Fetal Medicine NEPAL

Fetal Medicine NEPAL SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC
Since 1990AD

1. Fetal Medicine
CVS, Amniocentesis, Reduction, Intra-uterine transfusion.

Fetal Ultrasound
NT/NB, Early Anomaly, Anomaly, Fetal Echo, Fetal Neurosonography, Growth, Fetal Doppler studies.

2.

29/01/2026

SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC

Fetal Echocardiography
A Window to Your Baby's Heart
Specialized Care for Your Baby’s Health, Before Birth

What is a Fetal Echocardiogram?
A fetal echocardiogram ("fetal echo") is a specialized, detailed ultrasound scan that focuses solely on your baby’s developing heart. It is not a routine scan, but a targeted examination performed by our expert fetal medicine specialists and cardiologists.
It allows us to evaluate:
The structure of the heart's chambers, valves, and major vessels.
The function and strength of the heart's pumping.
The heart rhythm and rate.
The blood flow through the heart.
Think of it as a comprehensive, non-invasive "blueprint" of your baby's cardiovascular system.

Why is it Important?
While most babies are born with healthy hearts, congenital heart disease (CHD) is the most common type of birth defect. A fetal echocardiogram is the gold-standard tool for detecting most significant heart conditions before birth.
Early detection means:
Informed Planning: You have time to understand the diagnosis, ask questions, and meet with a pediatric cardiologist and cardiac surgeon.
Coordinated Care: We can create a personalized birth plan to ensure your baby is delivered at the right place, with the right team ready.
Better Outcomes: For many conditions, prenatal diagnosis leads to immediate, life-saving care after delivery and improved long-term health.

When is it Recommended?
Your doctor may recommend this detailed scan if there is a reason to look more closely at the baby's heart. Common indications include:
For You (Maternal Factors):
Diabetes (Type 1, Type 2, or poorly controlled)
Autoimmune diseases (e.g., Lupus)
Certain medications or infections during pregnancy
Pregnancy via IVF/ICSI
For Your Baby (Fetal Factors):
Suspected heart issue on your routine ultrasound
Increased nuchal translucency (NT) in first trimester
Other organ system abnormalities found
Irregular heart rhythm detected
Twins, especially identical (monochorionic) twins
For Your Family (Genetic/Familial Factors):
A previous child or parent with a heart defect
A family history of genetic syndromes linked to heart conditions

If you have concerns, please discuss with your doctor to see if a fetal echo is right for you.

What to Expect During Your Scan
Timing: The scan is best performed between 18 and 24 weeks of pregnancy, when the heart is developed enough for clear imaging.
The Procedure:
1. Duration: The scan typically takes 30-45 minutes.
2. Process: Much like your anatomy scan, you will lie comfortably. Our specialist will apply gel and use an ultrasound transducer on your abdomen. We use advanced Doppler and 3D/4D technology to obtain the best images.
3. Comfort: The procedure is safe and painless for both you and your baby.
4. Results: In most cases, our specialist will discuss the findings with you immediately after the scan. If a detailed pediatric cardiology opinion is needed, we will coordinate that for you.

After the Scan:
Normal Result: This is highly reassuring. You can continue your prenatal care with the peace of mind that a major structural heart issue has been ruled out.
If a Finding is Detected: Do not panic. Our team will guide you through the next steps with compassion. We connect you with a full multi-disciplinary team—including genetic counselors, neonatologists, and pediatric cardiologists—to ensure a seamless plan for your baby’s care from pregnancy through delivery and beyond.

Our Expertise at Subha Ultrasound and Fetal Medicine Clinic
At our clinic, you are in expert hands. Our dedicated team includes:
Fetal Medicine Consultants accredited in advanced obstetric ultrasound.
Collaborating Pediatric Cardiologists with specialization in fetal heart disease.
Genetic Counselors to discuss any associated findings.
Coordinated Care Managers to plan for delivery and postnatal care.
We provide a compassionate, one-stop clinic where advanced technology meets personalized, supportive care.

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Frequently Asked Questions

Q: Is the scan safe for my baby?
A: Yes. It uses ultrasound waves, the same safe technology as your regular prenatal scans. No radiation is involved.

Q: Does a normal fetal echo guarantee a perfect heart at birth?
A: While it is the most detailed prenatal heart assessment, it cannot detect every possible condition (e.g., very small holes may close on their own). It rules out the vast majority of significant structural defects.

Q: What if an abnormality is found?
A: You will not be alone. We will explain everything clearly, connect you with the specialists your baby will need, and create a comprehensive management plan tailored to your family.

Contact Us & Schedule Your Appointment
SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC
https://maps.app.goo.gl/LdHC8iafVzGfP5DM6
9841502647, 9851035933
https://www.facebook.com/DrBidariSumit
bidari_summit@hotmail.com

A referral from your obstetrician is appreciated. Please bring your prior ultrasound reports.

Your journey to parenthood is precious. We are here to provide clarity, support, and expert care every step of the way.

SUBHA ULTRASOUND AND FETAL MEDICINE CLINIC
Since 1990AD

1. Fetal Ultrasound
NT/NB, Early Anomaly, Anomaly, Fetal Echo, Fetal Neurosonography, Growth, Fetal Doppler studies.

2. Fetal Medicine
CVS, Amniocentesis, Reduction, Intra-uterine transfusion.

Your Baby's First Doctor's Visit Starts Before Birth.Wondering what happens at a Fetal Medicine Clinic?    We are specia...
25/01/2026

Your Baby's First Doctor's Visit Starts Before Birth.

Wondering what happens at a Fetal Medicine Clinic?
We are specialized partners in your pregnancy journey, focusing on your baby’s health and well-being from the very beginning. Think of us as your baby's first specialists.

Our Clinic Offers:

In-Depth Fetal Scanning & Diagnostics
Early Pregnancy Scan: For accurate dating and early well-being.
Anomaly Scan (Level II Ultrasound): A detailed, system-by-system
check of your baby’s anatomy.
3D/4D Ultrasound: To bond with your baby and see detailed facial
features.
Fetal Echocardiography: A specialized heart scan to check your
baby’s heart structure and function.
Doppler Studies: To check blood flow and the well-being of your
baby, especially in high-risk pregnancies.

Genetic Counseling & Testing
Pre-Test & Post-Test Counseling: We explain your options and results in detail.
Non-Invasive Prenatal Testing (NIPT): A simple blood test to screen for common genetic conditions.
CVS & Amniocentesis: Diagnostic procedures when more information is needed.

Care for High-Risk Pregnancies
We provide expert co-management for conditions like:
Twins (especially identical twins)
Baby measuring too small or too large
Maternal conditions (diabetes, hypertension)
History of previous pregnancy complications

Specialized Fetal Care
Twin-Twin Transfusion Syndrome (TTTS) Management
Monitoring & planning for babies with birth differences

We Are Here For You.
Our goal is to provide clarity, support, and the best possible care for you and your baby. We work hand-in-hand with your obstetrician to ensure a seamless journey.

Ready to learn more or book a consultation?

📍 https://maps.app.goo.gl/LdHC8iafVzGfP5DM6
📞 9841502647, 9851035933
🌐 https://www.facebook.com/DrBidariSumit
📧 bidari_summit@hotmail.com



IMAGE: AI generated for Reference.

07/01/2026

AJOG Images in Obstetrics: Prenatal diagnosis of a single umbilical artery originating from a persistent vitelline artery - Type II single umbilical artery originates from superior mesenteric artery
(A–B) Longitudinal view of fetal abdomen using high-definition flow (HD-flow); HD-flow combined with spatiotemporal image correlation (STIC) imaging showed that the type II single umbilical artery originated from the abdominal aorta at the level of the superior mesenteric artery (SMA). (C–D) Longitudinal view of abdominal aorta with fetus using 2-dimensional ultrasound and HD-flow showed that type II single umbilical artery originated from the abdominal aorta at the level of the SMA; the lower abdominal aorta was narrower than the upper abdominal aorta. https://ow.ly/JqqG50XQyJZ

28/12/2025

INDICATIONS FOR TARGETED FETAL ECHOCARDIOGRAPHY
1. Maternal risk of CHD

- Metabolic disease (pregestational diabetes and phenylketonuria)
- Exposure to cardiac teratogens: alcohol, high doses of ionizing radiation, drugs (anticonvulsants, lithium, antidepressants, anxiolytics, retinoic acid) and maternal fever > 38ºC in first trimester are among the most frequent.
- Maternal CHD
- Maternal connective tissue disease with anti-Ro and or anti-La antibodies.
- High-risk aneuploidy screening without invasive testing if incomplete cardiac examination and / or suspected CHD on genetic ultrasound.
- Maternal obesity (BMI > 40).

2 Familiar risk of CHD
- Previous child with CHD
- Parent with CHD
- Syndromes or conditions with high association to CHD

3 Fetal risk of CHD
- NT> 99th percentile between 11-14 weeks
- DV with absent or reversed atrial flow between 11-14 weeks
- Suspicion of fetal CHD on ultrasound screening
- Presence of extracardiac malformation
- Presence of chromosomal abnormality
- Presence of fetal hydrops
- Fetal infection: mainly cytomegalovirus, parvovirus B19 and coxsackie.
- Polyhydramnios, if incomplete cardiac examination or if associated with other malformations.
- Intrauterine growth restriction (IUGR), if incomplete cardiac examination or if associated with other malformations. In case of severe IUGR (< percentile 3), functional echocardiography is recommended.
- Monochorionic twin pregnancy
- Presence of fetal arrhythmia
- Anti-inflammatory treatment with risk of ductus arteriosus constriction (mainly indomethacin and NSAIDs, especially if treatment is applied during the third trimester).

Call now to connect with business.

26/12/2025
23/12/2025

Take some time this December to check out the recent virtual issue on congenital heart disease! This virtual issue features 19 articles, including article by Bottelli et al. on prenatal detection of congenital heart disease at 12–13 gestational weeks with detailed analysis of false-negative cases, in which the authors provide three recommendations that may contribute to reducing the rate of false-negative diagnosis in early cardiac screening. Read the article here: https://bit.ly/3VTZ8i9 and take a look at the virtual issue here: https://bit.ly/4gKB9fP

23/12/2025

Diagnostic ultrasound to inform the surgical approach to cesarean delivery in patients at high risk for placenta accreta spectrum disorders - A, Transabdominal power Doppler image of the lower uterine segment in transverse view demonstrating parametrial hypervascularity. Parametrial extension can be observed in transverse view, with massive hypervascularity extending from the anterior wall and traversing through the lateral wall to the posterior wall, creating a characteristic “C-shape" (yellow arrow). The lacunae feeder vessels extend from the left lateral uterine wall (blue arrow). B, Illustration of parametrial hypervascularity (black arrow) with lacunae feeder vessels (blue arrow) extending to the lateral uterine wall (in the lower uterine segment, as would be seen on transvaginal imaging in the transverse view). Parametrial hypervascularity typically follows the same direction with the abnormal lacunae and the lacunae feeder vessels, which may be caused by the uterine defect extending laterally from a prior cesarean delivery.https://ow.ly/N6g650XJlB9

https://www.youtube.com/watch?v=vojHgQ47KmM
16/12/2025

https://www.youtube.com/watch?v=vojHgQ47KmM

Sitaare Zameen Par Full Movie | Hindi Drama Movie | Aamir Khan New Bollywood Film | Full HDSubscribe to our Channel for latest videos, YOUTUBE: Youtube.com/...

Address

Putalisadak Pradarsani Marga Crossroad.
Kathmandu
44600

Opening Hours

Monday 14:30 - 19:30
Tuesday 14:30 - 19:30
Wednesday 14:30 - 19:30
Thursday 14:30 - 19:30
Friday 14:30 - 19:30
Sunday 14:30 - 19:30

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