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20,000+ Fetuses Evaluated
by Dr. Kunda
20 yrs Fetal Medicine
Experience
15+ High-Risk Conditions
Managed
#1 Central India's First
Fetal Medicine Specialist
Understanding High-Risk Pregnancy

Your Pregnancy Is High-Risk —
That Means It Needs Expert Eyes

A high-risk pregnancy is one where the mother, the baby, or both face an increased chance of complications — whether from a pre-existing maternal condition, a finding on scan, a difficult obstetric history, or circumstances of the pregnancy itself.

Being told your pregnancy is high-risk is not a prediction of a bad outcome. It is a clinical instruction: this pregnancy needs more careful, more frequent, more expert monitoring than a routine pregnancy. The vast majority of high-risk pregnancies — when well-managed — have excellent outcomes for both mother and baby.

Dr. Kunda Shahane — Central India's first dedicated fetal medicine specialist, with nearly two decades of experience and over 20,000 fetuses evaluated — provides the most comprehensive high-risk pregnancy surveillance in Vidarbha and Central India.

Your High-Risk Pregnancy at Mayflower
Specialist: Dr. Kunda Shahane — MBBS, MS (Obs & Gynae), FIFM, FMF (London)
Technology: GE Voluson Signature Expert — AI-enabled, only one in Vidarbha
Approach: Personalised surveillance plan — not a one-size protocol
Partnership: Works alongside your regular obstetrician — does not replace them
Scope: Fetal surveillance, Doppler, genetic tests, invasive procedures if needed
Goal: Monitor closely, intervene early, deliver at the optimal time
Availability: Mon–Sat 10 AM – 6 PM · Emergency WhatsApp 24×7

Is Your Pregnancy High-Risk?

You may have been referred, or you may be wondering whether you need specialist review. If any of the following applies to your pregnancy, Dr. Kunda Shahane can help.

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Hypertension or pre-eclampsiaHigh blood pressure in pregnancy significantly increases the risk of placental insufficiency, IUGR, and pre-eclampsia complications
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Diabetes (gestational or pre-existing)Risk of macrosomia, fetal cardiac anomaly, and placental complications — serial growth scans and fetal echo essential
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Twin or multiple pregnancyEspecially monochorionic twins — risk of TTTS, selective IUGR, and growth discordance requiring fortnightly specialist surveillance
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Baby measuring small (IUGR)Serial Doppler and growth monitoring to determine severity, guide delivery timing, and prevent stillbirth from placental failure
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Recurrent miscarriageTwo or more consecutive pregnancy losses require systematic investigation — uterine anatomy, thrombophilia, chromosomal testing
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Abnormal scan finding or chromosomal riskAny structural anomaly, increased NT, high-risk screening result, or suspected chromosomal condition needs fetal medicine specialist review
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Advanced maternal age (35+)Higher baseline chromosomal risk — first trimester combined screening, NIPT counselling, and close surveillance recommended
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IVF or assisted conceptionHigher risk of ectopic pregnancy, twin complications, and structural anomalies — viability scan, chorionicity assessment, and detailed anomaly scan essential
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Rh incompatibility or alloimmunisationRisk of fetal haemolytic anaemia — serial MCA Doppler monitoring for fetal anaemia, and fetal blood transfusion if needed
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Maternal autoimmune conditionsSLE, antiphospholipid syndrome, and related conditions significantly increase placental and fetal risk — intensive Doppler surveillance required
Services by Condition

Every High-Risk Condition —
Managed at Mayflower Clinic

Dr. Kunda Shahane manages the full spectrum of high-risk pregnancy conditions at Mayflower Clinic. Select your situation below to learn about the specific care, monitoring, and procedures relevant to your pregnancy.

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Maternal Medical Conditions

Pre-existing or pregnancy-related conditions in the mother that require specialist fetal surveillance — because these conditions directly affect placental function and fetal development.

  • Hypertension & Pre-Eclampsia
  • Gestational Diabetes (GDM)
  • Pre-Existing Diabetes with Vascular Disease
  • Systemic Lupus Erythematosus (SLE)
  • Antiphospholipid Syndrome
  • Thyroid Disease in Pregnancy
  • Cardiac Disease in Pregnancy
All Maternal Conditions →
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Fetal Conditions & Growth

Conditions identified in the baby — through ultrasound, Doppler, or screening — that require specialist monitoring, intervention, or both.

  • IUGR / Fetal Growth Restriction
  • Structural Anomalies (heart, brain, spine)
  • Chromosomal Conditions
  • Fetal Anaemia & Rh Disease
  • Hydrops Fetalis
  • Polyhydramnios / Oligohydramnios
IUGR Management →
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Twin & Multiple Pregnancy

All twin and multiple pregnancies need specialist surveillance — particularly monochorionic twins who share a placenta and are at risk of serious complications requiring early detection.

  • Dichorionic-Diamniotic (DCDA) Twins
  • Monochorionic-Diamniotic (MCDA) Twins
  • Twin-to-Twin Transfusion Syndrome (TTTS)
  • Selective IUGR in Twins
  • Twin Anaemia Polycythaemia Sequence (TAPS)
  • Higher-Order Multiple Pregnancies
Twin & TTTS Management →
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Difficult Pregnancy History

A history of pregnancy complications significantly increases risk in subsequent pregnancies. Dr. Kunda Shahane provides investigation, early surveillance, and personalised management plans.

  • Recurrent Pregnancy Loss (2+ miscarriages)
  • Previous Preterm Birth
  • Previous Stillbirth
  • Previous Baby with Genetic Condition
  • Previous Pre-Eclampsia or IUGR
  • Short Cervix / Cervical Incompetence
Recurrent Loss Investigation →
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Genetic & Chromosomal Risk

Pregnancies at increased risk of chromosomal or inherited genetic conditions — from advanced maternal age to known family history — require specialist screening, counselling, and testing.

  • Advanced Maternal Age (35+)
  • High-Risk NT / First Trimester Screening
  • High-Risk NIPT Result
  • Family History of Genetic Conditions
  • Thalassemia / Carrier Status
  • Previous Chromosomally Affected Pregnancy
Genetic Counselling →
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IVF & Special Pregnancies

Pregnancies conceived through assisted reproductive technologies carry specific risks that require specialist awareness — from ectopic pregnancy to twin chorionicity to higher rates of structural anomalies.

  • IVF / ICSI Pregnancies
  • Donor Egg / Surrogacy Pregnancies
  • Clomiphene / Ovulation Induction Twins
  • Pregnancies After Bariatric Surgery
  • Rh Incompatibility / Alloimmunisation
  • Placenta Praevia or Accreta Surveillance
IVF Pregnancy Monitoring →
Your Care Journey

What Happens at Your
First Appointment with Dr. Kunda

Most patients arrive at Mayflower Clinic with anxiety about what their referral means. Dr. Kunda Shahane's first appointment is designed to give you clarity, a plan, and the reassurance that comes from genuine expert assessment.

1
Complete History Review

Dr. Kunda reviews your full obstetric and medical history — all previous pregnancies, scan reports, blood tests, and your obstetrician's referral notes. Understanding your complete picture is the foundation of everything that follows.

2
Detailed Fetal Assessment on GE Voluson

A thorough ultrasound appropriate to your gestational age and clinical situation — fetal anatomy, growth, Doppler, amniotic fluid, and any specific assessment relevant to your referral reason. All on the GE Voluson Signature Expert for the highest diagnostic quality.

3
Clear Explanation of All Findings

Every finding — normal or otherwise — is explained in clear, plain language. Dr. Kunda does not use medical jargon without explanation. She shows you what she sees on the screen, and ensures you understand exactly what it means before moving forward.

4
Personalised Surveillance Plan

You leave with a specific, written schedule: which scans you need, how often, and what each will assess. Not a generic high-risk protocol — a plan designed for your pregnancy, your condition, and your stage of gestation.

5
Communication with Your Obstetrician

Dr. Kunda provides a written report of her findings and recommendations to your treating obstetrician. The two specialists work together — fetal medicine adds expert surveillance; your obstetrician continues to manage your overall antenatal care and delivery.

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Fetal Medicine + Your Obstetrician — A Partnership

Dr. Kunda Shahane is a fetal medicine specialist — she focuses on the baby's health through detailed ultrasound, Doppler, genetic testing, and procedures. She does not take over your obstetric care. Your obstetrician continues to manage your overall pregnancy, labour, and delivery.

The best outcomes in high-risk pregnancy happen when specialist fetal surveillance runs in parallel with experienced obstetric care. Dr. Kunda communicates directly with your obstetrician — so your care team works as one, not in silos.

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Every Scan Powered by the GE Voluson Signature Expert

High-risk pregnancy surveillance depends entirely on the quality and completeness of the ultrasound assessment. Every scan at Mayflower Clinic is performed on the GE Voluson Signature Expert — the only machine of its type in Vidarbha — featuring SonoLyst AI, fetalHS cardiac assessment, STIC, Graphicflow Doppler, and 4D imaging. The same technology used at the world's leading fetal medicine centres.

Learn About Our Technology →
Watch Dr. Kunda Shahane
What is Fetal Medicine — and When Is It Required? | Dr. Kunda Shahane
Frequently Asked Questions

High-Risk Pregnancy Questions, Answered

What makes a pregnancy high-risk?
A pregnancy is high-risk when the mother, the baby, or both face an increased chance of complications. Common reasons include maternal medical conditions (hypertension, diabetes, lupus, thyroid disease, cardiac disease), fetal findings (growth restriction, structural anomalies, chromosomal conditions, anaemia), multiple pregnancy (twins or triplets), obstetric history (recurrent miscarriage, previous preterm birth, previous stillbirth, previous baby with a genetic condition), advanced maternal age (35+), IVF or assisted conception, and Rh incompatibility. If your doctor has used the phrase "high-risk pregnancy" or referred you to a fetal medicine specialist, there is a specific clinical reason — Dr. Kunda Shahane will explain it clearly at your appointment.
What is the difference between an obstetrician and a fetal medicine specialist?
An obstetrician manages the overall pregnancy — antenatal appointments, delivery planning, labour management. A fetal medicine specialist focuses specifically on the fetus — using advanced ultrasound, Doppler, and invasive procedures to monitor the baby in detail, assess fetal wellbeing, detect problems early, and perform treatments when needed. In most high-risk pregnancies, Dr. Kunda Shahane works alongside your regular obstetrician — she adds a specialist fetal surveillance layer that is beyond the scope of general obstetric practice. She does not replace your obstetrician.
I've been referred — does that mean something is seriously wrong?
Not necessarily. Many referrals to fetal medicine are preventative — for example, a woman with diabetes needing serial growth scans, a 38-year-old wanting specialist first trimester screening, or a woman with twins needing fortnightly Doppler monitoring. Others follow a specific finding that needs expert assessment. In every case, the purpose is the same: watch closely, respond early, and give your baby the best possible chance. Most high-risk pregnancies, when properly managed, have excellent outcomes. Dr. Kunda Shahane will give you an honest, balanced, and compassionate assessment of your specific situation — not alarm, not false reassurance, but the truth with care.
How often will I need to come to Mayflower Clinic?
The frequency depends entirely on your condition and gestational age. A woman with well-controlled gestational diabetes might need a growth scan every 3–4 weeks. A woman with Rh disease and suspected fetal anaemia may need MCA Doppler every 1–2 weeks. A woman with severe early-onset IUGR may need monitoring every 1–3 days when admitted to hospital. Dr. Kunda Shahane will give you a specific schedule at your first appointment — it will be personalised to your clinical situation, not a generic protocol.
Can I continue to see my regular obstetrician while coming to Mayflower?
Yes — and this is strongly recommended. Dr. Kunda Shahane works in partnership with your obstetrician. She communicates her findings and recommendations directly to them, so your care team works together. Your obstetrician manages your overall antenatal care, delivery, and postnatal recovery. Dr. Kunda provides the specialist fetal component. Fetal medicine is a referral service — it works best when it runs alongside, not instead of, your regular obstetric care.
What procedures can Dr. Kunda Shahane perform for high-risk pregnancies?
Dr. Kunda Shahane performs the full spectrum of fetal medicine procedures at Mayflower Clinic — diagnostic and therapeutic. Diagnostic procedures include amniocentesis, CVS (chorionic villus sampling), cordocentesis (fetal blood sampling), and detailed ultrasound assessments. Therapeutic procedures include fetal blood transfusion (for anaemia), amnioreduction (for polyhydramnios and TTTS), amnioinfusion, and fetal shunt procedures. Dr. Kunda was the first specialist to introduce fetal blood transfusion to Vidarbha — families no longer need to travel to Mumbai for these life-saving procedures.
I am from outside Nagpur — can I come to Mayflower for high-risk pregnancy care?
Yes. Mayflower Fetal Medicine Centre welcomes patients from across Vidarbha — Amravati, Akola, Wardha, Chandrapur, Yavatmal, Gondia — and from Marathwada and Central India. Dr. Kunda Shahane is the only fetal medicine specialist in the region, and many patients travel significant distances for her specialist assessment and procedures. For patients from outside Nagpur, Dr. Kunda works closely with the referring local obstetrician to minimise travel while ensuring the specialist input the pregnancy needs. For urgent referrals, please WhatsApp directly on +91-8087471244.

Your Pregnancy Deserves the Closest Watch.

If you have a high-risk pregnancy — or have been told you might — Dr. Kunda Shahane provides the most comprehensive specialist fetal surveillance in Central India. The sooner expert eyes are on your baby, the better the outcome can be.

📞 Call 0712-669-2706 💬 WhatsApp Us 📅 Book Appointment

Mayflower Fetal Medicine Centre · Dhantoli, Nagpur 440012 · Monday–Saturday 10:00 AM – 6:00 PM · Urgent WhatsApp 24×7: +91-8087471244

⚖️ PCPNDT Act Compliance Notice Mayflower Fetal Medicine Centre strictly complies with the Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994. Sex determination and sex-selective practices are strictly prohibited and punishable by law. All diagnostic services at this centre are performed exclusively for medical diagnosis and fetal wellbeing. Disclosure of fetal sex is illegal and is not performed at this centre.
Medical Disclaimer: This content is for general information only and does not constitute medical advice. Please consult Dr. Kunda Shahane or your treating obstetrician for advice specific to your pregnancy.