Services

Pregnancy

First Trimester

  • Ultrasound for confirmation of intrauterine pregnancy and identification of number of fetuses
  • Management of early pregnancy complications (e.g. miscarriage, bleeding, excessive vomiting, etc)
  • Identification of risk factors in pregnancy
  • Routine antenatal blood test
  • Screening for Down's syndrome at 11-13 weeks of gestation*

Second Trimester

  • Routine fetal morphology ultrasound at 18-22 weeks of gestation*
  • Universal screening of gestational diabetic mellitus (oral glucose tolerance test) at 24-28 weeks of gestation

Third Trimester

  • Routine antenatal check-up with surveillance for pregnancy complications (e.g. pre-eclampsia, gestational diabetes, abnormal fetal presentation, placenta previa, etc)
  • Regular monitoring of fetal growth, wellbeing and liquor volume
  • Universal screening of Group B Streptococcus at 35-37 weeks of gestation
  • Discussion on birth plan including the options of pain relief and the mode of delivery
* Referral to specialist ultrasound services will be made at appropriate gestation.

Adverse Past Obstetric History

  • Prediction of Preterm Delivery
    • The use of transvaginal ultrasound for cervical length assessment
    • Regular monitoring and management if necessary (eg. cervical cerclage)
  • Prediction of Pre-Eclampsia / Intra-Uterine Growth Restriction (IUGR)
    • Use the maternal medical history and Doppler ultrasound technique to predict the possibility of preeclampsia / IUGR
    • Given prophylaxis ( eg. aspirin) and appropriate management if necessary
    • Monitoring of fetal growth and fetal wellbeing
  • Identification of Underlying Medical Illness
    • Gestational Diabetes
      • Team approach in the management (dietitian, diabetic nurse specialist)
      • Ultrasound assessment for macrosomia and/ or polyhydramnios
      • Liaise with endocrinologist in joint counselling and management if necessary
    • Chronic Hepatitis B Carrier
      • Regular monitor the chronic Hepatitis B activity status (eg. Hepatitis B DNA viral load) to predict the risk of neonatal infection
      • Given anti-viral medication to decrease the risk of neonatal infection if necessary
      • Liaise with hepatologist in joint counselling and management if necessary

Pre-existing Medical Disease Complicating Pregnancy

  • Cardiac diseases
  • Endocrine diseases, eg. thyroid disease
  • Asthma / respiratory diseases
  • Autoimmune / renal diseases
  • Neurological disease
  • Liaison with the physician in a team approach (e.g. liaison with a cardiologist in women with cardiac disease) will be arranged if necessary.

High-risk Pregnancy

Postpartum

Postpartum Follow-up

  • Ensure good postpartum recovery
  • Identification of complications
  • Contraceptive advice and pre-pregnancy advice for future pregnancies
  • Cervical screening test