High-Risk Maternal Care
Twice the Miracle.
Twice the Vigilance.
Carrying twins or triplets is a profound joy that inherently alters the mechanics of pregnancy. Dr. Kunda Shahane provides the elite, high-frequency surveillance required to ensure all of your babies grow safely and equally.
Schedule a Multiple ScanWhy Multiples Need a Fetal Medicine Specialist.
Finding out you are having twins or triplets often brings a mixture of overwhelming excitement and valid anxiety. The human uterus is primarily designed to nurture one baby at a time. When it accommodates more, the demands on your body, the placenta, and the amniotic fluid increase exponentially.
Because of this, all multiple pregnancies are automatically classified as High-Risk. Routine monthly obstetric check-ups simply cannot provide the level of detail needed to protect multiples. They require a specialized structural expert who can map out exactly how the babies are sharing space, blood, and nutrients, and detect microscopic imbalances before they become severe complications.
The Crucial First Step: Chorionicity
The most important piece of information in a twin pregnancy isn't their gender; it is their Chorionicity—meaning, do they share a placenta?
DCDA Twins (Separate Placentas): Each baby has its own placenta and amniotic sac. This is the safest type of twin pregnancy, though it still requires extra growth monitoring.
MCDA / MCMA Twins (Shared Placenta): The babies share a single food and blood source. This drastically increases the risk of unequal sharing. Identifying a shared placenta between 11 and 14 weeks is the cornerstone of Fetal Medicine, as it dictates how aggressively we must monitor you for the rest of the pregnancy.
The Conditions We Actively Monitor
Our advanced high-resolution imaging is specifically calibrated to look for the unique challenges of multiple gestations.
Selective Fetal Growth Restriction (sFGR)
Sometimes, one twin receives a smaller share of the placenta's resources, causing them to grow much slower than their sibling. We use advanced Doppler technology to measure the blood flow in both babies' umbilical cords to ensure neither baby is being starved of oxygen or nutrients.
Twin-to-Twin Transfusion Syndrome (TTTS)
Unique to twins who share a placenta (MCDA), abnormal blood vessel connections can cause blood to flow unevenly. One baby becomes a "donor" (losing blood/fluid) and the other a "recipient" (overloaded with blood/fluid). This is a life-threatening emergency that we screen for rigorously every 2 weeks.
Twin Anemia Polycythemia Sequence (TAPS)
Similar to TTTS, but involving red blood cells instead of fluid volume. One baby becomes severely anemic (pale) while the other's blood becomes dangerously thick. We measure the blood flow velocity in the babies' brains (MCA Doppler) to detect this silent complication early.
Premature Labor & Cervical Shortening
The sheer weight and distension of carrying multiples puts immense pressure on the cervix. Twins have a high risk of arriving early. We perform precise transvaginal cervical length measurements starting at 16 weeks to prevent premature opening.
The Multiple Pregnancy Protocol
Dr. Kunda Shahane operates as the ultimate safeguard for your babies, providing the specialized imaging data your primary Obstetrician needs to plan your care safely.
Early Dating & Chorionicity Scan (11-14 Weeks)
This is the most critical scan. We determine accurately if the babies share a placenta. We also perform a comprehensive Nuchal Translucency (NT) assessment for both babies to rule out chromosomal risks.
The Detailed Anatomy Scans (18-20 Weeks)
Scanning twins requires immense patience and skill, as they often overlap. Dr. Kunda performs a meticulous, head-to-toe organ evaluation (TIFFA) and a dedicated Fetal Echocardiogram for both babies.
High-Frequency Growth & Doppler Surveillance
For twins with separate placentas (DCDA), we perform growth and fluid scans every 4 weeks. For twins sharing a placenta (MCDA), we perform strict, specialized scans every 2 weeks starting at 16 weeks to catch any signs of TTTS immediately.