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Fetal Echocardiography / Cardiac Anomaly Scan

Fetal echocardiography is a test that uses sound waves (ultrasound) to evaluate the baby's heart for problems before birth.

How is the Test Performed?

Fetal echocardiography is a test that is done while the baby is still in the womb. It is usually done during the second trimester of pregnancy when the woman is about 21—25 weeks pregnant. The procedure is similar to that of a pregnancy ultrasound. You will lay down for the procedure.

The Test can be performed on your belly [abdominal ultrasound] or through your vagina (transvaginal ultrasound).

In an abdominal ultrasound, the person performing the test places as a clear, water-based gel on your belly and then moves a hand-held probe over the area. The Probe sends out sound waves, which bounce off the baby’s heart and creates a picture of the heart on a computer screen. In a transvaginal ultrasound, a much smaller probe is placed into the vagina. A transvaginal ultrasound can be done earlier in the pregnancy and produces a cleaner image than an abdominal ultrasound.

When Is it done?

A routine pregnancy ultrasound detect an abnormal heart rhythm or a possible heart problem in the unborn baby.

  • A sibling or other family member had a heart defect or heart disease
  • The mother has type 1 diabetes, lupus, or any metabolic disease
  • The mother has rubella (Infection) during pregnancy
  • The mother used drugs or alcohol during pregnancy
  • The mother has used medicines that can damage the baby’s, developing heart
  • An amniocentesis revealed a chromosome disorder
What is the best gestation period to do the Fetal echo?
  • Between 18 and 20 weeks of pregnancy in routine cases
  • In special situations with additional risks (abnormal first-trimester scan, parent or sibling with a heart defect, etc.) It can be done between 14 and 16 weeks of pregnancy.
How to Prepare for the Test?
  • No special preparation is needed for this Test.
How will the Test Feel?
  • The conducting gel may feel slightly cold and wet. You will not feel the ultrasound waves.
Why Is the Test Performed?
  • This test is done to detect a heart problem before the baby Is born. It can provide a more detailed image of the baby’s heart than a regular pregnancy ultrasound.
What it can show??
  • Structures of the baby’s heart
  • Blood flow through the heart
  • Heart beating rhythm
When do I get the report?

Usually, the report will be ready by the next day. For certain conditions that need to be discussed in the team, the reporting may be delayed by 48-72 hours.

Normal Results

The echocardiogram finds no problems in the fetal heart relevant to that gestational period.

What Do Abnormal Results mean?
  • A problem in the way the baby’s heart has formed (congenital heart disease)
  • A problem with the way the baby’s heart works
  • Heart rhythm disturbances (arrhythmias)
Risks

There are no known risks to the mother or fetus.

What defects cannot be detected?

Some heart defects cannot be seen before birth, even with fetal echocardiography. These include small holes in the heart of mild valve problems. Sometimes it may not be possible to see every part of the blood vessels leading out of the baby’s heart. Certain diseases may evolve during pregnancy (eg: heart muscle disease, valve narrowing/leak) and may not be seen at the scanning time.

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