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Treatment	Description
3D/4D Pregnancy Scan	The purpose of this scan is: To view your baby in 3d and 4d and capture pictures and videos. When to have a 3D/4D Well Being Pregnancy Scan The 3D/4D pregnancy scan can be performed from 16-34 weeks. 28-34 weeks pregnant are usually the best stage. How to prepare for a 3D/4D Well Being Pregnancy Scan Make sure that you drink plenty of fluids in the week leading up to your scan. This may help increase the amniotic fluid around the baby allowing for better pictures. Feel free to empty your bladder before the scan. This can move the baby’s head into a better position. You can also have something sweet to eat or drink just before your scan to get the baby moving. What to expect from a 3D4D Wellbeing Pregnancy Scan You will be asked to lie down on the ultrasound examination couch. Some gel will be put on your tummy and an ultrasound probe with be moved over your belly to examine the pregnancy. The baby scan image will come up on a big screen television so that you can see your scan live. The presentation of the baby and location of the placenta will be checked. Standard measurements will be taken of the baby’s head, abdomen and femur bone. Some of the main organs that can be seen at this stage will be examined. The baby’s weight can be estimated after 20 weeks. Foetal movements and breathing will be surveyed throughout this pregnancy scan. The amniotic fluid volume, placenta location and umbilical artery resistance index will be sampled and checked for normality. Multiple 3D baby scan pictures and 4D clips will be taken of your baby throughout the scan. Duration of the 3D/4D Wellbeing Pregnancy Scan Depending usually takes about 30 minutes to perform this scan.
Foetal Well-Being Pregnancy Scan	The purpose of this scan is to: Determine the presentation/lie of the baby Locate the position of the placenta Measure the amniotic fluid index Assess the fetus’ growth by measuring the head, abdomen and femur bone. Establish a current estimated foetal weight Identify and measure foetal heart rate Check the Doppler flow in the umbilical cord to check placental function (umbilical artery Doppler) Determine the gender of the foetus if requested This scan does not replace the 20 week Detailed Anomaly Scan It cannot exclude all chromosomal or anatomical abnormalities What to expect from a Fetal Well-being Pregnancy Scan The sonographer will put some ultrasound gel on your abdomen and move a scan transducer over your skin. The image will come up on a big screen television in front of you so that you can see all the structures that are being examined. The presentation of the baby and location of the placenta are established. Standard measurements are taken of the baby’s body parts. This includes measurements of the head, abdomen and femur bone in the leg. The main organs are examined. The baby’s weight is then estimated. The fetal breathing and movements will also be monitored throughout the duration of the scan. The amniotic fluid volume, placenta location and umbilical artery resistance index is assessed. The sex of the baby can also be determined at this stage so feel free to ask the sonographer to disclose this information.
Hip replacement	If you decide to go privately, you can book with the hospital listed. You can either book and pay the provider later, book and pay a deposit online now directly to the hospital or book and pay in full online now. The provider will then be in contact with you directly to make an early appointment with one of their consultants. Once he/she has seen you they will advise as to the timing of any surgery. The surgery price shown includes - All medical and professional costs during your inpatient stay - A consultation before your operation and after your operation - Semi private accommodation A GP referral letter is required when you attend to see a consultant.
Non-invasive prenatal test (NIPT)	Non-invasive prenatal testing (Nipt) analyses cell-free fetal DNA circulating in the mother’s blood. It is a screening test for Down syndrome (trisomy 21) and other conditions such as Edward’s syndrome and Patau syndrome (trisomies 18 and 13), as well as X and Y chromosome conditions. This blood test must be performed in conjunction with a dating ultrasound. In addition to this the fetus’s sex can be determined with >99% accuracy. Accuracy for detecting other sex chromosome anomalies varies by condition. More importantly, the number of women who are required to have invasive testing (amniocentesis or CVS) after undergoing NIPT is
Early pregnancy (6 weeks+) ultrasound	Early pregnancy can be a very exciting time and often couples want to see their baby as soon as possible. This scan is available to anyone who wants some reassurance, but particularly for those who are unsure of their dates, have had some bleeding, pelvic pains, concerns, or have felt that their early pregnancy symptoms have disappeared when they should be present. The purpose of the early pregnancy scan is: To confirm location of the pregnancy (Is the baby inside the womb?) To determine fetal viability (Is my baby’s heart beating?) To measure fetal heart rate (How fast is the baby’s heart beat?) To provide accurate gestational dating by crown-rump-length (How far along am I?) To establish an estimated due date (When is my baby due?) To determine number of fetuses (Could I be having twins?) To assess the ovaries and uterus to make sure that they are normal (please note that these structures are not always clear on ultrasound) This scan cannot: Rule out chromosomal or anatomical abnormalities Assess the final location of the placental as it is too early When is the best time to go for an Early Pregnancy Scan? The heart beat of the embryo can be seen from 6 weeks onward, therefore, the Early Pregnancy Baby Scan can be performed from 6 weeks 0 days – 11 weeks 6 days from the first day of your last menstrual period (LMP). If your menstrual cycle is longer than 28 days it is advisable to wait until you are at least till 8 weeks from your LMP to confirm the viability of the embryo as you may not be as far as your dates suggest. How do I prepare for an Early Pregnancy Scan? You are required to have an adequately full bladder for your early pregnancy scan. What to expect from the early pregnancy scan During the ultrasound scan the position and shape of the gestational sac is assessed. It is important to see the sac within the uterus as this excludes an ectopic pregnancy. The presence of the embryo or possibly multiple embryos is reviewed. The heart rate is measured to determine viability. A measurement is then taken from the tip of the head to the little bottom, called the crown rump length (CRL). When performed correctly, this measurement is the most accurate way of dating a pregnancy. Many studies show that this form of dating is more accurate than the first day of the last period or measurements taken at detailed anomaly scan which is carried out at around 20 weeks. We also examine the uterus and ovaries for any pathology such as ovarian cysts or fibroids.
First Trimester Screening (Blood Test + Nuchal Translucency Scan)	Blood tests are carried out at 10 weeks pregnant and the scan is performed at 12 weeks. This approach increases detection rates up to 94%. This requires 2 separate visits. All pregnant women have a small chance of having a baby with a physiological disability or syndrome, such as Down Syndrome. The First Trimester Pregnancy Scan Screening is a risk assessment test to determine whether your chances of having a baby with Down Syndrome (Trisomy 21), Edward’s Syndrome (Trisomy 18) and Patau Syndrome (Trisomy 13) are high or low. The components of First Trimester Screening include: Maternal age Presence or absence of major fetal abnormalities on ultrasound Nuchal Translucency (fluid measurement behind the fetus’ neck) The level of two proteins in your blood (Free-ß-hCG and PAPP-A)
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Detailed Anomaly Pregnancy Scan	This scan is probably the most important diagnostic scan that takes place in a pregnancy. The fetus is the correct size to have all the organs assessed so that the sonographer can see whether your baby has an obvious defect such as spina bifida or a cleft palate. If you are concerned about chromosomal problems this scan can detect subtle markers that may suggest that your baby is at higher risk for these syndromes. Examples of these markers are thickened skin behind the neck, excess fluid in the kidneys, short arms or legs, bright areas in the heart or abdomen or cysts in the brain. Most babies are normal so this scan provides reassurance to the majority of patients. It is also important to note that this is a screening test and that positive or negative findings detected during the scan cannot guarantee either outcome. This scan cannot exclude all abnormalities and syndromes.
Baby Gender Determination Scan	This scan: Determines the sex of your baby Assesses the location of the pregnancy to make sure that it is the correct place Checks that the baby is viable by looking for the heart beat Measures the heart rate of the baby Measures the head, abdomen and femur bone to check for normal foetal growth Identifies some of the main organs to make sure that they appear normal for this gestation Looks at the amount of amniotic fluid Assesses the placenta and umbilical cord vessels. This scan: Cannot calculate foetal weight under 20 weeks Cannot exclude all chromosomal or anatomical abnormalities

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