Nottingham Fetal Medicine is a specialised service for women and their partners who are expecting a baby who has higher risk of having a problem. The team is made up of subspecialty trained obstetric consultants, specialised midwives and a small number of higher medical trainees.
We work very closely with highly specialised paediatric services throughout the East Midlands, and the clinical and laboratory genetics teams in Nottingham.
There are a number of reasons why women are referred to our service:
- an abnormality, or possible abnormality, has been identified on an ultrasound scan at any point during your pregnancy
- your pregnancy is at risk of a problem because of a personal or family history of a fetal abnormality or genetic problem
- your unborn baby has been found to be much smaller than expected
- your unborn baby is at risk of developing anaemia before birth
- concerns have been raised about the position and structure of the placenta (afterbirth)
- you have developed an infection during the pregnancy which may have an impact on the baby
- a scan has shown that there is excessive amniotic fluid surrounding the baby
- you have a complicated twin pregnancy, or you are expecting triplets or higher multiples
- you wish to find out what the chances are of a fetal problem in a future pregnancy (pre-pregnancy counselling)
At the City Hospital we are located along Maternity N1. Please use the link below to view a downloadable map of the City Hospital:
At the Queens Medical Centre we are located along East 20. Please use the link below to view a downloadble map of the Queens Medical Centre:
This service is run from the Fetal Care Unit (FCU) at City Hospital and is based in the Fetal and Maternal Medicine Unit (FMM) at QMC.
Both FCU and FMM can be found within the general antenatal clinic areas at the respective hospitals.
Women who live in Nottingham and are booked to deliver their babies at City Hospital or QMC may be referred to FCU or FMM, depending on the availability of appointments across the two units.
We work as one team, and the care provided in the two locations is the same. Many women are referred to Nottingham Fetal Medicine from all over the East Midlands, including Leicester, Lincolnshire and as far south as Kettering.
What will happen at your appointment?
We do our very best to keep on time with our appointments because we recognise how stressful it is attending our clinics. However, appointments sometime exceed their allotted time. We ask for your patience therefore if your appointment is delayed.
This is a consultant delivered service, however there may well be senior medical trainees working with the consultant. Be assured that even if you are initially seen by a senior trainee, you will also meet the consultant in the clinic who will be responsible for your care.
In most cases an ultrasound scan will be performed at your appointment. We also may offer a variety of blood tests, and in some cases tests such as amniocentesis or chorionic villous sampling (CVS).
We frequently offer the opportunity for you to meet with specialist paediatric or genetics doctors who may have a more detailed understanding of the problem which we have identified.
By providing you with information, answering your questions and performing more tests and additional scans, we can jointly make a plan for the rest of the pregnancy, the birth, and the care of your new baby.
After your appointment
Often we are able to reassure future parents that there isn’t a problem and you can return to normal care with your midwife. However, if a problem is identified, we may need to see you again for follow up appointments.
If you were originally planning to have your baby elsewhere we may suggest jointly caring for you with the obstetricians and midwives from your referring unit, to limit the number of times you have to travel into Nottingham.
Normally your baby can be born in your local hospital but in some cases however we may need to recommend that your baby is born at QMC or City Hospital, depending on the problems or concerns which have been identified.
Abnormally Invasive Placenta Service
Abnormally invasive placentation which can also be known as placenta accreta is a rare complication of pregnancy when the placenta grows into the muscle of the uterus, making separation at the time of birth difficult.
It is most common in women who have a low lying placenta (placenta praevia) and who have also had a Caesarean delivery in the past.
Women who have a low lying placenta at 20 weeks and those who have any risk factors for this complication will be offered a specialist ultrasound scan to assess if this problem is likely or not.
Further scans such as an MRI may be recommended. The doctors will then plan with you how best to treat the problem at the time of birth.
This clinic runs at the Fetal Medicine department in City Hospital and accepts referral from across the East Midlands.