THE MEDICAL LIBRARY

Patient Education Hub

Our complete library of physician-reviewed resources on high-risk pregnancy and fetal diagnosis — 86 articles, each reviewed by an MFM subspecialist.

Were you referred to Maternal Fetal Medicine and unsure why? Read our guide on common referral reasons.

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86 articles

Screening & Diagnostics

Nuchal Translucency (NT) Scan

What the early neck-fluid measurement can tell you, when to have it, and what happens if the measurement is increased.

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Screening & Diagnostics

First Trimester Combined Screening

The clinical gold standard for early chromosomal assessment, combining ultrasound data with maternal blood biochemistry.

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Screening & Diagnostics

Pre-eclampsia First Trimester Screening

A life-saving assessment identifying risk of early-onset pre-eclampsia, offering a critical window for prevention.

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Screening & Diagnostics

Second Trimester Anomaly Scan

The mid-pregnancy anatomical survey performed between 18–22 weeks to evaluate the fetal structure and placenta in detail.

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Screening & Diagnostics

Fetal Echocardiography

A highly specialized ultrasound focusing exclusively on the structure, function, and rhythm of the fetal heart.

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Screening & Diagnostics

Non-Invasive Prenatal Testing (NIPT)

A blood-screening test using DNA fragments mainly from the placenta to estimate the chance of selected chromosome conditions.

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Screening & Diagnostics

Amniocentesis

A prenatal diagnostic sampling procedure. The information provided depends on the laboratory test selected and the clinical question being investigated.

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Screening & Diagnostics

Chorionic Villus Sampling (CVS)

An early diagnostic procedure (11–14 weeks) that samples placental tissue to provide definitive genetic and chromosomal answers.

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Screening & Diagnostics

Chromosomal Microarray Analysis (CMA)

A high-resolution genetic test that detects tiny missing or extra pieces of DNA (microdeletions/microduplications).

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Screening & Diagnostics

Genetic Carrier Screening

A blood test for parents to identify if they carry 'hidden' genetic variations that could be passed to their children.

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Screening & Diagnostics

Uterine Artery Doppler

A specialized ultrasound assessment of the blood flow to the uterus, used to predict risks of pre-eclampsia and growth issues.

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Screening & Diagnostics

Fetal Biometry & Growth Assessment

The clinical standard for monitoring your baby's development through precise measurements of the head, abdomen, and limbs.

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Screening & Diagnostics

Umbilical Artery & MCA Doppler

Advanced assessment of the blood flow in the umbilical cord and fetal brain to monitor oxygenation and placental function.

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Screening & Diagnostics

Soft Markers on Ultrasound

Understanding the significance of minor ultrasound findings that are variations of normal rather than structural defects.

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Fetal Conditions

Twin-to-Twin Transfusion Syndrome (TTTS)

A serious condition in identical twin pregnancies where blood flow becomes imbalanced between the babies through shared placental vessels.

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Fetal Conditions

Selective Fetal Growth Restriction (sFGR)

A condition in shared-placenta (MC) twins where one twin fails to grow normally due to unequal placental sharing.

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Fetal Conditions

Twin Anaemia Polycythaemia Sequence (TAPS)

A rare, chronic form of feto-fetal transfusion where one twin becomes anaemic (low blood) and the other polycythaemic (thick blood).

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Fetal Conditions

Fetal Growth Restriction (FGR)

A condition where a baby does not reach its biological growth potential due to placental insufficiency, requiring expert monitoring to prevent complications.

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Fetal Conditions

Congenital Heart Defects (CHD)

A wide range of structural heart issues that develop before birth, affecting how the heart pumps blood and oxygen through the body.

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Fetal Conditions

Ventriculomegaly

A condition where the fluid-filled spaces (ventricles) in the baby's brain are larger than normal, requiring detailed investigation of the brain's structure.

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Fetal Conditions

Spina Bifida & Neural Tube Defects

A neural-tube defect requiring detailed diagnosis, multidisciplinary counselling, and an individualised prenatal or postnatal care pathway.

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Fetal Conditions

Hydrops Fetalis

A serious, life-threatening condition defined by excessive fluid accumulation in two or more areas of the baby's body.

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Fetal Conditions

Congenital Diaphragmatic Hernia (CDH)

A hole in the baby's diaphragm that allows abdominal organs to move into the chest, restricting lung development.

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Fetal Conditions

Gastroschisis & Omphalocele

Abdominal wall defects where the baby's bowel or other organs develop outside of the abdomen through an opening.

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Fetal Conditions

Lower Urinary Tract Obstruction (LUTO)

A rare condition in male babies where a blockage in the urethra prevents the bladder from emptying, potentially damaging the kidneys and lungs.

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Fetal Conditions

Fetal Anaemia & Rh Disease

A condition where the baby has too few red blood cells, often due to blood group incompatibility or infection, treatable via in-utero blood transfusion.

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Fetal Conditions

Skeletal Dysplasias

A rare group of genetic conditions that affect the development of the baby's bones and cartilage, ranging from minor to life-threatening.

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Fetal Conditions

Fetal Lung Lesions (CPAM & BPS)

Abnormal masses in the baby's lungs that can be cystic (CPAM) or solid (BPS), requiring careful monitoring to ensure the heart is not affected.

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Fetal Conditions

TRAP Sequence (Acardiac Twin)

A rare twin complication where one 'pump twin' provides all the blood for another 'acardiac twin' who has not developed a heart.

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Fetal Conditions

Fetal Infections (CMV & Toxoplasmosis)

Infections that can pass from mother to baby during pregnancy, potentially affecting the baby's brain, hearing, and growth.

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Fetal Therapy & Procedures

Amniocentesis & CVS

Definitive diagnostic tests to check the baby's chromosomes and genes, performed under continuous ultrasound guidance.

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Fetal Therapy & Procedures

Fetoscopic Laser Ablation

The life-saving surgery for Twin-to-Twin Transfusion Syndrome (TTTS) that disconnects shared blood vessels in the placenta.

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Fetal Therapy & Procedures

Intrauterine Transfusion (IUT)

A life-saving procedure where blood is transfused directly into the baby's circulation through the umbilical cord while still in the womb.

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Fetal Therapy & Procedures

The FETO Procedure

A groundbreaking keyhole surgery that places a microscopic balloon in the baby's windpipe to stimulate lung growth in severe CDH.

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Fetal Therapy & Procedures

Fetoscopic Spina Bifida Repair

An evidence overview of fetoscopic prenatal repair, including candidate selection, maternal-fetal risks, governance, and referral.

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Fetal Therapy & Procedures

Radiofrequency Ablation (RFA)

A precise needle-based procedure using thermal energy to selectively stop blood flow in life-threatening twin complications.

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Fetal Therapy & Procedures

Vesico-amniotic Shunting

A procedure to place a small 'pigtail' catheter that drains the baby's blocked bladder into the amniotic fluid, protecting the kidneys and lungs.

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Fetal Therapy & Procedures

Pleuro-amniotic Shunting

A procedure to drain excess fluid from the baby's chest cavity into the amniotic sac, allowing the lungs to expand and preventing heart failure.

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Fetal Therapy & Procedures

Fetal Cystoscopy

A high-precision procedure using a microscopic camera to look inside the baby's bladder and surgically clear obstructions like Posterior Urethral Valves (PUV).

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Fetal Therapy & Procedures

Cordocentesis

A specialized procedure to take a small sample of the baby's blood directly from the umbilical cord for rapid diagnosis or treatment.

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Fetal Therapy & Procedures

Amnioreduction

A procedure to remove excess amniotic fluid from the womb to reduce pressure, prevent premature labor, and improve maternal comfort.

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Fetal Therapy & Procedures

Amnio-infusion

A procedure to add sterile fluid into the womb, used to improve ultrasound visibility for diagnosis or to create space for fetal surgery.

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Fetal Therapy & Procedures

Multifetal Pregnancy Reduction

A procedure to reduce the number of fetuses in a high-order multiple pregnancy (triplets or more) to improve the safety and health of the remaining babies.

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Fetal Therapy & Procedures

Selective Reduction (Monochorionic)

A specialized procedure for identical twins sharing a placenta, where one baby has a life-threatening or severe condition that puts its sibling at risk.

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Fetal Therapy & Procedures

Cervical Cerclage (The Stitch)

A surgical procedure to place a strong stitch around the cervix to keep it closed and prevent late miscarriage or premature birth.

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Maternal Conditions

Pre-eclampsia & Hypertension

A serious blood pressure condition that can develop during pregnancy, affecting the mother's organs and the baby's growth.

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Maternal Conditions

Gestational Diabetes (GDM)

A type of diabetes that develops during pregnancy, where blood sugar levels become too high, requiring careful diet or medication management.

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Maternal Conditions

Preterm Prelabor Rupture of Membranes (PPROM)

When the amniotic sac (water) breaks before 37 weeks of pregnancy. Requires careful balance between the risk of infection and the benefits of more time in the womb.

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Maternal Conditions

Placenta Previa & Accreta Spectrum

Conditions where the placenta is in the wrong position or attached too deeply to the uterus, requiring expert surgical planning for delivery.

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Maternal Conditions

Cholestasis of Pregnancy (ICP)

A liver condition in late pregnancy that causes severe itching and can increase the risk of complications for the baby.

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Maternal Conditions

Thyroid Disorders in Pregnancy

Managing thyroid function is critical for the baby's brain development and the mother's energy and health during pregnancy.

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Maternal Conditions

Fetal Growth Restriction (Maternal Aspects)

Understanding how maternal health and the placenta's function affect the baby's growth, and what can be done to improve outcomes.

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Maternal Conditions

Obesity and Pregnancy Risks

Understanding the medical considerations of a higher Body Mass Index (BMI) and the proactive steps we take to ensure a safe and healthy pregnancy.

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Maternal Conditions

Mental Health: Anxiety & Depression

Emotional wellbeing is just as important as physical health. Understanding the signs of prenatal and postnatal depression and how to seek support.

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Maternal Conditions

Advanced Maternal Age (The 'Golden' Age)

Understanding the medical considerations for pregnancy over age 35 and 40, and the proactive care we provide to ensure a healthy outcome.

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Pregnancy Management

Twins: DCDA (Dichorionic)

Understanding Dichorionic (DCDA) twins—the most common and generally safest type of twin pregnancy, where each baby has its own placenta.

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Pregnancy Management

Twins: MCDA (Monochorionic)

Understanding Monochorionic (MCDA) twins—identical twins sharing one placenta. This requires specialized monitoring every 2 weeks to manage shared blood-flow risks.

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Fetal Conditions

Twin-to-Twin Transfusion Syndrome (TTTS)

A serious condition in shared-placenta twins where an imbalance in blood flow leads to one baby (the recipient) having too much fluid and the other (the donor) too little.

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Fetal Conditions

Selective Fetal Growth Restriction (sFGR) in Twins

When one baby in a shared-placenta (MCDA) twin pregnancy is much smaller than the other due to uneven placental sharing.

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Fetal Conditions

TAPS: Twin Anemia Polycythemia Sequence

A specialized condition in shared-placenta twins where blood flows very slowly from one baby to the other, causing one to be anemic and the other to have too much blood.

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Fetal Conditions

TRAP Sequence (Acardiac Twin)

A rare twin condition where one healthy 'pump' twin supplies blood to a non-viable 'acardiac' twin. Requires urgent intervention to prevent heart failure in the healthy twin.

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Pregnancy Management

Triplets and Higher-Order Multiples

Managing pregnancies with three or more babies. A highly specialized area focusing on intensive monitoring to prevent extreme premature birth.

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Pregnancy Management

Delivery Mode for Twins: Vaginal vs. C-section

Understanding your birth options for twins. Learn why vaginal birth is often possible and safe, and when a C-section is the medically recommended choice.

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Pregnancy Management

Moving to the MFM Specialist: Why and When

Understanding the difference between a general obstetrician and a Maternal-Fetal Medicine (MFM) specialist, and why your pregnancy might benefit from subspecialty care.

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Screening & Diagnostics

Consanguinity and Genetic Risk in Pregnancy

Understanding the genetic implications of cousin marriages, risk calculations, carrier screening, and prenatal diagnostic pathways.

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Maternal Conditions

Thalassemia in Pregnancy

A guide to understanding Alpha and Beta Thalassemia in pregnancy, genetic carrier status, parental risk assessment, and prenatal diagnosis.

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Fetal Conditions

Down Syndrome (Trisomy 21)

The most common chromosomal condition in babies, caused by an extra copy of chromosome 21, affecting learning, development, and sometimes the heart and gut.

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Fetal Conditions

Cleft Lip & Palate

A common difference in the way the lip and/or the roof of the mouth form, usually detected on the anomaly scan and repaired with excellent results through staged surgery.

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Pregnancy Management

Reduced Fetal Movements

A change or reduction in your baby's usual pattern of movement can be an important early warning sign — it should always be checked the same day, never left until tomorrow.

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Maternal Conditions

Recurrent Pregnancy Loss

Experiencing two or more consecutive pregnancy losses can be devastating, but a structured investigation and modern care give most couples an excellent chance of a healthy baby.

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Pregnancy Management

Miscarriage (Early Pregnancy Loss)

Miscarriage is the loss of a pregnancy before 24 weeks. It is common and almost never something you caused — this guide explains the types, causes, your management options, and the support available.

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Pregnancy Management

Stillbirth (Intrauterine Fetal Demise)

Stillbirth is the loss of a baby before birth from around 20–24 weeks onward. This guide explains the causes, what to expect, the value of investigations, and the compassionate support and care for a future pregnancy.

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Pregnancy Management

Oligohydramnios (Low Amniotic Fluid)

A reduction in the amount of amniotic fluid surrounding the baby, which can be a sign that the pregnancy needs closer surveillance.

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Pregnancy Management

Polyhydramnios (Excess Amniotic Fluid)

An excess of amniotic fluid around the baby, which prompts a search for an underlying cause and closer monitoring in the third trimester.

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Screening & Diagnostics

Fetal MRI (Magnetic Resonance Imaging)

A safe, radiation-free imaging test that works alongside ultrasound to give a clearer picture of your baby's brain, chest, and other structures.

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Pregnancy Management

Preparing for Your Fetal Medicine Appointment

What to expect, what to bring, and how to manage the anxiety of a detailed fetal medicine scan.

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Screening & Diagnostics

Understanding Your Ultrasound Report

A simple guide to decode the medical abbreviations (BPD, HC, AC, FL) and percentiles on your fetal ultrasound report.

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Pregnancy Management

Safe Travel During a High-Risk Pregnancy

Guidelines for flying, road trips, mitigating DVT risks, and knowing when travel is not recommended.

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Pregnancy Management

Nutrition & Supplements in a High-Risk Pregnancy

Evidence-based advice on iron, folic acid, aspirin, omega-3, and diet modifications for complex pregnancies.

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Pregnancy Management

Exercising Safely with a High-Risk Pregnancy

What is safe (yoga, swimming) versus what is dangerous, especially when facing cervical issues, bleeding, or carrying multiples.

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Pregnancy Management

The Emotional Journey of a High-Risk Pregnancy

Coping with the anxiety of uncertainty, frequent hospital visits, and how to bond with your baby when the outcome is daunting.

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Fetal Conditions

Navigating the NICU: What Parents Should Expect

A gentle primer for parents expecting a preterm delivery or a baby with a congenital defect requiring intensive care.

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Screening & Diagnostics

Gender Determination: Myths vs. Science

How early ultrasound and NIPT actually determine sex, debunking popular internet myths like heart rate and belly shape.

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Pregnancy Management

Cord Blood Banking: Is It Worth It?

An objective, scientific look at private vs. public cord blood banking, what it can currently cure, and what is still theoretical.

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Pregnancy Management

Vaccinations During Pregnancy

Why the Flu, Tdap (Whooping Cough), and RSV vaccines are highly recommended to protect both mother and newborn.

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Pregnancy Management

Vaginal Birth After Cesarean (VBAC) & TOLAC

Understanding the success rates, risks of uterine rupture, and when MFM specialists encourage VBAC versus a repeat C-section.

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