For parents
Understand why your doctor may advise a repeat scan, Doppler, fetal echo, genetic counselling or specialist referral.
Call for Appointment : 0712 6692706
Email Support contact@mayflowerclinic.in
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Educational fetal medicine cases
Case of the Month
Learn from carefully selected, anonymised fetal medicine case discussions by Mayflower Fetal Medicine & High-Risk Pregnancy Centre, Nagpur — created to help parents and doctors understand scans, counselling pathways and next-step planning.
Why this page exists
```Learning through real-world fetal medicine thinking
Every complex pregnancy raises questions. The Case of the Month page explains how fetal medicine specialists approach findings step by step — without fear, without shortcuts and without publishing any patient-identifying information.
For doctors
Review structured fetal medicine reasoning, referral triggers and counselling pathways for common complex scenarios.
For safe education
Cases are written as anonymised educational discussions. Patient privacy and PCPNDT compliance remain non-negotiable.
Current educational case theme
Fetal growth restriction, Doppler surveillance and follow-up planning
Case discussion format
When the baby appears smaller than expected
A common referral to fetal medicine is “baby is small for dates” or “growth has slowed.” This does not automatically mean an emergency, but it needs systematic evaluation. The question is whether the fetus is constitutionally small, affected by placental insufficiency, or showing signs that closer monitoring is needed.
1
Confirm dating and growth trend: early scan dates, serial biometry and estimated fetal weight percentile are reviewed together.
2
Assess placental function: amniotic fluid, umbilical artery Doppler, MCA Doppler and CPR may help risk-stratify the pregnancy.
3
Plan follow-up: timing of repeat Doppler, growth reassessment and delivery decisions are coordinated with the treating obstetrician.
The purpose of fetal medicine is not only to identify risk, but to create a clear surveillance plan that parents can understand and doctors can act upon.
Growth Scan
Colour Doppler
IUGR
High-Risk Pregnancy
Future case themes
Common fetal medicine situations explained clearly
These topics can be used as future monthly case discussions. Each case should remain anonymised, educational and legally compliant.
Increased NT on 11–14 week scan
How nuchal translucency, nasal bone, ductus venosus and genetic counselling guide the next step.
Related: NT Scan →Suspicion of fetal heart abnormality
How fetal echocardiography helps clarify abnormal cardiac views seen during an anomaly scan.
Related: Fetal Echo →Ventriculomegaly or brain finding
Why dedicated fetal neurosonography is advised when a brain structure needs detailed assessment.
Related: Neurosonography →Monochorionic twins needing surveillance
How early chorionicity, fluid difference and Doppler assessment help screen for TTTS.
Related: TTTS →Positive screening test or family history
How genetic counselling helps parents understand screening, diagnostic testing and options.
Related: Genetic Counselling →When a fetal procedure is discussed
How fetal medicine decides whether amnioreduction, shunt, transfusion or other intervention may help.
Related: Fetal Intervention →
How cases are discussed
A structured, safe and educational format
Each monthly case can follow the same format so that parents and doctors can understand the reasoning without exposing patient identity.
| Section | What it explains | Why it matters |
|---|---|---|
| Reason for referral | Why the patient was sent for specialist fetal medicine assessment. | Helps parents understand when a routine scan becomes a specialist referral. |
| Key finding | The scan or screening finding that required further evaluation. | Clarifies the medical issue without alarming or over-simplifying it. |
| Specialist assessment | Which scan, Doppler, fetal echo, neurosonography or test was considered. | Shows how fetal medicine uses a stepwise approach rather than guessing. |
| Counselling pathway | How parents are counselled about risk, uncertainty and possible next steps. | Supports informed decision-making and reduces confusion. |
| Follow-up plan | Repeat scan interval, referral coordination or multidisciplinary planning. | Turns a worrying finding into a practical pregnancy care pathway. |
| Learning point | The key medical lesson for parents and referring clinicians. | Builds awareness without breaching privacy or making guarantees. |
Privacy and ethics
Patient confidentiality is protected
Case-based education is valuable only when it is ethical. At Mayflower Clinic, any case discussion used for education must be anonymised and must never include patient identity, personal dates, report photographs, identifiable images or private details without proper consent.
No patient identifiers
No names, phone numbers, addresses, hospital IDs, dates or recognisable personal details.
No report screenshots
Do not upload scan images or reports unless they are properly anonymised and approved.
Education only
Every case is meant to explain decision-making, not to provide personal medical advice online.
Second opinion pathway
Have you been referred after an abnormal scan?
If your obstetrician has advised a fetal medicine opinion, please do not panic. Bring your reports for a structured consultation. Dr. Kunda Shahane will review the scan findings, explain what is known, what is uncertain and what needs to be done next.
Carry your reports
Bring previous ultrasound reports, blood tests, screening reports, NIPT if done, and your obstetrician’s referral note.
Specialist review
The finding may need a targeted scan, fetal echo, neurosonography, Doppler, genetic counselling or follow-up plan.
Clear counselling
You receive an explanation in understandable language, with next steps coordinated with your treating doctor.
“A fetal medicine case is never just an ultrasound finding. It is a family needing clarity, a doctor needing a plan, and a pregnancy that deserves careful, ethical, step-by-step thinking.”
— Dr. Kunda Shahane, MBBS, MS (Obs & Gynae), FIFM, FMF (London)
Frequently asked questions
Case of the Month FAQs
Are these real patient cases?
This page is meant for anonymised educational case discussions. Any case published should remove patient identity and private details. Some cases may be written as composite educational examples to protect confidentiality.
Can I send my reports for Case of the Month?
You can send reports for appointment guidance or second opinion through the clinic’s official contact pathway. Reports should not be published publicly unless they are fully anonymised and written consent is obtained.
Can this page tell me what my scan finding means?
No. These case discussions are for general education. Your own report needs review in consultation with Dr. Kunda Shahane or your treating obstetrician.
Why does fetal medicine need case-based learning?
Many fetal findings are not simple yes/no situations. Case-based learning helps explain how scan findings, gestational age, screening results, Doppler and counselling are combined into a practical plan.
Can doctors refer cases to Mayflower Clinic?
Yes. Referring obstetricians can send patients for specialist fetal medicine scan, counselling, Doppler, fetal echo, neurosonography, invasive testing or fetal therapy assessment.
Does Mayflower disclose fetal sex during any scan or case discussion?
No. Mayflower Fetal Medicine & High-Risk Pregnancy Centre strictly follows the PCPNDT Act. Determination or disclosure of fetal sex is prohibited by law and is not performed.
Related services
Continue learning
Need a fetal medicine second opinion?
If you have been advised further evaluation after a scan, screening test or high-risk pregnancy concern, book a consultation at Mayflower Fetal Medicine & High-Risk Pregnancy Centre, Nagpur.
Medical Disclaimer: This page is for general patient education only and does not constitute medical advice, diagnosis, or treatment. Case discussions are educational and anonymised. Please consult Dr. Kunda Shahane or your treating obstetrician for advice specific to your pregnancy. In an emergency, contact your nearest hospital immediately.
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