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Not all adverse fetal outcomes can be detected before childbirth. Some can be detected. We do testing for thyroid, sugars so that we prevent these adverse fetal outcomes. If we know a preexisting problem in the mothers then we know there is a problem to look out for certain conditions, say for example, if a mother develops a viral infection like rubella, there are tests to see if the baby is affected and that will then predict if the baby is going to have a problem after it is being born or not. That is a rare incident. Routinely we do scans at 12 week and 5 months to check if the babies are normal. This is one of the main ways to check what is the outcome of the baby is going to be at 12 weeks we are going to do a Down’s syndrome screening, scan and blood test to see what the baby to see if the baby is normal with regards to Down’s syndrome. Again at 18 to 20 weeks, we do scan which we call as anomaly scan were we check to see if the baby is looking anatomically normal. Through our scanning doctor will do a whole lot of scans to see if the baby is normal, not all abnormalities are present at that time sometimes we see that affect the baby is growing there are some things that are not quite right as the baby is growing, but for the most part, most problems are detected, by the 5th month, and most of the tests are detected by the way of ultrasound scans.
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