OBSTETRIC AND GYNAECOLOGIC SERVICES AT THE FETAL DIAGNOSTIC CENTER IN BENIN CITY, NIGERIA
The fetal diagnostic center is a specialist level health care center situated at the ANISO Specialist Medical Center in Benin City, Edo State, Nigeria. It is located at No 11, second Federal Road, off Benin Technical College Road, Benin City. It offers high level specialist care, based on referral, to women preparing to get pregnant, to those who are already pregnant and to women who have delivered but require specialist care.


Notable benefits of its services include:
1. Preconception/pre-pregnancy care: This is care required by women who are planning to get pregnant. It is especially important for those women who have chronic medical conditions like hypertension, diabetes mellitus, renal disease and thyroid problems. Also included are women with previous poor pregnancy outcome like repeated miscarriages and also women with a family history of fetal anomalies or women who have had a baby with congenital or chromosomal anomalies. This clinic helps diagnose these women’s conditions, educate them on the pregnancy implications including adjusting their medications for those on chronic medication and to counsel them on pregnancy. Certain drugs to prevent adverse pregnancy conditions like Folic Acid may also be prescribed.
There are many instances where women have stillbirths, premature babies, babies that die before getting to one week of age, have miscarriages and other forms of poor pregnancy outcome without an idea of why and what next to do. This clinic is to enable those issues to be discussed and explanations of the events given where possible. The possible risk of recurrence is also discussed. A plan on monitoring of the subsequent pregnancies is then made in conjunction with the would-be mother. Women who incidentally got pregnant while they were taking various medication may also need to assess the babies for any structural effects of those drugs they have taken.


2. Obstetric ultrasound

  • Screening for aneuploidies: This uses specialized techniques to calculate the risk of a particular baby having some inborn abnormalities depending on the findings of the ultrasound and other features in the mother including maternal age.
  • Fetal diagnosis and therapy: Depending on the indication, the liquor or placenta tissue can be tested to diagnose specific conditions in the baby. Treatment may also be offered where possible.
  • Antenatal monitoring including Cardiotocographies, growth scans and Doppler studies.
  • Fetal Doppler studies: This checks the flow of blood in the fetus and can give fetal state of health.

3. Genetic counseling: This involves the mechanism of inheritance and causation of certain inborn abnormalities.
4. External cephalic version (ECV): This is carried out for a woman whose baby is coming with the buttocks and who has no other problems preventing her from having a vaginal delivery. The procedure is aimed at making the baby come with the head hence increasing the chance of a normal vaginal delivery.
5. Gynaecologic  ultrasound: This represents the set of ultrasound scan carried out for those women to view the reproductive organs in the absence of pregnancy. This could be done in cases of infertility, suspected growths like fibroids and other complaints like lower abdominal and pelvic pain.
6. Obstetric and gynaecologic emergencies and more

 

7. Ultrasound reporting: We possess a unique ultrasound reporting software that enhances the quality of the report and increases the amount of information that the ultrasound scan generates.

MORE ON OBSTETRIC ULTRASOUND
At the fetal diagnostic center, we offer different levels of ultrasound services depending on the referral requirements. In addition, based on the initial findings, the level of scanning may be adjusted. Specifically, in the routine and detailed scans, we check for the following:

  • That the baby is alive
  • The number of babies
  • The cervix (the mouth of the womb) to see if it is closed or open
  • Confirm that the baby is within the womb and that there is no ectopic
  • If there are other swellings in the womb like fibroids
  • Any other swelling in the abdomen like ovarian cysts
  • The structure and location of the placenta
  • The nature and amount of fluid (liquor) around the baby

Thereafter, we check:

  • The growth and age of the baby
  • State of health of the baby
  • The various organs of the baby to see if they are all formed normally
  • The sex of the baby whether a boy or a girl.

During the scans, the mother and father and other accompanying persons can watch on a separate screen provided for them. The important findings will be shown to them and basic explanation given. However, they are expected to get the full details from the referring care giver who then plans the care. However, they may be referred back for further advice and specialist guidance of high risk obstetric care.

 

VERY USEFUL INFORMATION FOR CARE GIVERS AND MOTHERS REQUESTING THESE SERVICES

  • Good history: It is important that the mother gives history of any risk factors to the sonographer before and during the scan. These factors could include use of drugs and medications, alcohol, recent fever, skin rash, chronic diseases such as diabetes and hypertension, previous fetus with abnormality or unfavourable outcome including intrauterine death (death inside the womb) and a positive family history of abnormality. Any history of vaginal bleeding, lower abdominal pain and the report of any previous scan should also be made available.
  • Referral: It is important for the expectant mother to be under the watchful eyes of a specialist care giver of her choice as this will facilitate communication. However, this service can also be obtained at ANISO Specialist Medical Center.
  • Pre-booking: This is encouraged to prevent unnecessary delay. Here the client calls the center ahead of time booking a convenient date and time for her which will be honoured to avoid delay and/or disappointment.
  • Cost: As expected, high level ultrasound scan will cost some money. However, at our center, the price regime is such that it depends on the level of scan that is done. Basic scans are the cheapest but not the best as this may not check all the details of the baby. Also the cost may depend on the type of ultrasound necessary to make a diagnosis. Transvaginal scans are more expensive than transabdominal scans. Some patients may need both modalities for which they pay only a percentage of the second. To reduce cost, only a fraction of the cost is paid for a follow up scan.
  • Information: We give only the basic information of the ultrasound findings to save time. However for a more detailed counseling, the client may visit her primary care-giver or return for a counseling visit. The gender of the baby is not revealed as a routine. The mother request to know.
  • Pictures: Only medically indicated pictures are sent to the referring doctor. Other pictures can be taken on request at a small fee.
  • Videos: A video of the essential pictures can be made on request also at a fee.
  • Management options: This accompanies the report. We may be contacted for further advice or to take over management.
  • Procedures: Various treatment procedures may be necessary for the health and survival of the baby. This can be offered if indicated.
  • Information: Clients may visit our website for basic information or contact us to book for other services or enquiries.

 

<< Previous Page || Next Page >>