Advanced Fetal Medicine at Her Health
Pregnancy outcomes improve dramatically when fetal conditions are recognised and managed at the earliest opportunity. HER Health’s Fetal Medicine service—directed by Dr Smita Dhengle (MBBS, DGO, DNB, FMF-UK)—combines cutting-edge technology with multidisciplinary expertise to protect both mother and child.
Our suite includes the Voluson E8 high-resolution ultrasound platform for detailed anatomical surveys, Doppler studies and first-trimester aneuploidy screening. FMF-certified protocols allow precise risk calculation for chromosomal abnormalities, pre-eclampsia and growth restriction. When indicated, we perform invasive diagnostics such as chorionic-villus sampling and amniocentesis in a dedicated, aseptic environment.
Complex findings trigger immediate collaboration with our obstetric, neonatal-cardiology and Level-III NICU teams, ensuring a seamless transition from prenatal diagnosis to postnatal management. For maternal comorbidities—diabetes, thyroid disease, hypertension—endocrinologist Dr Sachin Chittawar provides integrated metabolic optimisation.
Comprehensive structural surveys begin with high-resolution Voluson E8 3-D/4-D ultrasound and Doppler, enabling meticulous first-trimester aneuploidy risk assessment. When genetic clarification is required, chorionic-villus sampling or amniocentesis is performed in a dedicated, aseptic suite that meets international safety standards.
For fetuses with severe anaemia—such as cases of Rh allo-immunisation or parvovirus infection—the team performs in-utero fetal blood transfusion, restoring adequate haemoglobin levels and reducing the risk of heart failure and hydrops. Monochorionic-twin pregnancies complicated by twin-to-twin transfusion syndrome benefit from endoscopic placental laser ablation, a procedure that markedly improves survival and long-term neuro-developmental outcomes for both twins.
When maternal or fetal prognosis is threatened by very high-order gestations, ultrasound-guided selective or multiple-pregnancy reduction is offered, following strict ethical and clinical protocols. Each intervention is embedded in an integrated care pathway that links fetal-medicine consultants with obstetrics, neonatal cardiology and our Level-III NICU, ensuring seamless continuity from prenatal therapy to post-natal management.
Maternal optimisation rounds out the programme: dedicated clinics—conducted in collaboration with Dr Sachin Chittawar (DM Endocrinology, AIIMS)—address endocrine disorders, hypertension and thromboprophylaxis, safeguarding the mother’s health while maximising fetal well-being.
Benefits of Fetal Medicine at HER Health
| Benefit | Clinical Impact |
| Early, Accurate Detection | High-definition imaging plus FMF algorithms identify anomalies and growth issues at the earliest feasible stage. |
| Curative In-Utero Therapies | Fetal blood transfusion and laser TTTS surgery significantly improve survival and reduce long-term morbidity. |
| Risk-Adjusted Pregnancy Reduction | Evidence-based reduction protocols lower maternal complications and optimise outcomes in multi-fetal pregnancies. |
| Multidisciplinary Expertise | Fetal-medicine consultants, neonatologists, paediatric surgeons and anaesthetists co-author each care plan. |
| Comprehensive Continuum | Detailed birth-plan formulation and direct NICU access ensure continuity from diagnosis to neonatal care. |
| Parental Reassurance | Transparent counselling, procedural videos and written consent pathways provide clarity and confidence. |
HER Health’s Fetal Medicine programme delivers regional leadership in prenatal diagnostics and in-utero therapy—ensuring families facing complex pregnancies receive world-class, compassionate care every step of the way.
