Fetal Heart Program

Steps Involved in IVF:

Procedure Description

A Fetal Heart Program is designed to diagnose and manage heart conditions in unborn babies, offering vital care before birth. The program typically involves advanced prenatal screening techniques, such as fetal echocardiography, which enables specialists to evaluate the fetal heart in great detail. This non-invasive ultrasound test is often performed around the 18th to 24th week of pregnancy but may also be recommended earlier if there are known risk factors. The goal is to detect congenital heart defects (CHDs) and other heart-related conditions as early as possible.

Fetal echocardiography is a comprehensive procedure that provides real-time imaging of the fetal heart's structure and function, assessing blood flow and rhythm. If any abnormalities are found, the Fetal Heart Program will guide the parents through next steps, which may include additional tests, consultations with pediatric cardiologists, and developing a specialized care plan for delivery and postnatal care. Early detection allows for immediate interventions at birth or, in some cases, before the baby is born.

The program is crucial for parents who may have a family history of heart disease, those with certain medical conditions such as diabetes, or pregnancies where routine scans have revealed concerns about the baby's heart. Fetal cardiology specialists collaborate with other healthcare providers, including obstetricians and neonatologists, to ensure comprehensive management. The program’s holistic approach ensures that both mother and baby receive the most appropriate and timely care, reducing complications and improving long-term outcomes.

Procedure Duration

The duration of a Fetal Heart Program varies depending on the specific needs of each case. The initial fetal echocardiogram typically takes about 30 to 45 minutes. This timeframe allows specialists to gather detailed images and thoroughly assess the baby’s heart function. During this appointment, parents may receive immediate feedback or a referral for further tests if concerns arise. The program often involves regular follow-up visits, especially in cases where a heart condition is confirmed.

In situations where a congenital heart defect is diagnosed, the duration of the program extends beyond diagnosis to include ongoing monitoring and the development of a birth plan that addresses both delivery and immediate postnatal care. Depending on the severity of the condition, fetal intervention procedures may be scheduled, where treatment is administered while the baby is still in the womb.

Recovery from the fetal echocardiogram itself is immediate, as it is non-invasive and painless. However, the emotional recovery process for parents after receiving a diagnosis can take time, particularly if complex decisions regarding treatment and delivery plans must be made. After birth, the child may require surgery or other interventions, extending the continuum of care into the newborn phase. In such cases, long-term monitoring and treatment may last several years, encompassing ongoing cardiac care.

Benefits

  • Early Diagnosis: Detecting congenital heart defects (CHDs) early allows for immediate intervention and better outcomes.
  • Comprehensive Care Plans: Families receive tailored delivery and postnatal care plans that reduce risks for both mother and baby.
  • Reduced Complications: Early detection minimizes complications during and after birth by preparing for any necessary treatments or surgeries.
  • Interdisciplinary Approach: A team of specialists, including obstetricians and pediatric cardiologists, collaborate to ensure optimal outcomes.
  • Parental Support: Parents gain a better understanding of their baby’s condition, easing emotional stress and preparing them for future care.

Potential Destinations

  • United States: Renowned for its cutting-edge technology, the U.S. is home to many leading medical centers offering comprehensive Fetal Heart Programs. Patients benefit from access to advanced diagnostic tools, fetal interventions, and world-class pediatric cardiac surgery.
  • Germany: Germany’s healthcare system is highly regarded for its quality care and expertise in prenatal diagnosis. With state-of-the-art facilities and experienced specialists, Germany attracts international patients seeking top-tier medical care for fetal heart conditions.
  • Singapore: Known for its advanced medical infrastructure and highly trained specialists, Singapore is a prime destination for those seeking high-quality fetal cardiology services. The country's reputation for medical excellence and patient-centered care makes it an ideal choice for medical tourists.
  • India: Offering affordable yet high-quality care, India has become a popular destination for prenatal diagnostics, including Fetal Heart Programs. The country is home to many hospitals with expertise in fetal medicine and pediatric cardiology, providing accessible care to international patients.
  • Turkey: Turkey has rapidly gained recognition for its excellent healthcare services, particularly in the field of prenatal diagnosis and fetal cardiology. With advanced technologies and competitive prices, Turkey offers an attractive option for medical tourists seeking expert care.

Risks & Considerations

  • False Positives/Negatives: While fetal echocardiograms are highly accurate, there is still a risk of false positives or negatives, leading to unnecessary stress or delayed treatment.
  • Invasive Procedures: Some cases may require invasive interventions, such as fetal surgery, which carry risks of infection, premature labor, or other complications.
  • Emotional Impact: Receiving a diagnosis of a congenital heart defect can be emotionally overwhelming for parents, and ongoing support is critical.
  • Complex Decision-Making: In severe cases, parents must make complex decisions regarding treatment plans and potential surgical interventions after birth, which can be challenging.
  • Long-Term Care: Babies diagnosed with heart conditions may require lifelong monitoring and treatment, adding emotional and financial strain to families.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for a Fetal Heart Program, it’s essential to consider both the medical expertise and the overall care experience. Begin by researching hospitals that offer specialized prenatal and pediatric cardiac care. Ensure that the facility is equipped with advanced fetal echocardiography and has a team of experienced fetal cardiologists, pediatric cardiologists, and neonatologists.

It’s also important to look for a hospital with a multidisciplinary approach, where specialists from different fields collaborate to provide comprehensive care. Additionally, consider hospitals that have high success rates in managing congenital heart defects and offer postnatal care, including access to pediatric cardiac surgery if needed. Patient reviews and recommendations can offer insights into the quality of care, but visiting the facility or arranging virtual consultations with specialists can also help in making an informed decision.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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