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Fetal
Echocardiography

What Is Fetal Echocardiography?

Understanding the Fetal Echocardiography Test

A fetal echocardiography test is a specialized imaging procedure used to assess the heart of an unborn baby. Typically performed during the second trimester, between 18 to 24 weeks of pregnancy, this test functions much like a standard ultrasound but offers a more detailed view of the fetal heart. Using a fetal echo machine, high-frequency sound waves are directed at the fetus, allowing doctors to visualize the structure and function of the developing heart.

The fetal echo test helps physicians examine how the baby’s heart is formed and whether it is functioning correctly. The machine captures real-time images of the heart, including its chambers, valves, and major blood vessels. It also evaluates the flow of blood through the fetal heart, making it easier to detect any irregularities in heartbeat or circulation. This advanced imaging tool is crucial for the early detection of congenital heart defects or other cardiac issues.

Why the Fetal Echo Test is Important

The fetal echocardiography test is often recommended if there is a family history of heart conditions, abnormal results from a routine ultrasound, or the presence of other risk factors like maternal diabetes or certain infections. Early diagnosis through this test enables timely planning for treatment or the delivery care. With the help of a fetal echo machine, specialists can provide expecting parents with vital information and prepare them for any required interventions after birth.

Why is Fetal Echocardiography used ?

The most important thing to notice is that not all pregnant women need a fetal echocardiogram. For most of them, a basic ultrasound will show the development of all four chambers of their baby’s heart.

The procedure is done if:

  • The baby’s heart is not clearly visible in routine ultrasound.
  • Heart problem runs in family.
  • If you have used drugs or alcohol during your pregnancy.
  • The baby has a genetic disorder.
  • Mother has any medical problem during pregnancy.

The procedure detects any early signs of cardiology problems in the unborn child. Fetal echocardiography detects the heart, examines heart walls & valves, blood vessels leading to and from the heart, and its pumping strength

How is the procedure done?

Fetal echocardiography is conducted in a dark room. The patient has to lie down on a platform. The procedure is similar to a routine ultrasound that one takes during pregnancy. The radiologist places the medicated, water-based gel on the body part to be examined / belly and pelvis area. It helps sound waves travel from the echocardiogram to the baby’s heart. The waves radiate back giving a clear picture of the fetus's heart.

The person performing the procedure moves the wand all over the belly to get clear images from different angles. The complete procedure takes around 30 minutes to 2 hours depending upon the baby’s heart condition. The baby’s position inside the womb can influence the time of fetal echocardiography.

What are the benefits of fetal echocardiography?

Although every procedure carried out during pregnancy is important. But, fetal echocardiography has its own prime role as it gives doctors a clear idea about the child’s heart condition.

Here are some benefits of fetal echocardiography:

  • Diagnosis of congenital heart disease.
  • It enables doctors to be prepared with necessary treatment before the child’s birth if any problem is detected.
  • It monitors the development of the baby’s heart.
  • The procedure ensures the heart is in its regular structure and functioning efficiently.
What are the risks?

The procedure is harmless to both mother and the child. It is a very safe and non-invasive test conducted during the second trimester of pregnancy.

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