Screening, diagnostic and theurapeutic procedures and tests
Ultrasound scans
1st trimester (dating, fetal anatomy, Nuchal Translucency)
2nd trimester (detailed anatomy)
Growth scans
Doppler studies (uterine artery, umbilibical artery, middle cerebral artery, thoracic aorta, ductus venosus)
Cervical length and assessment
3-dimensional reconstructions and studies

Invasive tests and procedures
Chorionic Villus Sampling
Amniocentesis
Cordocentesis
Fetal reduction

Screening tests for Down's Syndrome
1st trimester: Biochemistry and Nuchal Translucency
2nd trimester: Biochemistry

Early pregnancy complications
Miscarriage
Recurrent miscarriage
Ectopic pregnancy
Trophoblastic disease

Management of pregnant patients with medical disorders
Antiphospholipid antibodies
Cardiac disease
Renal disease
Chronic hypertension
CNS disease (eg epilepsy, multiple sclerosis)
Autoimmune disorders (eg cystic fibrosis, Marfan's syndrome)
Endocrinologic disorders (eg diabetes, thyroid disease)
Thromboembolic disease
Haematological disorders
Infectious diseases (eg HIV, CMV, Toxoplasmosis, Rubella, Parvovirus, Varicella, Herpes
Maternal malignant disease
Substance abuse
Severe asthma
Transplants

Management of other high risk pregnant patients
Preeclampsia/Eclampsia
Intrauterine Growth Restriction (IUGR)
Oligo-/Poly-hydramnios
Cervical incompetence
Preterm labour
Placenta praevia (low lying), accreta, increta, percreta
Multifetal pregnancy (twins or more)
Fetal hydrops
Twin-to-twin transfusion syndrome (TTTS)
Fetal anomalies
Antepartum haemorrhage

Contact information:
Fetal Medicine Unit
5th floor, Aldrich Blake Ward
Royal Free Hospital
Pond Street
London NW3 2QG
Tel: 020 7830 2711
Fax: 020 7830 2602
E-mail: fmu@rfh.nthames.nhs.uk