Screening is the systematic testing of asymptomatic individuals for the disease so that early and more effective treatment may be given. In this context the common say of "prevention is better than cure" cannot be better applied to any situation more than ante-natal care. As a matter of fact this ante natal care should start even before pregnancy. Every woman, and for that matter evey man, should check that their health is at its best before starting a family. This ideas should therefore be more widely spread by all agencies responsible for health promotion and education.
Pre marriage and pre conception counselling should be thought and everybody should go for such counselling so as they can start their family life at a healthier basis. This is particularly applicable to close relatives marriages like first degree cousins or families who have particularly known abnormalities. It is of interest to note that there are 6,000 different inherited abnormalities, of which 370 are chromosomally linked. At the time of counselling various illnesses can be discussed.
At The British Clinic, a comprehensive ante-natal care is provided following the NICE (National Institute for Health and Clinical Excellence) guidelines, United Kingdom. This includes the routine screening tests as well as PAPP-A test, ultrasound scanning using 3D/4D technology, nuchal transluscency measurement, Doppler and foetal echocardiography and foetal morphology/anomaly scan, CTG monitoring as well as the non-invasive prenatal genetic tests to identify foetal trisomies 21, 18 & 13, monosomy and sex chromosome linked abnormality.
The British Clinic offers pregnant women with the following conditions additional care :
- Cardiac disease, including hypertension
- Renal disease
- Endocrine disorders or diabetes requiring insulin
- Psychiatric disorders (being treated with medication)
- Hematological disorders
- Autoimmune disorders
- Epilepsy requiring anticonvulsant drugs
- Malignant disease
- Severe asthma
- Obesity (body mass index 30 kg/m2 or above) or underweight (body mass index below 18 kg/m2)
- Higher risk of developing complications, for example, women aged 40 and older, women who smoke
- Women who are particularly vulnerable (such as teenagers) or who needs social support
The British Clinic offers pregnant women who have experienced any of the following conditions in previous pregnancies additional care :
- Recurrent miscarriage (three or more)
- Preterm birth
- Severe pre-eclampsia, HELLP syndrome or eclampsia
- Rhesus isoimmunisation or other significant blood group antibodies
- Uterine surgery including caesarean section, myomectomy or cone biopsy
- Antenatal or postpartum haemorrhage on two occasions
- Puerperal psychosis
- Grand multiparity (more than six pregnancies)
- A stillbirth or neonatal death
- A small-for-gestational-age infant (below 5th centile)
- A large-for-gestational-age infant (above 95th centile)
- A baby weighing below 2.5 kg or above 4.5 kg
- A baby with a congenital abnormality (structural or chromosomal).
The British Clinic does not accept any liability to any person for the information or advice (or use of such information or advice) which is provided in this website or incorporated into it by reference. We provide this information on the understanding that all persons accessing it take responsibility for assessing its relevance and accuracy. Women are encouraged to discuss their health needs with their carers.