Complete Pregnancy Care in Nagpur
Most fetal medicine in India is a scan and a report, with the words “please correlate clinically” at the bottom. Dr. Kunda Shahane is an obstetrician-gynaecologist first and a fetal medicine specialist second, which means the person who performs the scan is the person who decides what happens next.
The question nobody answers when you are referred
You have been sent for a scan at a second place, by a doctor who is not the one you see. You will be scanned by someone you have never met, handed a report, and sent back. If something is found, you will be told to discuss it with your own doctor — who was not in the room and did not see the images. The question every woman has at that point, and almost nobody asks aloud, is: who is actually in charge of this pregnancy?
That gap is not a failure of any individual doctor. It is how the referral chain is built. A scan centre reports images; an obstetrician manages patients; the two communicate through a printout and the phrase “please correlate clinically”. For a straightforward pregnancy it works. When something is found, it is exactly the wrong structure, because the person with the most information about your baby is the person with the least authority over what happens next.
Mayflower is organised differently, and the reason is in Dr. Kunda Shahane’s training. She is MBBS, MS in Obstetrics and Gynaecology, and she subspecialised into fetal medicine afterwards. She is an obstetrician who learned to scan, not a sonologist who learned about pregnancy. So the person performing the scan is the person who decides which test to send, reads the result, tells you what it means, treats your thyroid or your diabetes, watches the growth, and plans the delivery.
Two models, side by side
This is not a criticism of scan centres, which do necessary work and do it well. It is a description of two different structures, and of what each one can and cannot do when a finding appears.
The referral model
A radiologist or sonologist performs the scan and issues a report ending in please correlate clinically.
An invasive procedure is performed, the sample is sent away, and the geneticist’s report is forwarded on.
Management is handed back to the referring gynaecologist, who was not present for any of it.
The fetus is examined. The pregnancy is somebody else’s responsibility.
How it works here
Dr. Kunda performs the scan and interprets it as the treating clinician, not as a reporting service.
She decides which genetic test is indicated and which chromosomes are likely to be involved, performs the procedure herself, interprets the result and counsels the family.
She plans and delivers the management, including the maternal medical conditions driving the risk.
The mother, the fetus, and what happens next are treated as one problem.
Three ways a specialist can be involved — and which one you get
The Society for Maternal-Fetal Medicine describes three recognised models for how a fetal medicine subspecialist works with the rest of a woman’s care: consultation, co-management, and transfer of care. All three are legitimate. The problem in practice is that patients are rarely told which one they are in.
Consultation. You come for a specific question — a scan, a screening result, an opinion on a finding — and go back to your own obstetrician with an answer. Many women need nothing more than this, and it is the commonest reason for a first visit here.
Co-management. Your obstetrician continues to look after you and conducts the delivery, while Dr. Kunda handles the fetal surveillance, the specialist scans and the parts of the medical management that need subspecialty input. This is the arrangement most referring doctors in Nagpur and across Vidarbha use, and it works because the boundaries are agreed at the start rather than assumed.
Transfer of care. Dr. Kunda becomes your obstetrician. She sees you through the antenatal period, manages the medical conditions, plans the delivery and conducts it. This is available and it is chosen by many women with complicated pregnancies — but it is a decision made with you, not a default.
What is not on offer is ambiguity. You will be told at the first visit which of the three you are in, who is responsible for what, and who to call at two in the morning.
At a glance
- Doctor
- Dr. Kunda Shahane, obstetrician-gynaecologist and fetal medicine specialist
- Qualifications
- MBBS, MS (Obs & Gynae), FIFM, FMF (London)
- Experience
- 20+ years in medicine; 14+ years in fetal medicine
- Models available
- Consultation, co-management, or full transfer of care
- Scans
- Performed and interpreted by her, not reported by a third party
- Procedures
- Amniocentesis, CVS, cordocentesis, fetal transfusion, shunts
- Maternal conditions
- Managed here, with a physician or cardiologist where needed
- Clinic
- Mayflower Clinic, Dhantoli — consultation, scanning and procedures
- Delivery
- Conducted by her at the hospitals in Dhantoli where she is attached
- Languages
- English, Hindi, Marathi
What “complete” actually covers
The word is used loosely on medical websites, so here is the specific chain. Every link in it is done by the same doctor, in the same building, except the delivery and the laboratory work.
- Dating and viabilityConfirming the pregnancy is in the right place, that there is a heartbeat, how many there are, and the dates the rest of the pregnancy will be measured against. Dates set wrongly at the start distort every decision that follows, which is why this is not a formality.
- First trimester screeningThe nuchal translucency scan and combined screening at 11 to 14 weeks, performed to Fetal Medicine Foundation protocol. Screening estimates a risk. It does not diagnose, and it is explained here as a probability rather than as a verdict.
- Deciding whether a diagnostic test is needed — and which oneThis is the step that most often goes wrong in a referral chain. A raised screening risk is not automatically an amniocentesis. Which test, which panel, which chromosomes, and whether the answer would change anything are clinical decisions, and they are made by the doctor who scanned you and knows your history.
- The procedure, if one is indicatedAmniocentesis, chorionic villus sampling or cordocentesis, performed under continuous ultrasound guidance by Dr. Kunda herself. Samples go to a genetics laboratory; the interpretation comes back here.
- The anomaly scan and the fetal heartThe detailed anatomy survey at 18 to 22 weeks, with fetal echocardiography where the history or the findings call for it. Where something is found, the conversation happens the same day rather than at the end of another referral.
- Your own medical conditionsThyroid disease, diabetes, high blood pressure, cardiac disease, Rh-negative blood group and antibodies, previous losses, previous caesarean, a uterine anomaly. These are managed as part of the pregnancy, alongside a physician or cardiologist where the condition needs one, rather than in a separate clinic that does not see the scans.
- Growth, Doppler and fetal wellbeingSerial growth measurement and Doppler studies of the blood flow to the baby, at intervals decided by what is actually happening rather than by a fixed schedule. This is where most preventable problems in the third trimester are caught.
- Delivery planning, then deliveryWhen, where, how, and who needs to be present — including a paediatric team where a condition has been diagnosed before birth. Deliveries and caesarean sections are conducted by Dr. Kunda at the hospitals in Dhantoli where she is attached. Mayflower Clinic is the consulting, scanning and procedure address; no deliveries take place there.
Where the chain usually breaks
Three failures account for most of what walks into this clinic as a second opinion, and they are all structural rather than anybody’s mistake.
The finding nobody owns. A soft marker, an echogenic focus, a slightly small measurement. The report describes it accurately and stops. The referring doctor was not at the scan. The family goes home with a phrase they then search on the internet at midnight, and by the morning they are frightened of something that may carry almost no significance. Someone has to say what it means, and that someone should have seen it.
The test ordered without a question. Genetic testing has become easy to order and hard to interpret. A panel run without a specific clinical question generates findings of uncertain significance that then have to be explained, and the explaining is the difficult part. Deciding what to send is a clinical act, not an administrative one.
The mother treated separately from the pregnancy. A woman with thyroid disease sees a physician for her thyroid and an obstetrician for her pregnancy, and the two adjust doses without seeing each other’s notes. The same happens with diabetes and with blood pressure. The maternal condition is very often the thing driving the fetal risk, and separating them is how growth restriction gets found late.
Worth doing
- Bring every previous scan and report, including from other centres and previous pregnancies
- Bring the details of any condition you were treated for before you conceived, with the medicines
- Ask at the first visit which of the three models you are in and who is responsible for what
- Come with your husband or whoever will be part of the decisions, if a finding is being discussed
- Ask what a result would change before agreeing to a test
- Keep your own obstetrician informed — co-management works when both doctors know
Worth avoiding
- Searching a phrase from a scan report on the internet before anyone has explained it
- Assuming a normal scan at one stage means the rest of the pregnancy needs no surveillance
- Treating a screening risk as a diagnosis, in either direction
- Stopping thyroid or blood pressure medicine on your own because you are pregnant
- Collecting opinions from several centres without one of them being in charge
- Leaving a known medical condition unmentioned because it feels unrelated to the pregnancy
What this does not mean
It does not mean everything happens in one building. Deliveries and caesarean sections take place at the hospitals in Dhantoli where Dr. Kunda is attached, not at the clinic. Genetic and pathology samples go to external laboratories. A newborn needing intensive care is looked after by a paediatric team. What is under one roof is the decision-making, not the entire apparatus of maternity care.
It does not mean your own doctor is replaced. Co-management is the commonest arrangement here and it depends on referring obstetricians across Vidarbha, many of whom have worked with this clinic for years. A woman who arrives with an obstetrician she trusts is not encouraged to leave that doctor.
And it does not mean certainty. Screening estimates risk. The anomaly scan detects a proportion of structural problems, not all of them. Some conditions declare themselves only later in pregnancy or after birth. No scan, no test and no model of care can promise a healthy baby — what this one can offer is that the person who finds something is the person who then does something about it.
What it costs
Charges depend on which scans and which consultations you actually need, and that is decided from your history rather than sold as a package. Antenatal packages tend to price the average pregnancy, which means low-risk women pay for surveillance they do not need and complicated ones exceed the package anyway.
| Item | How it is charged |
|---|---|
| Consultation | Charged as an obstetric consultation |
| Scans | Charged individually by scan type — current charges are on the scan cost page |
| Invasive procedures | Procedure charge, with the laboratory billing the genetic test separately |
| Maternal blood tests | Billed by the laboratory that processes them |
| Delivery | Billed by the hospital where the delivery takes place, separately from clinic charges |
Published scan charges are on the pregnancy scan cost page. For anything not listed there, WhatsApp +91 8087471244 with your weeks of pregnancy and what has been advised.
Questions women ask
What does complete pregnancy care actually mean here?
That one doctor performs the scan, interprets it, decides which further testing is worth doing, performs any procedure that is needed, explains the result, manages your own medical conditions, watches the baby's growth, plans the delivery and conducts it. The alternative — and the usual arrangement in India — splits those tasks between a scan centre and an obstetrician who communicate through a printed report.
Do I have to leave my current obstetrician?
No, and most women do not. Three arrangements are recognised: consultation, where you come with a specific question and go back; co-management, where your obstetrician continues to care for you and conducts the delivery while the specialist scans and fetal surveillance happen here; and transfer of care, where Dr. Kunda becomes your obstetrician. Co-management is the commonest here. What matters is that everyone knows which arrangement you are in from the first visit.
What is the difference between a fetal medicine specialist and a radiologist doing the same scan?
The scan may look similar. What differs is what can be done with it. A radiologist reports the images and refers the clinical decision onward. An obstetrician who subspecialised in fetal medicine reports the images and then makes the clinical decision — which test, which specialist, what to tell the family, what changes in the management. Dr. Kunda trained as an obstetrician-gynaecologist first and added fetal medicine afterwards, which is why the two halves sit in one person.
Something was seen on my scan elsewhere. Should I get it re-scanned here?
Bring the report and the images, and come for a consultation rather than assuming a repeat scan is needed. Sometimes a finding is clear from what you already have and the visit is about explaining it and deciding what happens next. Sometimes the finding needs to be looked at again by someone who will also be responsible for the decision. That is judged at the visit, and you are not charged for a scan that adds nothing.
I have thyroid disease. Is that managed here or by my physician?
Here, as part of the pregnancy, with a physician involved where the condition needs one. Thyroid disease, diabetes and high blood pressure are among the commonest drivers of fetal risk, and managing them in a separate clinic that never sees the scans is how problems get noticed late. Do not stop or change a dose on your own because you have become pregnant — several of these medicines are more important in pregnancy, not less.
Does a normal anomaly scan mean my baby is healthy?
It means no structural abnormality was seen in the structures that can be assessed at that stage, which is genuinely reassuring but is not the same statement. The anomaly scan detects a proportion of structural problems, not all of them, and some conditions declare themselves later in pregnancy or after birth. Any centre telling you a scan promises a healthy baby is overselling it, and you should discount everything else they tell you accordingly.
My screening test came back high risk. Does that mean something is wrong?
No. A screening test estimates a probability; it does not diagnose. Most women with a high-risk screening result go on to have an unaffected baby. What the result does is change the conversation about whether a diagnostic test is worth doing, and that decision depends on your history, the scan findings and what a result would actually change for you. It is a discussion, not an automatic next step.
Will the same doctor be there at my delivery?
Where Dr. Kunda is your obstetrician, yes — she conducts deliveries and caesarean sections herself at the hospitals in Dhantoli where she is attached. Where you are under co-management, your own obstetrician conducts the delivery and she remains involved in the fetal surveillance and the planning. That is settled early rather than left to be discovered at 38 weeks.
Can I come before I am pregnant?
Yes, and for some women it is the most useful visit of all — particularly after a previous loss, after a baby with an anomaly, with a medical condition that needs the medicines reviewed before conception, or where there is a family history worth screening for. Decisions made before a pregnancy starts are usually easier than the same decisions made at eight weeks.
Will you tell us whether it is a boy or a girl?
No. Disclosure of fetal sex is illegal in India under the PCPNDT Act, 1994, and is not performed at this centre under any circumstances, in any language, for any reason, however the question is asked. Every scan performed here is for a lawful medical indication.
What should I bring to the first visit?
Every previous scan and report you have, including from other centres and from previous pregnancies; your blood group and any antenatal blood results; the details of any medical condition you had before conceiving, with the medicines and doses; and the name of your current obstetrician if you have one. Photographs of reports on your phone are fine.
What does it cost to be under this kind of care?
There is no single figure, because there is no fixed schedule — a low-risk pregnancy needs far fewer visits and scans than a complicated one, and charging both the same would mean overcharging one of them. Scans are charged individually and the published charges are on the scan cost page. Delivery is billed by the hospital where it takes place, separately from anything charged at the clinic.
Managing a pregnancy and doing the scans myself means nothing gets lost in translation. If I notice a change in the baby’s growth, blood flow, or the mother’s health, I can instantly link it to her symptoms and ongoing medications. In high-risk situations that change rapidly, this continuity of care is what lets me act early rather than late.Dr. Kunda Shahane MBBS · MS (Obs & Gynae) · FIFM · FMF (London)
- Society for Maternal-Fetal Medicine. SMFM Special Report: the maternal-fetal medicine subspecialists’ role within a health care system. Am J Obstet Gynecol 2014;211(6):607–616 — describes the three recognised models as consultation, co-management, and transfer of care, before, during and after pregnancy.
- International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) — practice guidelines for the routine mid-trimester fetal ultrasound examination and for fetal growth and Doppler assessment.
- Federation of Obstetric and Gynaecological Societies of India (FOGSI) — clinical practice guidance for obstetric care in the Indian setting.
Written and medically reviewed by Dr. Kunda Shahane, MBBS · MS (Obs & Gynae) · FIFM · FMF (London) · Last reviewed: 6 September 2026
Related pages
Bring the scan, the report, and the question nobody has answered
Whether you want Dr. Kunda Shahane to take over the pregnancy or to work alongside the obstetrician you already have, start with one consultation. Bring your previous scans and reports, and any medical condition you were being treated for before you conceived.
Mayflower Clinic, Surdham Complex, Behind Silver Palace Building, 2nd Lane from Panchsheel Square, Opp. Yashwant Stadium, Dhantoli, Nagpur – 440012 · Monday–Saturday, 10:00 AM – 6:00 PM · Sunday closed
Latest Posts
-
Fetal Echocardiography: Detecting Heart Defects before Birth
Fetal Echocardiography: Detecting Heart Defects before Birth…
-
High-Risk Pregnancy: How Fetal Medicine Supports Moms and Babies
High-Risk Pregnancy: How Fetal Medicine Supports Moms…
