7 Facts About Fetomaternal Sub Specialists

1. What is fetomaternal subspecialty?

It is a subspecialist science of the development of obstetrics or the science of pregnancy and its problems, especially high-risk pregnancies, carried out by a subspecialist doctor with the competence of a fetal consultant with the title of doctor with SpOGSubspKFM. (example: Dr. John, SpOGSubspKFM)

2. Who is afetomaternall consultant?

A fetomaternal consultant is a specialist in obstetricsand& gynecology (SpOG) who has continuing education consultants who specialize i handlingghigh-riskk cases, suchas a: history of pregnancy with (recurrent) miscarriage or recurrent fetal death, pregnancy wit defectss, early detection of defects, or earlydetection ofn possibly high-risk pregnancies. Apart from that, we also take special measures to handle high-risk pregnancies.

3. What services can be handled by a fetomaternal subspecialist?

In general, there are several types of fetomaternal services, namely:

• Preconception consultation or before pregnancy occurs to prepare for a healthy and good pregnancy in the future.
• Early detection
  • Early detection of opportunities for defects such as chromosomal abnormalities: for example, screening examinations in the first 3 months of pregnancy (12–14 weeks) to detect Down syndrome or other serious defects
  • Consultation if defects occur during pregnancy
  • Preventive or deterrent
  • Early detection and consultation to prevent the occurrence of high-risk pregnancies, for example: family history of defects, recurrent miscarriage, history of stunted growth, or most commonly, hypertension in pregnancy or preeclampsia
• Handling emergency cases or critical cases in pregnancy
  • Cases of pregnancy with seriousness to the fetus and mother
  • Pregnancy cases are complicated by other diseases such as heart disease, thyroid disease, autoimmune cases including lupus, kidney disorders, etc.

4.  Who is recommended to obtain the services of a fetomaternal subspecialist?

A mother with the following characteristics:

• A mother who intends to become pregnant for the first time.
• A mother with a history of bad pregnancies, such as recurrent miscarriage or fetal death, or premature or stunted fetal growth in previous pregnancies, is advised to come before pregnancy.
• A pregnant woman over 35 years of age with mandatory recommendations is over 40 years of age.
• Pregnant women with health problems, including chronic diseases such as hypertension, diabetes, autoimmune disease, heart disease, etc.

5.When should you consult a fetomaternal subspecialist?

It is recommended that a pregnant mother receive sub-specialist fetomaternal services at the following times:

• The first 3 months (recommended 12–14 weeks) and the second 3 months of screening are carried out at 18–22 weeks of age.
• The second 3 months at 18–22 weeks
• second month at 32–34 weeks
• If a mother has a serious case and requires special treatment, routine control can be carried out under the supervision of a fetomaternal consultant.

6. What can a fetomaternal subspecialist doctor do?

• Ultrasound examination, including screening using a 2D/4D ultrasound diagnostic tool (note: the use of 4D ultrasound is not routinely carried out; it only depends on need).
• Examination of the fetal heart with ultrasound (fetal echocardiography): Special examination of the heart of the fetus because heart defects are one of the most common abnormalities in the fetus.
• Laboratory examination and consultation as diagnostic support depending on needs, such as for early detection of preeclampsia (sflt-1/plgf), disability (NIPT), TORCH infection, karyotyping (examination of chromosomal abnormalities), etc.
• Invasive procedures for pregnancy products such as amniocentesis, amnioreduction, and other invasive procedures.
• Special care and measures for high-risk cases

7. Where can a mother get the services of a fetomaternal consultant?

A pregnant woman with high-risk characteristics can get fetal sub-specialist services at the Hermina Pasteur General Hospital or other places that have this service.