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Fetal Interventions and Procedures

For patients facing a complex fetal condition, the Center for Fetal Therapy offers varying levels of care. Depending on your needs, you may turn to us for a consultation, co-managed care with your obstetric provider or comprehensive maternal and fetal care.

Services

Dr. Baschat and the Center for Fetal Therapy team excel at diagnostic testing, fetal monitoring, comprehensive fetal cardiovascular assessment and high-risk maternity and delivery care. Our highly skilled team makes use of advanced 2-D and 3-D ultrasound techniques, magnetic resonance imaging and the latest research into fetal treatment.

Procedures

The Fetal Therapy Center offers the following procedures to ensure the highest of quality of care for our patients:

Amnioinfusion

This procedure is performed when the amniotic fluid surrounding the fetus is severely decreased (severe oligohydramnios) or when there is no amniotic fluid (anhydramnios). Adding fluid makes it easier to diagnose potential complications in the womb. Learn how perinatologist Jessica Bienstock, M.D. recently used serial amnioinfusion in a case of bilateral renal agenesis.

Ex-utero Intrapartum Treatment (EXIT)

Ex-utero intrapartum treatment (EXIT) refers to a special technique used to deliver a baby through an incision in the uterus. In an EXIT procedure a functioning airway is established before separation from the placenta. EXIT can be a lifesaving procedure for many babies with airway obstruction. Learn more.

Fetal Echocardiography

A fetal echocardiogram is a noninvasive specialized ultrasound study that focuses on the fetal heart. Learn more.

Fetal Shunt Placement

This procedure is performed when there is a severe renal/urinary abnormality in the fetus in order to drain the fetal bladder and obtain a fetal urine sample for testing. Stents can also be used to drain extra fluid from the fetal chest.

Fetoscopy

Fetoscopy refers to the insertion of a small laparoscope into the uterus in order to visualize the fetus and placenta. Through the fetoscope a number of devices can be inserted to treat a number of conditions. This procedure is most frequently performed to carry out laser ablation of placental anastomoses for the treatment of twin-to-twin transfusion syndrome and the tracheal balloon placement for congenital diaphragmatic hernia.

Intrauterine Transfusion

This procedure is done using ultrasound guidance to place a small needle through the mother's abdomen into a small fetal blood vessel. Blood, platelets or medications can be administered to the fetus through this technique.

 

Birthing Center videos

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New birthing center video thumbnail imageWatch our video about the new Birthing Center.

 

Traveling for care?

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Whether crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins.

U.S. 1-410-464-6713 (toll free)
International +1-410-614-6424

 

 
 
 
 
 

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