Consultant Fetal Medicine

Responsibilities

• Provide comprehensive assessment, diagnosis, counselling, and management of pregnancies complicated by fetal abnormalities, maternal medical conditions, and other high-risk obstetric factors.

• Perform advanced fetal ultrasound examinations, including detailed fetal anatomical surveys, targeted anomaly scans, and specialised assessments of fetal growth and development.

• Conduct first-trimester screening and ultrasound assessments, including nuchal translucency measurements and early detection of structural abnormalities.

• Diagnose and manage fetal structural anomalies involving the central nervous system, cardiovascular system, gastrointestinal tract, genitourinary system, skeletal system, and other organ systems.

• Perform and interpret advanced fetal Doppler studies, including umbilical artery, middle cerebral artery, ductus venosus, and uterine artery assessments.

• Assess and manage fetal growth restriction, abnormal fetal growth patterns, and placental insufficiency.

• Provide specialised assessment and management of multiple pregnancies, including monochorionic twins and pregnancies complicated by twin-to-twin transfusion syndrome (TTTS), twin anaemia-polycythaemia sequence (TAPS), and selective fetal growth restriction.

• Evaluate pregnancies with suspected chromosomal abnormalities, genetic syndromes, and inherited fetal conditions.

• Provide counselling regarding prenatal screening and diagnostic options, including non-invasive prenatal testing (NIPT), chorionic villus sampling (CVS), and amniocentesis.

• Perform invasive prenatal diagnostic procedures, including amniocentesis and chorionic villus sampling, where clinically indicated and within approved procedural privileges.

• Interpret prenatal genetic testing results in collaboration with clinical geneticists and genetic counsellors.

• Assess and manage pregnancies complicated by fetal anaemia, hydrops fetalis, fetal infections, and other complex fetal conditions.

• Perform specialised fetal cardiac screening and coordinate detailed fetal echocardiography with paediatric cardiology specialists when required.

• Evaluate fetal neurological abnormalities and coordinate advanced fetal neurosonography or fetal MRI when clinically indicated.

• Assess and manage pregnancies complicated by maternal conditions, including pre-existing diabetes, hypertension, autoimmune disorders, and other medical conditions affecting fetal wellbeing.

• Identify and manage placental abnormalities, including placenta previa, suspected placenta accreta spectrum, and other placental complications in collaboration with specialist obstetric teams.

• Provide fetal surveillance and monitoring for high-risk pregnancies using ultrasound, Doppler studies, and other appropriate assessment techniques.

• Develop and implement individualised prenatal management plans based on fetal diagnosis, gestational age, maternal health, and evidence-based clinical guidelines.

• Assess patients for specialised fetal therapy or intrauterine interventions and coordinate referral to appropriate fetal therapy centres when required.

• Participate in fetal intervention procedures, such as intrauterine transfusion or other specialised fetal therapies, where appropriately trained and credentialed.

• Provide comprehensive counselling to expectant parents regarding fetal abnormalities, prognosis, available management options, and anticipated neonatal outcomes.

• Coordinate multidisciplinary prenatal consultations involving obstetricians, neonatologists, paediatric surgeons, cardiologists, geneticists, and other relevant specialists.

• Develop individualised delivery plans for pregnancies complicated by significant fetal abnormalities or maternal-fetal conditions.

• Coordinate the timing, location, and mode of delivery with obstetric and neonatal teams according to clinical indications.

• Participate in multidisciplinary fetal medicine meetings, complex pregnancy case reviews, and prenatal diagnostic discussions.

• Ensure accurate clinical documentation, ultrasound reporting, procedural records, and compliance with hospital policies and patient safety standards.

• Participate in clinical audits, prenatal diagnostic quality assurance programmes, research activities, and quality improvement initiatives.

• Contribute to the development and implementation of fetal medicine protocols, prenatal screening pathways, and high-risk pregnancy management programmes.

• Provide clinical supervision, teaching, and mentoring to obstetricians, fetal medicine trainees, sonographers, and multidisciplinary healthcare professionals.

• Stay up to date with advances in fetal medicine, prenatal imaging, fetal genetics, maternal-fetal medicine, and intrauterine therapeutic interventions.

Qualifications

• Recognised specialist qualification in Obstetrics and Gynaecology or an equivalent relevant specialty.

• Recognised Tier 1 specialist qualification, such as ABMS certification, Canadian Royal College certification, UK CCT/CCST, or an equivalent recognised qualification.

• Advanced fellowship training or recognised subspecialty training in Fetal Medicine or Maternal-Fetal Medicine (MFM), with substantial expertise in prenatal diagnosis and fetal assessment.

• Minimum 5 years of post-specialisation experience, with significant clinical experience in fetal medicine, prenatal diagnosis, and the management of high-risk pregnancies.

• Proven clinical experience in performing detailed fetal anomaly scans, advanced obstetric ultrasound, and fetal Doppler assessments.

• Demonstrated expertise in diagnosing and managing complex fetal structural abnormalities, growth disorders, and multiple pregnancy complications.

• Strong experience in prenatal screening, genetic counselling coordination, and interpretation of prenatal diagnostic investigations.

• Practical experience performing invasive prenatal diagnostic procedures, including amniocentesis and chorionic villus sampling.

• Experience managing monochorionic twin pregnancies and complex fetal conditions requiring multidisciplinary care.

• Familiarity with fetal therapy techniques and intrauterine interventions is highly desirable.

• Experience in fetal cardiac screening, advanced neurosonography, and specialised fetal imaging is advantageous.

• Experience working in a tertiary hospital, specialised fetal medicine unit, maternal-fetal medicine centre, or high-risk pregnancy referral facility.

• Familiarity with international fetal medicine guidelines, prenatal diagnostic protocols, and evidence-based obstetric practices.

• Proven ability to lead multidisciplinary clinical discussions and manage complex fetal medicine cases.

• Eligibility for Consultant-level licensing with DHA, DOH, or MOHAP, as applicable to the position.

Required Skills

• Strong clinical expertise in fetal medicine, prenatal diagnosis, and the management of high-risk pregnancies.

• Advanced proficiency in detailed fetal ultrasound, anomaly scanning, and fetal Doppler assessment.

• Comprehensive knowledge of fetal anatomy, embryological development, congenital abnormalities, and prenatal genetic conditions.

• Expertise in diagnosing and managing fetal growth restriction, placental insufficiency, and complex multiple pregnancies.

• Practical competence in invasive prenatal diagnostic procedures, including amniocentesis and chorionic villus sampling.

• Strong understanding of prenatal genetic screening, diagnostic testing, and multidisciplinary genetic counselling.

• Ability to interpret complex fetal imaging findings and develop evidence-based prenatal management plans.

• Strong diagnostic, analytical, and clinical decision-making skills in complex maternal-fetal cases.

• Excellent communication and counselling skills, particularly when discussing complex fetal diagnoses and sensitive pregnancy-related decisions.

• Ability to collaborate effectively with obstetricians, neonatologists, geneticists, paediatric specialists, and other multidisciplinary healthcare professionals.

• Commitment to maternal and fetal safety, ethical clinical practice, evidence-based medicine, and continuous professional development.

• Ability to support clinical education, fetal medicine service development, research, and quality improvement initiatives.

Compensation

An attractive tax-free package will be offered based on the candidate’s qualifications, clinical expertise, fetal medicine experience, professional background, and the requirements of the healthcare facility.