Fetal Medicine

Fetal Medicine is one of the youngest, yet fastest growing, specialties in Medicine.  With advances in ultrasound technology, it has become possible to image every facet of the fetus in health and disease. Understanding Fetal physiology and pathophysiology has made it possible to initiate management of specific conditions in the antenatal period itself. In other situations, like critical congenital heart defects, a planned delivery in a tertiary center and expedited post-natal care results in improved outcomes. At Amrita Hospital, Kochi, we are fortunate to have all the specialists required to care for the fetus, under one roof. Amrita Center Of Excellence (COE) in Fetal Care endeavors to bring together all these specialists under one common umbrella, to provide a seamless, coordinated, end to end care including diagnostic work-up, antenatal therapeutics and planned peri-natal care. The COE brings comprehensive multidisciplinary Fetal care under one roof for the benefit of our patients. 

• Fetal Medicine & Perinatology
• Fetal Cardiology
• Fetal Genetics
• Fetal Surgery
• Obstetrics & Gynecology
• Neonatology
• Pediatric Neurosurgery & Neurology
• Perinatal Pathology
• Biochemistry
• Human Cytogenetics

We provide comprehensive diagnostic evaluation, counselling and planned perinatal care for all types of birth defects in the fetus. For selected Fetal conditions we provide in-utero Fetal therapy and Fetal interventions as well. 

• Dedicated specialty service clinics
• In-utero therapies and advanced diagnostics
• Comprehensive counseling and care coordination

• India’s first comprehensive Fetal care center
• Pioneers in Fetal cardiac interventions, fetoscopic surgeries and open Fetal surgeries in Kerala
• Specialized multidisciplinary approach for seamless, coordinated care
• Provision of advanced Fetal diagnostics
• Treatment and surgeries including open Fetal surgery, EXIT
• Advanced fetoscopy, other invasive interventions including cardiac interventions
• Cumulative experience of over 50,000 pregnancy scans and 5000 Fetal interventions in 10 years

• Multi-specialty Fetal diagnosis and treatments under one roof
• Coordinated antenatal and perinatal care for complex Fetal conditions
• Patient-Centered and Family-Centric Approach
• Collaboration Across Specialties
• Comprehensive and Ethical Decision-Making
• Empathy and Psychological Support
• Focus on optimum long-term outcomes

• Regularly conducted scans specific to certain conditions or pregnancies involving multiple fetuses
• Specialized scans or multi-fetal pregnancies are also routinely done. 
• Scheduled prenatal diagnostic consultation and targeted ultrasound examinations are available through the division six days a week. 
• Invasive diagnostic and therapeutic procedures are performed four days a week.

To provide multidisciplinary Fetal care that centers on holistic, compassionate, and evidence-based care, with a strong emphasis on collaboration, innovation, and patient-centered outcome

• State of the art ultrasound equipment including the Voluson Expert 22
• Advanced imaging (3D/4D Scans, Doppler, Fetal Echo, Neurosonogram, STIC)
• In-house Fetal MRI
• Fetal Neurology and Cardiac Therapy Sub-specialty clinics
• Pediatric super-specialty clinics
• Pediatric and Fetal genetics department
• State of the art labour room with birthing suites and round-the-clock pregnancy and delivery care
• Level III Neonatal Care
• Cytogenetics and Molecular genetics labs in-house
• Roche Cobas Analyzer for prenatal screening tests
• In house Fetal autopsy unit

• First comprehensive center of excellence for Fetal care center in India
• Services of 8 sub-specialties related to Fetal care under one roof
• Only center in India equipped for open Fetal surgery
• First fetoscopy center in Kerala
• First Fetal surgery for complicated identical twin pregnancies (TTTS, TRAP) in Kerala
• First Fetal cardiac intervention center in Kerala
• One of only two centers in India for Fetal cardiac interventions
• Dedicated facility for in-utero therapy for Fetal arrythmias.
• First Fetal cystoscopic procedure in Kerala
• One of only two centers in India for Fetal cystoscopic interventions
• 50,000 scans and 500 plus Fetal surgeries completed
• Pioneered the concept of prenatal diagnosis and planned delivery care for fetuses with critical heart defects in India. More than 800 such cases treated already.
• Official training partner for government of Kerala for training in Fetal heart screening
• Collaborations with leading professional societies and international centers in Fetal Cardiology.
• Over 90 publications in national and international journals in the last 5 years in Fetal medicine and cardiology.
• Over 45 fellowship students trained under the two-year University training program
• Amrita Fetal heart learning module – a hybrid course in Fetal Cardiology initiated in 2024.

• Level II and Level III Antenatal Scans
• 3D,4D Scans
• CVS, Amniocentesis, Fetal Blood, urine sampling, Fetal biopsy
• Aneuploidy (Down syndrome) screening
• Pre-eclampsia Screening
• Fetal & Maternal Dopplers
• Fetal MRI (Under Radiology)
• Advanced Fetal echocardiography with 4D and STIC
• Prenatal Screening including Non-Invasive testing
• Index case Work-up and Diagnosis,
• Evaluation of RPL, Hydrops, Mental handicaps, Skeletal dysplasias
• Enzyme replacement therapy (ERT) for MPS, Pompe’s and Fabry’s
• FISH, Karyotyping, Mutation studies
• Aneuploidy screening
• Pre-eclampsia screening
• Newborn screening
• Fetal autopsy; Placental histopathology
• Planned antenatal and peri-partum care

Amrita Centre of Excellence in Fetal Care, Amrita Hospital, Kochi

India Pin: 682041

Telephone: +91-484-6681088

Mobile: +91 7994 999 773

Email: fetalcare@aims.amrita.edu