What Is a fetal echocardiogram?

It refers to a detailed scan to evaluate fetal heart structure and function. During the nuchal scan (11-13 weeks), the anomaly scan (20-24 weeks), and the wellbeing scan (30-34 weeks) also we routinely examine the fetal heart structure and connecting blood vessels. In a Cardiac scan fetal heart is studied in a more detailed manner and each connection to and from the heart is evaluated and measured and also the function of the heart is assessed.

How Is the fetal echocardiogram Performed?

The cardiac scan is performed trans-abdominally which means over the tummy) by Feta Cardiologist or Fetal Medicine Specialist trained in Fetal Cardiology.

Why Should One Have a fetal echocardiogram?

Fetal echocardiogram is recommended for:

  • Women with a history or family history of congenital heart abnormalities (1st degree relative)
  • Women with pregestational diabetes mellitus
  • Mother with autoimmune connective disorders, phenylketonuria, retinoid exposure, maternal infections (TORCH / Parvovirus)
  • Baby with suspected heart problem.
  • Baby with those with increased nuchal translucency (>3.5mm)
  • Generalized fluid collection in the baby (Fetal Hydrops)
  • Abnormalities of other structures that could possibly be associated with a heart problem.
  • Persistent high or low heart rate (>180 bpm or <110bpm)
  • Genetic Abnormalities
  • Monochorionic twins

Fetal echocardiogram can be considered in

  • Women with a family history of congenital heart abnormalities (2nd degree relative)
  • Gestational Diabetes Mellitus
  • Teratogenic exposure (Antiepileptics, Lithium, Paroxetine, Antipsychotics, ACE Inhibitors)
  • IVF Pregnancy
  • Baby with those with increased nuchal translucency (3 to 3.4mm)

If an abnormality is found, a detailed explanation of the problem and the outlook for the baby will be provided to the parents and a plan for the subsequent management of the pregnancy will be discussed.

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