From SCAN to BIRTH:
Holistic Maternity Care with a HEARTFELT APPROACH

ULTRASOUND

Dr Peeva is a rare fetal medicine specialist who performs your ultrasound scans personally

Dr Peeva is a distinguished figure in fetal medicine, recognised for her expertise and the unique, personalised care she provides to each patient. Unlike standard practices where antenatal scans would be performed by a sonographer, you will receive the added assurance of in-depth ultrasound consultations, personally performed by Dr Peeva.

Holding the prestigious Diploma in Fetal Medicine from the renowned Professor Nicolaides and King’s College Hospital, Dr Peeva ensures that every scan and procedure is conducted with an expert eye. Her direct involvement in all aspects of ultrasound and invasive procedures guarantees that the health of you and your baby is consistently monitored and managed with the highest standard of care. Dr Peeva’s focus on prenatal diagnosis and the management of foetal anomalies and growth restrictions is complemented by her significant research contributions to the field. Her scholarly work, including her PhD is documented in various respected medical journals, underscores her commitment to advancing obstetric and gynaecological practices.

Dr Gergana Peeva Ultrasound Areas Of Fetal Medicine Expertise

DR PEEVA’S AREAS OF
FETAL MEDICINE EXPERTISE

• Ultrasound during whole pregnancy

• Screening for genetic conditions

• Screening for fetal anomalies

• Screening for preterm birth

• Invasive procedures: CVS and amniocentesis

• Fetal growth complications

• Multiple pregnancy and complicated identical twins

• Placental insufficiency and fetal growth restriction

Dr Gergana Peeva Ultrasound Areas Of Fetal Medicine Expertise 2

'Dr Peeva is a special kind respectful doctor that respects her patients.'

‘She always put us at ease and we always felt comfortable around her. Dr Peeva did the upmost of her ability for the success of our pregnancy. I fully relied and trusted her as she always kept to her words. Dr Peeva had a clever process answer and decision to every situation. she has such professional gentle golden hands and a beautiful personality. I say my precious baby is a pure gift, the big present box was my pregnancy and the wrapping paper with the beautiful ribbons to give it that gorgeous finishing touch - that is our dear Dr Peeva!’
'Fantastic experience with Dr Peeva and we could not recommend her more highly.'

‘We had a difficult pregnancy in the last trimester and Dr Peeva’s impressive knowledge, experience and bedside manner is what got us through. She went above and beyond in terms of the service provided and clearly genuinely cared about our journey. Even after our last consultation, she text me after the birth to check all had gone smoothly which was very much appreciated. Needless to say I wouldn’t do another pregnancy without Dr Peeva!’
'Dr Peeva is an excellent, thorough, professional, caring obstetrician with great communication skills.'

‘Always ready to explain the most complex medical terms even with the use of diagrams. I met Dr Peeva after my 20 week scan, I was diagnosed with Vasa and placenta previa. It was a scary moment on my pregnancy journey especially given my previous high risk pregnancies. Dr Peeva and her team were amazing in reassuring me and managing the complications with detailed and thorough scans coupled with her great sense of humour. Even for a condition with no treatment, her management of the pregnancy was exceptional. I recommend her in strongest terms.’
'Our experience with Dr Peeva is just unforgettable. I'm so glad we had her!'

‘She took our case so seriously as if it would be her own personal story! Throughout my journey Dr Peeva was at my side showing us her big soft heart and showering us with such great top care, making us feel like VIP's, wanting the best for us and caring for the success in this pregnancy. When ever there was good news to share we heard the excitement in her voice though when giving over unhappy news she showed so much warmth and symphyses wrapping her words with so much hope, Dr Peeva is an highly extraordinary doctor with a beautiful sensible bedside manner, filled with a high standard of knowledge and experience plus the perfect balance of when and how much to comfort. There is so much wonderful things to write about her, but I'll just tell you all she is the Doctor one would wish them self! Simply the best! Dr Peeva I hope to meet you in my next time round!’
'Dr Peeva was caring, compassionate and an absolute joy to be around!'

‘Dr Peeva went above and beyond what we ever would have expected from a consultant and I cannot recommend her highly enough. She was available whenever we needed her, provided top-notch care throughout our entire pregnancy journey and even checked in on me regularly toward the end of my pregnancy. She performs all of her own ultrasounds, so it was incredibly reassuring to have a scan at each appointment. In addition to her highly impressive medical background, she is caring, compassionate and an absolute joy to be around. She empowered me to create a birth plan that was right for me, but when the time came I had an emergency C-section because my baby was in distress. We now have a perfectly healthy little girl, but without Dr Peeva's advice and intervention, the outcome could have been very different. I feel incredibly fortunate to have been in such great care and look forward to having her as our doctor for future pregnancies!’

PREGNANCY SCANS

Your privilege of an in-depth ultrasound consultation with a fetal medicine specialist

Each scan performed by Dr Peeva includes an assessment of the fetal anatomy specific to the gestation, fetal growth, fetal presentation, placental position, amniotic fluid, and fetal Dopplers after 20 weeks.

A 3D image of your baby is included in every scan, however, sometimes this might not always be possible due to the position of your baby.

NUCHAL SCAN
11-13 weeks

Usually at this stage the baby is already developed and a head, body, extremities and main organs such as brain, heart and kidneys can already be visualised and screened for major defects. If this is a spontaneous (natural) pregnancy, the pregnancy will be dated according the size of the baby and an estimated due date will be confirmed for you. During this scan, the thickness of the skin fold on the back of the baby’s neck - called nuchal translucency (NT) - will also be measured. NT is a marker not only for Down syndrome but also other genetic conditions or heart abnormalities and therefore it is important to be evaluated even if you have had a low risk result from a non invasive prenatal testing (NIPT) such as Harmony or Panorama test.

ANOMALY SCAN
16-17 weeks and 20-22 weeks

The purpose of the anomaly scan is a detailed assessment of the anatomy of your baby in order to determine the presence of congenital defects such as spina bifida, heart or brain abnormalities. The morphology scan includes assessment of fetal anatomy and growth, position of the placenta, and the amount of amniotic fluid. Due to the development of the baby’s brain, and the size and complexity of the baby’s heart, 20 weeks onwards is the optimum gestation to perform the routine anomaly scan. However, most of the major abnormalities are visible from 16 weeks and therefore an early anomaly scan at 16-18 weeks may be recommended on special occasions or simply for reassurance.

GROWTH SCAN
24-40 weeks

This scan includes the measurement of the size of the fetal head, abdomen and thigh bone and calculation of an estimate of fetal weight as well as the position and maturity of the placenta, the amount of amniotic fluid, the movements of your baby and the blood flow from the placenta towards your baby. The estimated fetal weight gives an indication for the size your baby will be at birth and also could identify too small or too large babies for that gestational age. The proposed timings for growth scans are at 28, 32 and 36 weeks, however, they may vary depending on the fetal growth velocity and the presence of pregnancy complications such as high blood pressure or diabetes.

CERVICAL LENGHT
SCAN

Measuring the length of the cervix during pregnancy can help identify if you're at risk of having a premature delivery. The scan is performed internally through the vagina. This scan is usually performed at around 20 weeks or in the first trimester if you have already experienced an early delivery, or if you have had a procedure performed on your cervix, such as LLETZ.

MULTIPLE PREGNANCY
SCAN

This scan includes assessment of the fetal growth and discrepancy in sizes of both babies, the amount of amniotic fluid, and the blood flow from the placenta towards your babies. If your twins are identical, the scans is essential to screen for unique complications such as twin to twin transfusion syndrome and twin anaemia polycythaemia syndrome.

POST-DATES SCAN
after 40 weeks

This scan includes evaluation of the maturity of the placenta, the amount of amniotic fluid, the movements of your baby, and the blood flow from the placenta towards your baby.The estimated fetal weight at that gestation is not very accurate but still can be used as a guidance especially if your baby is too big or too small for the gestational age.

Please also be aware that ultrasound alone can not exclude rare genetic conditions or all physical or mental abnormalities.

Dr Gergana Peeva Ultrasound Pregnant Woman

ULTRASOUND PACKAGES

Exclusively for patients on maternity packages with Dr Peeva

The following discounted ultrasound packages are available exclusively for patients on maternity packages with Dr Peeva, and can be purchased from The Women’s Wellness Centre. All packages are available to book after 12 weeks gestation. Ultrasound packages are bundled to enable discount and refund will not be available except in exceptional circumstances. All prices are available on application (POA). If you are uncertain, Dr Peeva is happy to talk you through your options.