About Us

The Medical City’s Women’s Health Care Center (WHCC) is designed to be a One-Stop Clinic for Assessment of Risk (OSCAR), a concept that is a first of its kind in the Philippines. This is a clinic for assessment of risks for abnormalities in almost all aspects of OB-GYN care. These risks include:

1. Risk for pregnancy complications which is serviced by the High Risk Pregnancy unit of the Maternal-Fetal Medicine Section

1. First trimester screening
2. Preeclampsia screening

2. Risk for cancers which is handled by the Cervix, Endometrium, Ovaries Clinic

1. Cervical cancer
2. Endometrial cancer
3. Ovarian cancer

3. Risk for reproductive / gynecologic endocrinology abnormalities

1. Abnormal uterine bleeding (AUB) Clinic
2. Infertility Clinic
3. Menopause Clinic
4. Pelvic Floor ultrasound Clinic
5. Urogynecology Clinic

Maternal-Fetal Medicine Section

The Medical City has a High-Risk Pregnancy Clinic, situated within the WHCC. It is a specialized unit composed of a team of Obstetricians who are specialists in the care of complicated, high-risk pregnancies. Its staff includes board-certified Perinatologists who are in good standing with the Philippine Society of Maternal and Fetal Medicine.

The High Risk Pregnancy Clinic is designed to deliver care for high risk obstetric patients. It is equipped to accommodate a subset of pregnant women who:

1. Have medical, surgical or gynecologic problems (e.g. heart disease, kidney disease, hypertension, diabetes, hematologic disorders, cancer etc.)
2. Are at risk for pregnancy-related complications (e.g. preterm labor, preeclampsia, multifetal pregnancies etc.)
3. Have fetuses identified to have complications (e.g. chromosomal or congenital abnormalities, infections, genetic disease, growth restriction, hydrops fetalis etc.)
4. Requires pre- and post-conceptional evaluation and management due to a poor pregnancy outcome (e.g. recurrent pregnancy loss, previous babies with anomalies, parental genetic abnormality etc.)

Services of the High Risk Pregnancy Clinic

Screening Tests for Aneuploidy and Risks for Preeclampsia

• First Trimester Screening Test

Screening Test for Congenital Heart Defects

• Fetal Echocardiography

Fetal Diagnostic and Therapeutic Procedures

• Fibronectin
• Actim Prom
• Amniocentesis
• Amnioinfusion
• Amnioreduction
• Intrauterine Transfusion
• Cordocentesis
• Fetal thoracentesis
• Fetal paracentesis
• Management of Fetal Arrhythmias

Fetal Monitoring Procedures

• Non-stress Test (NST)
• Contraction Stress Test (CST)
• Obstetric and Doppler Velocimetry Ultrasound

Multiple Pregnancy Management

Genetic Counseling

• Risk assessment for families with history of birth defects
• Assessment of Stillborns
• Evaluation of Pregnancy Failure

Coordination with other fields of specialty when needed

• Medicine
• Surgery
• ENT
• Ophthalmology
• Psychiatry
• Anesthesiology
• Pediatrics
• Radiology
• Rehabilitation Medicine

Any one of the following may be a reason for consult with a Perinatologist:

• Risk assessment for families with history of birth defects
• Evaluation of newly diagnosed pregnancy problems
• Management of complicated pregnancies
• Genetic counseling
• Preconception and pregnancy consultations
• Diagnostic procedures including detailed ultrasound
• Therapeutic procedures

Consult with a Perinatologist before getting pregnant (preconception) may be sought for evaluation and/or prevention of certain conditions.

Conditions evaluated and/or treated include:

• Maternal conditions or diseases include, but are not limited to:

• Hypertensive disorders of pregnancy
• Heart Diseases
• Respiratory diseases (including bronchial asthma, chronic obstructive pulmonary disease [COPD])
• Metabolic diseases (including diabetes, toxic goiter)
• Infectious diseases (including parvovirus, hepatitis, human immunodeficiency virus [HIV])
• Hematologic diseases (including iron deficiency anemia)
• Gastro-intestinal and Hepatobiliary diseases
• Musculoskeletal and connective tissue disorders
• Immunologic conditions (including Antiphospholipid Antibody Sydrome [APAS], systemic lupus erythematosus [SLE], rheumatoid arthritis)
• Vascular Disease (including aneurysm, deep vein thrombosis)
• Seizure and other neurologic disorders
• Psychiatric disorders (with medications that may have fetal effects)
• Tumors (benign and malignant)
• Conditions that need chemotherapy
• Poor obstetric history (e.g. previous preterm deliveries, stillbirths or miscarriage, preterm labor, preterm rupture of membranes, recurrent pregnancy loss)

• Multiple gestation (twins and higher order gestation)

• A known/suspected fetal anomaly

• Suspected abnormal fetal growth
• Congenital anomaly

• Management of Rhisoimmunization in pregnancy

Congenital Anomaly Scan (Targeted Imaging for Fetal Anomaly)
This type of ultrasound exam is a detailed exam of the baby’s organs and features. It is usually done after 18 weeks of pregnancy and it can help explain abnormal screening test results and provide more information.

3D/4D ultrasound
When needed, a 3D/4D ultrasound may be done to enhance images initially seen on 2D ultrasound. Three-dimensional (3D) ultrasound has the advantage of additional depth and detail rendering the resulting image more distinct and comprehensible to the family.

The Center provides a wide range of ultrasound services:
First trimester scans
Fetal growth scans
Scans on multiple gestations

3D/4D technology may sometimes be beneficial in cases of targeted imaging for identified fetal anomalies. However, the limitations of 3D are often the same as 2D; therefore, this technology is used at the attending physician's discretion. Please be aware that fetal position may limit the ability to obtain optimal keepsake images.

Will I be able to find out the sex of my baby?
Although the doctor can tell you what sex she thinks the baby will be, ultrasound is not 100 percent accurate in fetal sex determination, as it is dependent on the baby's gestational age and position.

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