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Ultrasound examination can be
performed throughout pregnancy and is used to give different information at different times. Some
of its uses are to check the age of pregnancy, the growth of the fetus, whether or not there are
twins, the position of the fetus and placenta and the amount of amniotic fluid. Ultrasound
examination can detect a number of different fetal abnormalities. Examples include most cases of
spina bifida, some serious heart abnormalities, missing or malformed kidneys, some forms of
dwarfism, missing limbs and occasionally a cleft lip or palate. It is important to know that
ultrasound cannot diagnose all malformations.
When used to screen for birth defects in a fetus, ultrasound is ideally carried out at 22-24 weeks
of pregnancy. This type of scan usually takes 15-30 minutes and partners are welcome to attend. It
will be possible to have a souvenir picture of the fetus taken. If you would like one, please ask
the staff carrying out your examination. Recent research suggests that an ultrasound scan,
examining the fetal neck, between 10 and 14 weeks will help predict the risk of the fetus having
Down Syndrome. We are happy to carry out this test and discuss the results with you.
If your ultrasound scan demonstrates an unexpected abnormality, the Consultant will be able to
discuss the nature of the abnormality present and the possible effects on the baby. They will also
provide support in the difficult days and sometimes weeks during which further tests may be
necessary.
At 6-8 weeks of pregnancy. Confirms pregnancy is in the womb and excludes ectopic pregnancy,
determines chorionicity (identicalness) of twins. Establishes expected date of delivery.
Nuchal thickness screening
11-13+ weeks of pregnancy. Determines risk of Down Syndrome based on maternal age and appearance
of fetus. Counseling given.
Detailed anomaly scan
22-24 weeks of pregnancy. Structured examination
of all the major fetal structures & organs including brain, spine, heart, kidneys, bones,
umbilical cord. Includes measurements of head, abdomen and thighs. Sex of baby if
desired.
Fetal well-being scan
32-34 weeks of pregnancy. Measurement of fetal head, abdomen
and thigh, amniotic fluid volume and cord blood flow. Placental site and 'grading'.
Fetal position.
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