Dr Raghav Arora, we collaborate with obstetricians to provide families with quality care for throughout the pregnancy journey. Our specialisations span across evaluation, diagnosis and treatment for the mother and child in a supportive environment. Our maternal-fetal care includes:

Diagnostic testing
Fetal and maternal assessment
Prenatal counseling and support services
Recommendations for you and your obstetrician on therapies
Interventional procedures
We do not provide obstetric consultation, delivery and tertiary care services.

• A perinatologist is a Maternal-Fetal Medicine (MFM) consultant. He/she is an Obstetrician/Gynecologist who has undergone specialized training in the field of high-risk pregnancy ultrasound and interventional procedures to ensure optimal health for the mother and the fetus.

  Special expertise includes maternal conditions that can complicate pregnancy such as high blood pressure, diabetes, autoimmune disorders, or prior pregnancy complications such as preterm labor or cervical issues.

  We also specialize in diagnosing and treating fetal conditions through the use of state-of-the-art ultrasonography, sono-guided invasive procedures, and advanced techniques for screening and evaluating fetal health and wellbeing.

  Lastly, a large part of our practice is comprised of co-management of high-risk multiple gestations, and targeted ultrasonography for the detection and management of a broad range of potential fetal birth defects.

  It is worth noting that the doctors in this practice are board certified/board eligible in both general OB/Gyn and in Maternal-Fetal Medicine.

1. There are different types of ultrasound examinations. A standard examination generally involves evaluation of fetal viability, fetal number, fetal position, amniotic fluid volume, placental location, fetal size, and a general evaluation of fetal anatomy.

   On the other hand, there are specialized or targeted examinations. These are examinations generally intended to answer a specific question (“Is the heart normal?”) or address specific issues (“Does that blood test mean the baby has a genetic problem?”).

   Dr Raghav Arora is certified to and can perform both level of examinations because we have specialized training in prenatal diagnosis and genetics as well as the necessary equipment

• Every parent hopes to have a healthy child. The good news is that most babies are born healthy. However, there are occasions where a genetic disease or birth defect may occur, or the possibility of a birth defect might exist. In these cases, genetic counselling is required to learn whether your baby may be at increased risk for having a genetic disorder. You can discuss the choice of having one or more special tests done. Some of the more common reasons your obstetrician may want you to receive genetic counseling are:

  You have concerns about the chance of having a child with a birth defect or genetic disease.
  You will be 35 years of age or more at the time of expected delivery.
  You or your partner has a previous child with a birth defect or genetic condition.
  You or someone in your family have a genetic disorder or birth defect.
  You or someone in your family have a child with mental retardation or developmental delay.
  You have experienced a stillbirth or multiple miscarriages with no known explanation.
  You have a medical condition (e.g. epilepsy) requiring medications.
  You want to know more about testing for recessive genetic diseases common for certain ethnic backgrounds (e.g. sickle cell disease, Tay-Sachs disease, cystic fibrosis).
  You have a positive screening test result (e.g. first trimester screen, triple/quad screen, or AFP test).
  You have had an ultrasound examination revealing a physical abnormality or variation in the fetus.

• In general, the session will involve a detailed discussion on the family genetic history called a pedigree. The reason for your visit will determine just how detailed the history will be. The accuracy and appropriateness of prenatal diagnostic, genetic screening, and other tests will vary depending on your individual health and family history. Most appointments include testing preformed on the same day, if appropriate. However, you may need additional time to consider the information given to you. In those cases, an appointment for testing will be made on a separate day. Our goal is to ensure that you and your family are comfortable with your decisions and that you feel you made an informed choice.

• In general, the session will involve a detailed discussion on the family genetic history called a pedigree. The reason for your visit will determine just how detailed the history will be. The accuracy and appropriateness of prenatal diagnostic, genetic screening, and other tests will vary depending on your individual health and family history. Most appointments include testing preformed on the same day, if appropriate. However, you may need additional time to consider the information given to you. In those cases, an appointment for testing will be made on a separate day. Our goal is to ensure that you and your family are comfortable with your decisions and that you feel you made an informed choice.

• We involve your obstetrician and collaborate with him/her closely throughout every step of evaluation, diagnosis, treatment and follow-up.

• Fortunately, in most cases, the findings are normal. In some cases, the news is not necessarily bad, but high risk circumstances may occur leading to repeat visits. Such plans are always discussed with you in detail and implemented only with the approval of your obstetrician.

  We are only consultants – your primary obstetrician remains the chief medical care provider, has absolute veto power over our recommendations, and will always be a part of any major decision. In cases where the news is bad (fortunately these are rare), the fetal medicine consultant will discuss the situation with you in detail, immediately consult your obstetrician by phone, and make plans for any further diagnostic or therapeutic steps necessary.