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Prenatal & Pre-Conception Counselling

Genetic Counselling in Nagpur

Expert, compassionate, non-directive genetic counselling for expectant parents — helping you understand your results, your options, and your next steps with complete clarity.

Dr. Kunda Shahane — MBBS, MS (Obs & Gynae), FIFM, FMF (London) Central India's First Fetal Medicine Specialist · English, Hindi & Marathi
🧬 Pre-Test Counselling 📋 Post-Result Counselling 👶 Pre-Conception Counselling 🩸 Carrier Testing (Thalassemia, SMA) 💬 Hindi & Marathi Available
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Understanding Genetic Counselling

What Is Genetic Counselling in Pregnancy?

Genetic counselling is a specialist consultation that helps expectant parents — and couples planning a pregnancy — understand complex genetic and chromosomal information in a clear, compassionate, and pressure-free environment.

Whether you have received a high-risk screening result, been told your baby may have a structural finding on ultrasound, or simply want to understand your family's genetic history before conceiving, genetic counselling gives you the information you need to make fully informed, confident decisions.

At Mayflower Fetal Medicine Centre, genetic counselling is provided by Dr. Kunda Shahane — Central India's first and most experienced fetal medicine specialist — in English, Hindi, and Marathi. Her approach is always non-directive: she provides expert information and guidance, but the decision is always yours.

At a Glance
TypeSpecialist consultation (not a procedure)
Provided byDr. Kunda Shahane, FIFM, FMF (London)
WhenBefore OR after genetic tests; before pregnancy; after abnormal scan
DurationTypically 30–60 minutes depending on complexity
LanguagesEnglish, Hindi, Marathi
ApproachNon-directive — informing, never deciding for you
Follow-upAdditional sessions available if needed
🤝 Our Core Principle: Non-Directive Counselling

At Mayflower Clinic, genetic counselling is always non-directive. This means Dr. Kunda Shahane's role is to give you complete, accurate, and unbiased information about your situation — explaining what a result means, what the clinical implications are, what further options are available, and what the evidence says. She does not tell you what decision to make. She does not express a personal preference. She does not apply pressure of any kind. The decision belongs to you and your family — and it is respected, whatever it is.

Types of Counselling

What Types of Genetic Counselling Does Dr. Kunda Offer?

📋
Pre-Test Counselling

Before you undergo any genetic test, Dr. Kunda explains exactly what the test involves, what it can and cannot detect, and what the different possible results could mean for you and your pregnancy.

  • Before NT scan / combined screening
  • Before NIPT (Non-Invasive Prenatal Test)
  • Before amniocentesis or CVS
  • Before carrier testing
🔬
Post-Result Counselling

After results are received — whether normal or abnormal — Dr. Kunda explains what they mean in plain language, what further steps (if any) are needed, and what options are available to you.

  • After high-risk NT or screening result
  • After NIPT result (positive or negative)
  • After amniocentesis / CVS report
  • After fetal anomaly found on scan
🌱
Pre-Conception Counselling

Before you become pregnant — especially if you have a family history of genetic conditions, a previously affected pregnancy, or other specific risk factors — Dr. Kunda helps you understand your risks and plan ahead.

  • Previous affected child
  • Carrier of a genetic condition
  • Consanguineous (related) couples
  • Recurrent pregnancy loss
Indications

Who Should Seek Genetic Counselling?

Dr. Kunda Shahane recommends genetic counselling in any of the following situations. If you are unsure whether it applies to you, a brief WhatsApp or phone consultation can help clarify.

High-Risk NT Scan or First Trimester Screening Nuchal translucency above the 95th centile, or a combined risk score above 1 in 150 for chromosomal conditions
Positive or High-Risk NIPT Result A high-risk NIPT is a screening result — it needs expert interpretation and often confirmation by amniocentesis
Fetal Structural Anomaly on Ultrasound Any structural finding on the anomaly scan that may have a chromosomal or genetic cause requires specialist counselling
Advanced Maternal Age (35+ Years) Age-related increase in chromosomal risk — counselling helps clarify the actual level of risk and which tests are appropriate
Family History of Genetic Conditions Chromosomal abnormalities, single-gene disorders, metabolic conditions, or structural defects in the family
Previously Affected Pregnancy A previous baby with a chromosomal condition, structural anomaly, or genetic disorder — counselling before and during the next pregnancy
Consanguinity (Related Couples) Marriage between relatives increases the risk of autosomal recessive conditions — counselling before conception is strongly recommended
Recurrent Pregnancy Loss Two or more pregnancy losses — chromosomal causes account for approximately 50% of early miscarriages and warrant evaluation
Abnormal Amniocentesis / CVS Result When a chromosomal or genetic condition is confirmed on invasive testing, detailed post-result counselling is essential
What We Cover

What Dr. Kunda Shahane Covers in a Genetic Counselling Session

Every session is tailored to your specific situation. The following table shows the key areas typically addressed, depending on the type of counselling needed.

Area What Dr. Kunda Explains When Relevant
Your test result What the result means in simple terms — whether it is a risk estimate (screening) or a definitive diagnosis, and how confident the result is Post-test counselling
What the condition is A clear explanation of the chromosomal or genetic condition identified or suspected — what it means for the baby's development, health, and life After abnormal result or anomaly
Recurrence risk The statistical probability that the same condition could occur in a future pregnancy — including whether it is chromosomal, inherited, or de novo Post-result; pre-conception
Further testing options Which additional tests (amniocentesis, CVS, microarray, single-gene testing) are relevant, what they involve, and what they add After screening result or anomaly
Management options The available clinical options — continued pregnancy with monitoring, additional investigations, or referral for specialist paediatric or surgical input After diagnostic result
Carrier status implications If a parent is a carrier of a recessive condition (e.g. thalassemia, SMA), what this means for current and future pregnancies — and whether the partner should be tested Carrier testing; pre-conception
Support and resources Relevant support organisations, specialist paediatric teams, and what to expect at each next step — so you never feel you are navigating alone All sessions where needed
Carrier Testing

Carrier Testing — Particularly Important in Maharashtra

What Is Carrier Testing?

Some genetic conditions are inherited in an autosomal recessive pattern — meaning a child is only affected if they inherit a faulty gene copy from both parents. A carrier has one normal and one faulty copy, and is usually healthy themselves but can pass the condition to their child.

If both parents are carriers of the same recessive condition, there is a 25% chance per pregnancy that the baby will be affected. Carrier testing before or during pregnancy allows couples to know their carrier status and make informed decisions.

Thalassemia Beta-thalassemia is highly prevalent in Maharashtra. Both parents being carriers means a 1 in 4 chance of an affected baby. Dr. Kunda Shahane strongly recommends carrier testing before pregnancy for at-risk couples.
Sickle Cell Anaemia Common in tribal and certain communities across Maharashtra and Central India. Sickle cell carrier testing is recommended before pregnancy for couples from at-risk communities.
Spinal Muscular Atrophy (SMA) SMA carrier frequency is approximately 1 in 40–50 in the general population. Preconception carrier screening allows identification of at-risk couples before pregnancy.
Other Recessive Conditions Depending on family history, testing may be recommended for cystic fibrosis, metabolic disorders, or other single-gene conditions identified in the family.
Your Consultation

What to Expect at Your Genetic Counselling Session

  • 1
    Review of your history and results

    Dr. Kunda begins by reviewing your pregnancy history, family history, previous test results, and any ultrasound reports. This gives her the full clinical picture before the discussion begins.

  • 2
    Plain-language explanation of findings

    Dr. Kunda explains your results or situation in simple, clear language — no jargon, no assumptions. She uses diagrams, analogies, or written summaries if they help. You are encouraged to ask questions at any point.

  • 3
    Discussion of options

    All available options are laid out clearly — whether that means further testing, expectant management, specialist referral, or another path entirely. Each option is explained with its implications, so you can weigh them fully.

  • 4
    Time to ask every question

    There is no rush. Dr. Kunda allows time for all your questions — and your partner's questions. Nothing is too basic or too detailed. You leave knowing exactly what has been discussed and what the next step is, if any.

  • 5
    Written summary and follow-up

    After the session, a summary of the key points discussed is provided. If you need a follow-up session — or if further results are pending — a follow-up appointment is arranged before you leave the clinic.

Before You Come

How to Prepare for Your Genetic Counselling Appointment

Preparation Checklist
  • Bring all previous test reports — NT scan, combined screening, NIPT, amniocentesis, karyotype, or any other genetic test results
  • Bring all ultrasound reports from this pregnancy, including any anomaly scan or growth scan reports
  • If you have a family history of a genetic or chromosomal condition, note down the details — the name of the condition, which relative was affected, and how they are related to you
  • If possible, bring your partner — genetic counselling is most useful when both parents are present, particularly for pre-conception or carrier counselling
  • Write down your questions beforehand — there are no silly questions in a genetic counselling session
  • If you have had a previous affected pregnancy or child, bring any reports from that pregnancy, including autopsy or genetic test results if available
Watch & Learn

Amniocentesis & Genetic Testing — Explained by Dr. Kunda Shahane

In this video, Dr. Kunda Shahane explains what amniocentesis involves — one of the key tests that often leads to a genetic counselling consultation.

Questions & Answers

Frequently Asked Questions

What is genetic counselling in pregnancy?
Genetic counselling is a specialist consultation that helps you understand genetic test results — such as NT scan findings, NIPT results, or amniocentesis reports — as well as fetal structural findings on ultrasound. It explains what a result means, what the risk is to your baby, what further tests may be needed, and what options are available. The aim is to give you complete, accurate information so you can make informed decisions.
When do I need genetic counselling during pregnancy?
You may benefit from genetic counselling if you have a high-risk NT scan or NIPT result, a structural anomaly found on your anomaly scan, a family history of chromosomal or genetic conditions, a previously affected pregnancy, advanced maternal age (35+), consanguinity, or if you are a known carrier of a genetic condition. If you are unsure, a brief initial consultation will clarify whether it applies to your situation.
Is genetic counselling only for high-risk pregnancies?
No. Genetic counselling is valuable before testing (pre-test counselling) to help you understand what a test involves and what the results could mean, as well as after testing (post-test counselling) to explain what your results mean in practice. It is also recommended before pregnancy for couples with a family history of genetic conditions, consanguineous couples, or those who have experienced recurrent pregnancy loss.
What does non-directive counselling mean?
Non-directive counselling means that Dr. Kunda Shahane provides you with full, accurate, and unbiased information about your situation — but does not tell you what decision to make. She does not express a personal preference or apply any form of pressure. The goal is to ensure you have everything you need to make your own informed choice. The decision belongs to you and your family — and it is respected, whatever it is.
What is carrier testing and do I need it?
Carrier testing checks whether you or your partner carry a recessive genetic condition that could be passed on to your baby. In Maharashtra, thalassemia and sickle cell disease are particularly important — if both parents are carriers, there is a 25% chance per pregnancy that the baby could be affected. Carrier testing is recommended for couples with a family history of these conditions, consanguineous couples, and those from communities where these conditions are more common. Dr. Kunda Shahane can advise whether carrier testing is appropriate in your case.
What happens if my amniocentesis or NIPT result is abnormal?
Dr. Kunda Shahane will contact you personally and arrange a dedicated counselling session as soon as possible. She will explain exactly what the result means, how certain the diagnosis is, what the clinical implications are for the baby, and what options and support are available. No decision is required immediately, and you will never be pressured. The session is designed to give you time, accurate information, and a compassionate space to process a difficult result.
Does Dr. Kunda provide counselling in Hindi and Marathi?
Yes. Dr. Kunda Shahane communicates fluently in English, Hindi, and Marathi. All genetic counselling sessions can be conducted in whichever language you are most comfortable with, ensuring you fully understand every aspect of your situation. Many patients from across Vidarbha, Chhattisgarh, and Madhya Pradesh prefer sessions in Hindi or Marathi — this is always accommodated.
"Genetic counselling is perhaps the most human part of what I do. When a family receives a difficult result, they do not need jargon or urgency — they need clarity, honesty, and time. My role is to give them exactly that: a full explanation of what we know, what we do not yet know, what the options are, and what support exists. I never direct a family's decision. I sit alongside them, answer every question — sometimes the same question many times — and ensure they leave feeling informed and supported, whatever they choose to do next."
— Dr. Kunda Shahane, MBBS, MS (Obs & Gynae), FIFM, FMF (London)
Fetal Medicine Specialist & Genetic Counsellor, Mayflower Clinic, Nagpur
Related Services
Amniocentesis CVS (Chorionic Villus Sampling) NIPT / Prenatal Screening NT Scan Anomaly Scan Cordocentesis 👩‍⚕️ About Dr. Kunda Shahane 📞 Contact Us

Have Questions About Your Results? Talk to Dr. Kunda Shahane.

A genetic counselling consultation at Mayflower Clinic gives you clear answers, honest information, and the time to understand your situation fully — in your own language, at your own pace.

📞 Call 0712-669-2706 💬 WhatsApp Us 📅 Book Consultation
⚖️ PCPNDT Act Notice

Mayflower Fetal Medicine Centre strictly complies with the Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994. All prenatal diagnostic and genetic testing services at this centre are performed exclusively for lawful medical indications. Sex determination and sex-selective practices are strictly prohibited and punishable by law. Disclosure of fetal sex is not performed at this centre under any circumstances.

Medical Disclaimer: This page is for general patient education only and does not constitute medical advice, diagnosis, or treatment. Genetic counselling and testing decisions must be made in consultation with Dr. Kunda Shahane or your treating specialist based on your individual clinical situation, family history, and test results. In an emergency, contact your nearest hospital immediately.