, pediatric surgeons, geneticists and appropriate specialists for antenatal care
Perinatal palliative care for fetuses with life-limiting conditions
Postnatal correlation and feedback into the fetal diagnosis pathway

Kindly complete the attached referral form when referring patients to the Fetal Care Centre. Providing complete clinical information will assist in appropriate triage and timely processing.

Download Referral Form

Perinatal Audit & Epidemiology Unit

Range of Services:

Perinatal statistics
Perinatal epidemiology relating to trends of diseases of pregnancy, the mother and the fetus
Evidence based medicine relating to obstetrics and management of care of high risk pregnancies
Perinatal audit relating to stillbirths, perinatal mortality and perinatal morbidity

Obstetric Day Assessment Centre

Our Obstetric Day Assessment Centre has evolved into an outpatient alternative for women with complicated pregnancies and pregnant patients with hypertension and/or diabetes.

These patients would previously have required hospitalisation. Now they receive the same high standard of obstetric care while enjoying the benefits of an outpatient status, such as no hospitalisation costs and reduced disruption to their work, family and social lives. Hypertensive and Diabetic obstetric patients now receive an extensive evaluation and self-help management guidelines.

Dedicated nurses will also provide phone consultations and phone reviews to assist patients in managing their diabetes in pregnancy.

Contact Information

KK Women's and Children's Hospital

65 6394 1001