Shunts

What is Fetal Shunting?

Fetal shunting refers to the insertion of a shunt - a small tube - into the fetus to divert fluid from one area to another. This procedure is crucial for treating various fetal conditions that cause fluid accumulation.

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Conditions Treated by Shunts

Fetal shunts are used to treat several conditions that disrupt normal fluid balance, including:

  • Fetal Hydrothorax: Accumulation of fluid in the fetal chest, which can compress the lungs and affect their development.
  • Fetal Ascites: Fluid accumulation in the fetal abdomen, which can lead to distention and pressure on vital organs.
  • Bladder Outlet Obstruction: Blockage of the fetal urinary tract, leading to accumulation of urine in the bladder and potential kidney damage.
  • Fetal Pleural Effusion: Excess fluid in the space surrounding the fetal lungs, which can impair lung development and function.
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Types of Shunts

There are various types of shunts used in fetal medicine, each designed to address specific conditions:

Pleuro-Amniotic Shunt

This type of shunt is used to drain fluid from the fetal chest (pleural cavity) into the amniotic sac. It helps relieve pressure on the lungs and allows them to develop properly.

Pleuro-Amniotic Shunt

Vesico-Amniotic Shunt

Used to treat bladder outlet obstruction, this shunt diverts urine from the fetal bladder to the amniotic sac, preventing bladder distention and potential kidney damage.

Vesico-Amniotic Shunt

Thoraco-Amniotic Shunt

Similar to the pleuro-amniotic shunt, this device is used to drain fluid from the fetal chest into the amniotic sac, alleviating pressure on the lungs.

Thoraco-Amniotic Shunt

Peritoneo-Amniotic Shunt

This shunt helps manage fetal ascites by draining fluid from the fetal abdomen into the amniotic sac, reducing abdominal pressure and allowing normal development of the abdominal organs.

Peritoneo-Amniotic Shunt

Frequently asked questions

Shunts in fetal circulation are small tubes inserted to divert fluid, correct abnormalities and support fetal development.

A fetal shunt is necessary when there is an abnormal accumulation of fluid such as in cases of hydrothorax, ascites, or bladder outlet obstruction.

The shunt procedure is performed under ultrasound guidance with a fine needle inserted through the mother’s abdomen into the uterus to place the shunt in the desired location.

While generally safe, the procedure carries risks such as infection, preterm labor, or shunt displacement, which are closely monitored and managed by medical professionals.

Meet our specialist

At Garbh, our team of highly qualified specialists is dedicated to providing expert care in fetal medicine and genetic counseling. With extensive experience and a compassionate approach, they ensure the best possible care for both mother and baby. Meet our specialists to guide you through every step of your journey with personalized and professional support.

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Dr. Trishdeep Singh Grewal

Director, Consultant Radiologist, and Fetal Medicine Specialist

Dr. Trishdeep, our Director and Consultant Radiologist, brings nearly five years of dedicated experience to our team. He completed a two-year fellowship in fetal medicine at the prestigious Bangalore Fetal Medicine Centre after earning his...

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