国立研究開発法人 国立成育医療研究センター National Center for Child Health and Development

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患者・ご家族の方へ Patient & Family

患者・ご家族の方へ Patient & Family

Division of Fetal Medicine

The Division of Fetal Medicine undertakes specialized diagnosis of fetal complications and disease, and manages treatment and fetal medical care.

Medical services

Our division is made up of three staff, and three to five residents and fellows. The division encompasses obstetrics, neonatology, pediatric surgery, cardiology, radiology, pediatric neurosurgery, urology, and anesthesiology. We cooperate with each specialized division to provide the best prenatal management and treatment, as well as postnatal treatment. As maternal age has been increasing in Japan in recent years, there has been a growing interest in prenatal diagnosis of fetal chromosome abnormalities. In 2013, our division began providing noninvasive prenatal genetic testing (NIPT) and in 2014 we established several prenatal genetic diagnosis clinics. Our clinics provide genetic counseling and a prenatal diagnosis of genetic disease in the fetus, including chromosome abnormalities.

Diagnosis and treatment policy

The mission of our division is to offer the best medical care for intrauterine fetuses through prenatal diagnosis and fetal therapy.

Specialties

We diagnose various fetal diseases using detailed ultrasonography, fetal magnetic resonance imaging (MRI), and chromosome tests with amniocentesis and chorionic villus sampling.

Our division provides fetal treatment for complications such as twin reversed arterial perfusion sequence, and fetal pleural effusion. We employ advanced treatment technologies such as fetoscopic laser photocoagulation (FLP) to treat twin-to-twin transfusion syndrome, a common complication in Japan with approximately 50 to 60
cases per year. We also perform fetoscopic endotracheal occlusion (FETO) for severe congenital diaphragmatic hernia.

Target diseases

Prenatal diagnosis: screening for fetal congenital anomaly and fetal disease, heredity counseling

Fetal therapy: treatment for twin-to-twin transfusion syndrome, twin reversed arterial perfusion sequence, fetal pleural effusion, congenital cystic adenomatoid malformation (CCAM), fetal anemia, fetal arrhythmia, fetal
urinary tract obstruction

Advanced/specialized treatments

  • Fetal endoscopic tracheal occlusion for congenital diaphragmatic hernia
  • Prenatal therapy for fetal tachyarrhythmia
  • Noninvasive prenatal genetic testing (NIPT)

Frequently performed tests

Fetal ultrasonography, fetal MR imaging, chromosome tests with amniocentesis and chorionic villus sampling, NT tests, maternal serum screening, combined tests.