In Samaranch Gynecological Consultation all the pregnancy-related tests are carried out by the medical staff, who also assist the deliveries (at Clínica Corachán in Barcelona), center that is equipped with the necessary infrastructures for a correct assistance, with highly qualified midwives, Neonatal Intensive Care Unit, Neonatologist on call 24/365, a fully equipped labor rooms and operating rooms, blood bank, adult ICU, etc.
At our center, all the examination rooms are equipped with an 2D ultrasound (2 of them are 3D-4D), and the necessary material for usual gestation controls. In addition, the center has a Cardiotograph for maternal-fetal monitoring and there is a last-generation ultrasound (General Electric E-8-2011) for morphological ultrasounds, color and pulsed Doppler, early amniocentesis punctures and any complex ultrasound examination. If required, the room where the ultrasound is located is equipped with a large plasma screen, so that the patient and her partner can follow at all times the exploration that is being performed by the sonographer.
There are also 3-D and 4-D ultrasound scans, a field in which Dr. Samaranch pioneered in Catalonia and has more than 20 years of experience.
If desired, it is possible to proceed with the preservation of stem cells from the cord blood of the newborn in a private bank, or donate it to the public bank of Barcelona.
All pregnancy follow-ups, including ultrasounds, punctures and monitoring, are performed in the consultation with the frequency that the pregnant woman requires, trying to make her pregnancy as calm and happy as possible, medicalizing as less as necessary, and if any complication occurs, solve the best possible for both the fetus and the mother, in order to achieve a healthy child with happy parentss.
This consists of a bunch of tests that evaluate the fetal risk for certain diseases that can be transferred by personal or familiar antecedents, hereditary diseases and the age of the woman.
The objective is to early detect birth defects. Acongenital defect is any anomaly in the morphological, structural, functional or molecular development present at the moment of birth (although it may have late manifestations) internal or external, familial or sporadic, hereditary or not, single or multiple.
In Obstetrics, there are 2 types of techniques to perform the prenatal diagnosis: invasive and non-invasive (both can be performed in our consultation)
- Non-invasive: no risk for the fetus but only evaluates the risk (% of possibility) of fetal diseases secondary to trisomies 21 (Down syndrome also called Mongolism, and trisomy 18 that includes Edwards Syndrome), not being sensitive to all other chromosomal alterations through ultrasound (nuchal translucency) and biochemical analysis (triple screening).
- Invasive: they imply some risk of fetal loss due to accidental injury and this risk varies according to the technique. They have a high percentage of diagnostic certainty (chromosomal disorders derived from the excess or defect of chromosomes or structural alterations thereof, Down syndrome, Patau syndrome, Edwards syndrome, Chat Crit syndrome, Klynefeter syndrome, etc.) and comprises a chorion villus puncture (MVC) and a amniotic fluid puncture (amniocentesis).
Analyzing these aspects, the woman (and her partner) must decide whether or not to justify the prenatal diagnosis.
