Professor Mark Kilby

Clinical Work

Mark Kilby is a Fetal Medicine subspecialist and obstetrician working predominantly at the Birmingham Women’s Foundation Trust at the West Midlands Regional Fetal Medicine Centre (

Most pregnancies are uncomplicated and result in the birth of a normal healthy baby. However some pregnancies require additional care for either the mother or her unborn baby (fetus) from a specialist Fetal Medicine Centre.

The Fetal Medicine Centre at Birmingham Women’s Hospital receives referrals from health professionals and hospitals throughout the West Midlands and other fetal medicine centres around the country.

Professor Kilby is one of four subspecialists providing such care and he performs much of the fetal therapy.
It provides the following services:

  • Detailed ultrasound scanning (in the first, second and third trimesters) for the diagnosis, confirmation and investigation of fetal abnormality
  • Fetal cardiac (heart) ultrasound scanning (Echocardiography) for the screening and diagnosis of fetal heart abnormality (between 11-14 weeks and at >18 weeks).  This includes the management of heart rhythm and rate disturbances.
  • Investigation, therapy and management of suspected or known fetal abnormality.
  • Co-ordination of the regional Chorionic Villus Sampling (CVS) service and is the largest provider of CVS in the West Midlands (215 CVS procedures in 2012).
  • Monitoring and treatment of women with Rhesus disease / Rhesus alloimmunisation and therefore at risk of potential fetal anaemia.
  • Management of fetal platelet disorders.
  • Diagnosis and treatment of Feto-fetal transfusion (twin-twin transfusion syndrome) syndrome, offering fetoscopic laser ablation (one of the largest centres in the UK).
  • Pre-pregnancy counselling service for women with maternal medical conditions or previous fetal abnormality.
  • Combined fetal medicine / genetics clinic (monthly with Professor Kilby and Dr Denise Williams, Consultant Clinical Genetics).
  • Investigation into the causes of recurrent miscarriage and later pregnancy loss.
  • Specialist treatment of objection of fetal organs with the potential use of fetal shunting.

These services are provided by a dedicated team of specialist Fetal Medicine Doctors (accredited in Fetal Medicine by the RCOG), Specialist  Midwives and Sonographers and supported by Nursing Assistants and Administrative Staff.


The Centre works closely with professionals from genetics, cytogenetics, antenatal screening and Birmingham Children’s Hospital amongst others, in order to provide seamless care for women and their families. The West Midlands Regional Laboratory Genetics Services ( are hosted adjacent to the Fetal Medicine Centre by the Birmingham Women’s Foundation Trust.

There is strong multidisplinary care working with neonatal paediatricians, fetal cardiologists, paediatric surgeons, clinical geneticists and other paediatric subspecialists (i.e. urologists, neurologists).

Since 1997, the West Midlands Fetal Medicine Centre has produced an annual Report published and in the public domain.

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