Prenatal care: The vital role of fetal scans

Written in association with: Dr Panicos Shangaris
Published:
Edited by: Kate Forristal

Pregnancy is a journey filled with anticipation, excitement, and occasional anxiety for expectant parents. Amidst this whirlwind of emotions, fetal scans emerge as a crucial tool in ensuring the health and well-being of both the baby and the mother. In his latest online article, Dr Panicos Shangaris offers insights into fetal scans' significance and their integral role in prenatal care.

The role of fetal scans in prenatal care:

Fetal scans, primarily conducted through ultrasound, provide healthcare providers with real-time images of the developing fetus within the womb. Utilising high-frequency sound waves, ultrasounds enable professionals to monitor fetal growth, detect abnormalities, and assess the baby's overall health throughout pregnancy. This non-invasive procedure poses minimal risk to both the mother and the unborn child.

 

Early detection and intervention:

Fetal scans are instrumental in detecting potential issues early on, facilitating timely interventions and management. From confirming pregnancy viability early to monitoring fetal position and growth in later trimesters, these scans offer valuable insights that guide medical decision-making and enhance maternal-fetal health.

 

Key scans in pregnancy:

  • First Trimester Scan (11-13+6 weeks): This scan is crucial for initial health checks of the fetus, including assessments of developmental milestones and nuchal translucency measurements that help evaluate the risk of chromosomal abnormalities like Down syndrome and the risk for developing high blood pressure in pregnancy.
  • Anomaly Scan (at around 20 weeks): Conducted around the mid-pregnancy mark, this detailed scan checks for structural abnormalities in the fetus. It assesses several body parts and organs, ensuring they are developing correctly and confirming the placenta's position.
  • Additional Growth Scans: In some pregnancies, especially those considered high-risk, additional growth scans may be recommended to monitor the fetus's development closely. These scans can assess the growth rate and are vital in cases where there are concerns about the baby's growth due to maternal health issues or previous pregnancy outcomes.

 

Advanced imaging modalities:

Advancements in technology have enriched fetal imaging techniques beyond traditional ultrasounds:

  • 3D/4D Ultrasounds: These scans offer a lifelike view of the fetus, allowing parents and healthcare providers to see detailed facial features and movements. This can enhance bonding with the baby before birth and assist doctors in better assessing the fetus's health when standard ultrasound images are inconclusive.
  • MRI: While not as commonly used as ultrasound, magnetic resonance imaging provides detailed anatomical visualisation, which is particularly useful in assessing complex congenital conditions and fetal brain development.

 

Considerations and limitations:

Despite the comprehensive insights provided by fetal scans, it is essential to maintain a balanced perspective regarding their use. While they offer invaluable information, limitations exist, including the possibility of false positives or negatives. Additionally, concerns about overexposure to ultrasound waves are often discussed, though current research suggests minimal risks.

 

Dr Panicos Shangaris is an esteemed consultant in obstetrics and maternal and fetal medicine. You can schedule an appointment with Dr Shangaris on his Top Doctors profile.

By Dr Panicos Shangaris
Obstetrics & gynaecology

Dr Panicos Shangaris is a highly skilled consultant in obstetrics and maternal and foetal medicine in London. With over 15 years of experience, Dr Shangaris' dedicated clinical expertise specialises in all aspects of fetal medicine, pregnancy, high-risk pregnancy, prenatal diagnosis, preconception counselling, birthing control, and medicolegal cases.

In addition to his roles within the NHS and academic sectors at King's College, Dr Shangaris provides an extensive range of private maternity care services. These services include in-person consultations as well as video e-consultations. His private offerings span comprehensive antenatal care, featuring additional tests such as non-invasive prenatal testing (NIPT), as well as a range of birthing options that include both private caesarean sections and normal vaginal deliveries. His transparent fee pricing ensure patients understand the costs. 

Dr Shangaris graduated from the Royal College of Surgeons in Ireland in 2005 and completed his foundation training in East Lancashire. He then pursued higher specialist training in London at renowned institutions such as University College London, the Royal Free London, Barnet, and North Middlesex Hospitals.

He obtained a Master's degree in foetal medicine and prenatal genetics at University College London (UCL) with distinction. Notably, he was awarded the prestigious Wellcome Trust SPARKS research training fellowship in 2011, which allowed him to undertake his PhD research at UCL. His research focuses on treating genetic blood disorders through foetal stem cell transplantation or gene therapy.

Dr Shangaris has received additional funding from esteemed organisations like the Academy of Medical Sciences, the National Institute for Health and Care Research, and the Fetal Medicine Foundation to further his clinical research endeavours. During his subspecialty training in maternal and fetal Medicine at St Thomas' and King's College Hospitals, he worked under the guidance of prominent experts in the field. He gained expertise in specialised clinics such as complex fetal medicine, fetal urology, gestational diabetes, hypertension in pregnancy, multiple pregnancy, fetal cardiology, genetics, and perinatal pathology.

Dr Shangaris holds the position of maternal and fetal medicine consultant at King's College Hospital NHS Foundation Trust and a Senior Clinical Lecturer at King's College London. He is also an academic co-lead for the BRC DTP PhD programme and supervises research projects for BSc, MSc, and PhD students.

With a commitment to collaborative research, Dr Shangaris actively contributes to maternal and fetal medicine clinical research, leading to numerous publications in peer-reviewed journals. He is part of the editorial team at the Reproductive Science Journal and holds the position of president of the Royal Society of Medicine, Maternity and Newborn Forum, further showcasing his leadership role in the field.

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