About Us

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Dr.Sharad Gogate
Gold medalist M.D., F.C.P.S., D.G.O.
Fellow International College of Surgeons.

Awarded with “Mother Teresa Excellence Award” in 2001 for outstanding achievements in field of Obstetrics & Foetal medicine.

Best paper award for scientific paper at International College of Surgeons held at Ahmedabad, 1983.

Dr. Sharad Gogate,
Director,
Foetal Medicine Consultancy Services, from 2005 till today.
Surlata Hospital, L. J. Road, Mahim, Mumbai 400016; founded in 1979, till August 2017.

Consulting Gynaecologist, Obstetrician & Perinatologist working in the field of pre-natal diagnosis & therapy for over 30 years.
Pioneering work at national & International level in the field of prenatal diagnosis, genetics and foetal medicine for last twenty five years.
Conceptualised, set-up and run multi-speciality foetal medicine programs at LTM Medical College & General Hospital, Mumbai and Sir H.N Hospital for more than a decade. Now started similar activity in his private hospital.
Conducted several international research projects with Ford Foundation, Liverpool School of Tropical Medicine in maternal and child health.
Performed over 9000 amniocentesis, 5000 Chorion Villous Samplings, 200 foetal blood samplings and other invasive diagnostic procedures

Report to the Gynaecologist as soon as you miss the menses; confirm pregnancy by urine test/blood test. Folic acid, multi-vitamin supplementation, light diet, small frequent feeds, avoid very spicy, unhygienic food Avoid any un-necessary/self medication, consult your doctor for any medical problem, Avoid contact with persons suffering from exanthematous fevers (measles, mumps etc.), toxic chemicals, and exposure to X-rays, alcohol, smoking etc. Do blood tests for Haemoglobin, blood group, blood sugar as well as any other tests, as per doctor’s recommendations, Ultrasonography scan at 10-14 weeks of pregnancy, first trimester screening test on mother’s blood for Mongol baby, defects in baby’s nervous system and many other genetic disorder


Had a short term fellowship at Department of foetal medicine at King’s College Hospital, London, UK in 1985. Have close contacts with Prof. Charles Rodeck, past director & Prof. Kypros Nicolides, present director.
Ongoing contacts with Prof. Nick Wald at Woolfson Institute of Preventive Medicine, Bart Hospital, London, UK. Launched triple screening program in India in 1994-95 with his collaboration.
Close contacts with Prof. Howard Cuckle, Leeds Screening centre, UK. Published several articles in Down’s Screening News Letter published by him. On going collaboration for first trimester combined screening.
Associated with Department of Obstetrics Gynaecology and Medical genetics, Baylor College of Medicine, Houston, USA. On going collaboration for his Foetal Medicine Consultancy Services with Prof. Joe Leigh Simpson, Prof & head of the department. Close ties with genetic clinic of Department of Obstetrics & Gynaecology, San Salvatore Hospital, Pesaro, Italy for Thalassemia, HLA diagnosis by PGD.
Official association with two international genetic laboratories i.e, Igenetic Diagnostics, for specialised genetic tests.


Visiting consultant at Centre for Genetic Healthcare, Bandra, Mumbai since 1982.
Visiting consultant, Advanced Radiology Clinic, Andheri, India.
Facilitator for promoting NIPT in India for Igenetic Laboratories, Mumbai.


President, Indian Society for Pre-natal Diagnosis & Therapy.(2012-2014)
Founder Treasurer, Indian Society for Assisted Reproduction
Member, International Society for Pre-natal Diagnosis.
Member, International Foetal Medicine Surgery Society.
Active Member, International Foetoscopy Group.
Associate member, European Cytogeneticists’ Association.
Active member of FOGSI, IAGE, IMA etc.


Chapters contributed in ten books, edited two books.
Editor, Preventive Genetics, Jaypee Brothers, 2006.
Editor, “Guidelines & Standards for Maternal Serum Screening for Down’s Syndrome, NTD and other obstetric Problems”.
More than 50 scientific papers published in national and international journals and more than 100 scientific presentations, orations at various international & national scientific meetings.

Gold Medals won at M.D., F.C.P.S., D.G.O. examinations
Fellow of International College of Surgeons.
Invited on the International Board of Advisors of American Journal of Obstetrics & Gynaecology for a period of two years in 2007.
Invited on the board of Editors of “Prenatal Diagnosis” international journal for years 2011-14.
Peer reviewer for “Obstetrics Gynaecology International” Journal.
Editorial Advisory Board member of “MDCurrent-India”.
On board of reviewers of Indian Journal of Foetal Medicine.
Awards:
Awarded with “Mother Teresa Excellence Award” in 2001 for outstanding achievements in field of Obstetrics & Foetal medicine.
“Rashtriya Chikitsak Ratna” awarded in 2006 for outstanding work in the field of Foetal Medicine & Perinatology.

Our Team

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Dr.Vivek Rege
Pediatric Surgeon & Pediatric Urologist Neonatal Surgeon.

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Dr. Talwalkar
Msc Phd Hormone lab

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Dr. Paresh Shah
Consultant Ultrasonologist,
Shah Diagnostic Centre.

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Genetic Counselor

Pregnancy Care

The FMCS will work closely with you and will perform councelling services, investigations and provide clinical guidance to determine the best course of action for your case.

Foetal Progress
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A baby floats head-down in the tear-drop shaped amniotic sac, or bag of waters, which protects the rapidly developing embryo.
The picture shows a little boy removed from the fallopian tube of his mother's womb at six weeks after conception. The importance of the developing brain is reflected in the size of the baby's head in proportion to the rest of the body. Observe the budding arms, the dark area in the centre which is the liver and the umbilical cord threading its way through the neck of the 'tear-drop' to the chorion (afterbirth) in the hand at the top.
Conception or fertilisation - the beginning of human development - usually occurs in the fine tube which leads from the womb's cavity to the ovary. The embryo or "conceptus" usually travels down the tube and implants in the womb. This child never completed the journey but lodged in the tube (the most common site of ectopic - literally "out of place" - pregnancy).
Doctors had to remove the tube containing the baby, because the growing child was about to rupture the tube, with fatal consequences for himself and potentially for the mother also. There is no moral objection to this treatment, which does not involve deliberately killing the embryo but is done to avert the threat to the mother's life.

Genetic Counseling-a core activity of genetic programs.

Genetic Counseling-a core activity of genetic programs. Genetic counselling is one of the core activities in clinical genetics. It is inseparably linked with genetic screening and prenatal diagnosis & management. Unfortunately this important aspect has not been adequately addressed in India. There is acute shortage of well designed courses in genetic counselling; this has resulted in shortage of properly trained genetic counsellors.
The whole process is mirrors the questions posed by ancient philosopher Paul Gaugin,
What is wrong? (the diagnosis),
What is going to happen? Natural history, prognosis),
What can be done? (management),
Why did it happen? (Prevention, progress).

The committee of American Society of Human Genetics defined Genetic counselling as follows, Genetic counselling is a communication process which deals with the human problems associated with the occurrence, or the risk of occurrence, of genetic disorder in a family. This process involves an attempt by one or more appropriately trained persons to help the individual or family to Comprehend the medical facts, including diagnosis, probable course of the disorder and available management, Appreciate the way heredity contributes to the disorder and the risk of recurrence in relatives Understand the alternatives for dealing with the risk of recurrence, Choose the course of action which seems to them appropriate in view of their risk, family goals, ethical & religious standards, to act according to that decision, To make the best possible adjustments to the disorder in an affected family member and/or to the risk recurrence of that disorder.
By convention, genetic counselling is offered by trained Genetic counsellors in most genetic programs. In our country there is paucity of Genetic counsellor’s courses with resultant shortage. Hence the responsibility is shared by the attending clinicians, nurses, social workers. In view of fragmentation of medical care into various sub-specialities, patient/family members receive confusing & at times clashing opinions with no one seemingly in charge. A multi-speciality combined counselling approach is better! Properly trained genetic counsellor can act as the mouth piece and intermediary between service providers and patient and family.
Aetiology of genetic, congenital defects is very varied and confusing, major causes include,
Genetic defects:
Chromosomal defects (0.7-1%): 1) Numerical anomalies, 2) Gross structural anomalies
Single gene disorders (1.0%)
Multi-factorial defects (2.0-2.5%), where more than one genes are involved on more than one chromosomes.
Somatic cell genetic disorders (2.5-3.0%)

Environmental defects:
Deficiencies in the maternal diet,
Teratogenic effects of drugs, chemicals,
Environmental pollutants,
Ionizing radiation, ultraviolet rays,
Foetal infections by bacteria, viruses and parasites

Inborn errors of metabolism: Disorders arising due to disturbed metabolic pathways as a result of malfunctioning of enzymes regulating them

Idiopathic defects:
In more than 50% of congenital defects the cause is still not clearly known. With Human Genome project well underway the situation is changing very rapidly.

It is important for the counsellor to understand the tenets of Genetic Counselling, themain points to be noted are,
Trained and dedicated personnel should offer counselling
Atmosphere of privacy & confidentiality
Sensitive to patient’s emotions, religious and ethical views
Counselling should be non-directional, non-judgmental and supportive
Encourage patient & family members to actively participate.
Give all necessary information to patient & family that is required to reach proper decisions

Indications for genetic counselling include,
Single gene disorder-known or suspected,
Multi-factorial defects,
Chromosomal defects in patient or family,
Abnormal trait or carrier stage detected by genetic screening,
Advanced maternal/paternal age,
Consanguinity,
Exposure to teratogens,
Repeated pregnancy losses,
Unexplained infertility, in ART programs
Multiple congenital anomalies diagnosed on obstetric scan

Genetic counselling encompasses following core activities, Pre-assessment:
In this stage, all possible efforts are put in to arrive at as accurate diagnosis of the problem of the “consultand”
Reason for referral,
Thorough physical check-up,
Detailed history of patient & family (genetically targeted),
Necessary laboratory, imaging & other investigations,
Preparing pedigree charts

Counselling for the specific problem:
This is done once the probable diagnosis has been reached and includes,
Evaluation of natural history of the disorder, likely complications
Estimating the accurate recurrence risk, this can be very difficult task at times.
Measures required include, 1) incidence of the disorder in general population, 2) inheritance pattern, 3)database from other centres, 4) pedigree charting, 5) screening tests, 6) use of statistical methodologies.
Prevention of recurrence:
Pre-marital counselling,
Pre-conception counselling,
Prenatal diagnosis, management: important factors to be considered include, 1) availability of appropriate test, 2) reliability, specificity of test, 3) clinical & laboratory risks of the test, 4) risk to benefit ratio (both for mother & foetus), 5) availability of management options.
Contraception/sterilisations
Assisted reproductive options like use of donor eggs, sperms, PGD
Adoption

Ante-natal & postnatal management options:
These depend on the time of diagnosis, severity & natural history of the disease, maternal & foetal interests.
Antenatal surveillance, term delivery and postnatal management (in mild non-progressive disorders),
Pre-term delivery by induction or LSCS neonatal therapy (for moderately severe, progressive disorder),
Foetal therapy-medical/surgical, prior to viability, followed by near term delivery & neonatal therapy.
Medical termination of pregnancy considered in lethal chromosomal, structural anomalies where no post-natal therapy is available. The couple has to take the decision

Follow-up:
Give support to family in coping up, taking balanced decisions & implement them,
Referral to specialised centres for further tests, obstetric & neonatal management,
Psychological support to patient, affected child & family,
Guidance about special instructions, diet advice, special medical & educational facilities, follow-up,
Securing help of voluntary agencies, special disease groups,
Planning for future pregnancies.
Setting up well designed Genetic Counsellor’s training courses all over the country as well as creating job opportunities for them is the need of the hour. Multi-speciality approach for counselling & management is essential to give seamless services to the high risk population. Obstetricians interact with patients & family before pregnancy, all through nine months hence enjoy the confidence. Hence they should be the king pin of the team and should be well versed with all aspects of prenatal diagnosis.
Author: Dr Sharad Gogate, Director, Surlata Hospital & Foetal Medicine Consultancy Services.

Pregnancy Guide


Family physicians are the first contact doctors guiding the general population. They enjoy the confidence, respect of their family patients, their advice is sought on family matters, social as well as healthcare problems. Hence they can play a vital role in giving best, comprehensive Maternal-Child Healthcare!

Report to Gynaecologist before you plan a pregnancy for, Medical problems like heart, kidney, endocrine disorders (like diabetes, thyroid disorder), epilepsy, psychiatric problems etc. Check any ongoing medication.
Complications in previous pregnancies like unexplained losses, genetic/birth defects, high blood pressure with/without convulsions,
Family history of genetic disorders like Thalassemia, Muscular dystrophy, unexplained death, cancer etc.
Start Folic Acid, Zinc supplementation and continue it in the first four months of pregnancy.
Stop smoking, alcohol and other drug abuse.
Complete history about medical, surgical, genetic problems and occupational hazards, Physical check-up, relevant investigations like blood group, semen analysis, chromosomal studies, screening for thalassemia etc. More involvement in the antenatal care program and support your spouse.

Report to the Gynaecologist as soon as you miss the menses; confirm pregnancy by urine test/blood test.
Folic acid, multi-vitamin supplementation, light diet, small frequent feeds, avoid very spicy, unhygienic food
Avoid any un-necessary/self medication, consult your doctor for any medical problem,
Avoid contact with persons suffering from exanthematous fevers (measles, mumps etc.), toxic chemicals, and exposure to X-rays, alcohol, smoking etc.
Do blood tests for Haemoglobin, blood group, blood sugar as well as any other tests, as per doctor’s recommendations,
Ultrasonography scan at 10-14 weeks of pregnancy, first trimester screening test on mother’s blood for Mongol baby, defects in baby’s nervous system and many other genetic disorder

Continue regular ante-natal check-up, immunization against Tetanus, repeat Haemoglobin test,
Start Iron with multi-vitamins and Calcium supplementation. Have nutritious, balanced diet,
Start Antenatal exercises as per doctor’s advice, regular walks in open air,
Ultrasonography scan with Triple Screening test at 18-20 weeks of pregnancy to rule out any genetic/birth defects,
Maintain happy, positive mindset, read inspiring religious stories/literature, listen to inspirational/relaxing music, speak to your unborn baby for better development and bonding of your baby, encourage active participation of your husband in your pregnancy.

Continue frequent ante-natal check-up, repeat Haemoglobin test at eighth month,
Continue ante-natal exercises, concentrate on breathing and relaxation exercises to prepare for delivery,
Continue Iron, vitamin and Calcium medication, nutritious, balanced diet. Take smaller but frequent meals,
Have your breasts check-up from your doctor and ask for proper advice about breast feeding,
Prepare for the delivery as per doctor’s advice, organise extra help at home, discuss with your doctor about the delivery mode and timing.
Have positive attitude and give full co-operation to hospital staff during your delivery.

Start breast feeding as soon as the child is born, take help from hospital staff, learn proper handling of your baby while you are still in the hospital,
Have your baby thoroughly checked-up by the Child Specialist and permit the doctor to have all necessary check-ups or tests. It may be advisable to have screening blood tests done on your child for any disorders of metabolism,
Maintain nutritious, balanced diet to help getting adequate breast milk. Continue Calcium, Iron and multi-vitamin medicines till you breast-feed your baby,
Start post-natal exercises as per doctor’s advice to recover body shape and avoid excessive weight gain
Get your baby properly checked at regular intervals and give all immunizations as per doctor’s advice,
Consult your Gynaecologist for family spacing advice at the time of discharge from hospital.

Services

The FMCS will work closely with you and will perform councelling services, investigations and provide clinical guidance to determine the best course of action for your case.

Pre-marital, pre-conception counselling for high risk couples.

Foetal tissue studies (such as Chorion Villous Sampling, amniocentesis, Cordocentesis etc.) will be performed for confirmation of diagnosis, prognostication of the underlying disease as and when needed.

All tests, studies, and counselling will be done per international standards with an emphasis on patient comfort and confidentiality.

The clinic will perform/ recommend investigations, perform a joint consultation and shall counsel the patient and family members regarding diagnosis (whenever this is possible), natural history of the disease and likely options for patient management in antenatal & post natal stages.

Genetic screening tests (with full counselling support) such as: Maternal serum screening for NTD, chromosomal aneuploidy, Thalassemia, Inborn Errors of Metabolism etc. Anomaly scans at 11-14 weeks, 18-22 weeks & third trimester scans for foetal viability, maturity.

the clinic is pioneering the revitalisation of the ancient Ayurvedic concept of "Suprajanan & Suprasava" (Pre-natal learning); with Dr. Snehalata Deshmukh, comprehensive guidance about optimum diet, ante-natal exercise and methods of establishing a dialogue with the unborn child will be given to the pregnant woman.


Fantastic Journey to life!!

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Of these teeming crowd of millions of sperms ,only one can enter the ovum-a life giving prize !!

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Basic human design is beginning to emerge Size is 6 mm

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Heart pumps at the rate of 142-160 beats per min Exhibit classical design of human body.

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4 cm long embryo lies suspended in the amniotic fluid Amniotic fluid protects against impacts & pressures.

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Fetal body grows further Fetus freely floating in the amniotic fluid inside the amniotic sac.

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Creation proceeds ,at a pace Placenta performs the function of exchange of waste products ,oxygen & also produces hormones to prevent a new ovulation.

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Creation proceeds ,at a pace Placenta performs the function of exchange of waste products ,oxygen & also produces hormones to prevent a new ovulation

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The fetus starts reacting to sound from the external environment If the mother sings to her unborn child before birth ,she may later find ,that the newborn baby recognises the tune

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For the mother it is a miraculous moment!!! Birth of a tiny human being!!!

Pricing /Foetal Medicine Consultancy Services

1. Genetic Consultation: First consultation: 2000/-, follow-up: 1000/- Multi-specialty consultation: 4000/-

2. Genetic screening test, USG scans: NT Scan, Double marker test: 5000/- Anomaly Scan, Triple test: 5000/-

3. Interventional Procedure, Lab tests: Chorion Villous sampling+ Karyotype, FISH: Rs 23000/- Amniocentesis+ Karyotype, FISH: 25000/- Foetal Blood sampling+Karyotype: 20000/- Multi-Foetal Reduction: 25000/-

4. Product of conception for Karyotyping Rs. 4500/-

Contact Us

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Hospital

Address 1:
Nadkarni clinic,ground floor
Anand bhavan,
Next to Kashi vishweshwar temple
T.H. katariya road ,Matunga West,Mumbai,
Maharashtra 400016

Address 2:
Dr.Geeta shah's ARC clinic
Lokhnadwala Complex
Andheri west
Mumbai-400053
Maharashtra 400016

Working Hours

Mon-Wen : 1.30–3PM
Fri : 1.30-3PM
Thursday at Address-2 :1.0-4.0 PM

sharad.gogate@gmail.com
: 022 2430 5803 / 2437 5350
: 022 2630 5567 / 69 (Address -2)
: +91-982 111 2026

Send us a message