Advanced Testing

Ultrasound uses sound waves to determine if your infant is developing as expected. You may be referred due to a current or past medical or obstetric problem or as the result of other screening tests that require further evaluation of your baby. You will be seen by a sonographer and a physician.

Chorionic villi sampling (CVS). A physician will take a biopsy of the placenta. The placenta tissue can be used for genetic diagnosis.

Amniocentesis. A physician will remove a sample of amniotic fluid (baby’s urine) from the sac around the baby. The sample can be used for diagnostics (test for genetic abnormalities, maturity of the baby’s lungs, infections, anemia), or to treat excess fluid around the baby.

Fetal Well-Being Tests (FWB) are used to determine how well your baby is being supported by the placenta. Common FWB tests are the non-stress test (NST) and bio-physical profile (BPP). NST uses a monitor to record the fetal heart rate and its response to fetal movement. BPP uses ultrasound to monitor fetal activities (movement, tone, breathing), and assess amniotic fluid volume.

First Trimester Aneuploidy Screening: Between 11 and 13 weeks gestation, you can learn your baby’s risk for Down syndrome and other abnormalities with our safe, non-invasive first-trimester risk assessment. These include:

  • Ultrasound assessment of nuchal translucency, which measures the fluid collection at the back of the baby’s neck.
  • Genetic Counseling: our genetic counselors will review the patient’s family history and provide detailed screening and testing options.
  • Invasive tests such as chorionic villus sampling and amniocentesis.

After diagnosis, we provide counseling and support networks to help parents adjust to and prepare for their child’s special needs and to promote informed planning and decision-making (this applies to all prenatal abnormalities including genetic abnormalities and structural abnormalities, NOT JUST for first trimester).

Prenatal Genetic Services: Genetic counselors are medical professionals who can guide you through the complex information about your chances of having a child with a genetic disorder or birth defect – as well as through the testing, treatment, and other options available. The counselor’s role is to translate all the technical and scientific information and to help you sort out your feelings so that you can make informed choices and decide what’s right for you and your family. If you have one of the following condition, you should see a genetic counselor

  • You are pregnant and you would like to know if your baby has Down syndrome or not
  • Any one of you and your husband’s family member has genetic disorder, birth defect, or developmental delay
  • You or your partner has had genetic carrier screening indicating that your child could inherit a genetic disorder.
  • Your ethnic background puts your baby at a higher risk for a condition such as cystic fibrosis
  • Your ultrasound indicated a possible problem on the baby.

Detailed Ultrasound: Detailed ultrasound (formerly known as Level II ultrasound) is an important function of our practice. We utilize with current advanced technology including 3D/4D ultrasounds to provide detailed anatomic information about your baby.

Fetal Echocardiography: This is specialized ultrasound exam is performed around 22 weeks of gestation to screen for any potential major cardiac malformation.

When an abnormality (either genetic abnormality or structural abnormality) of your baby is diagnosed, we provide counseling and support networks to help parents adjust to and prepare for their child’s special needs and to promote informed planning and decision-making.