Dr Law Wei Seng

15 March 2024

Ultrasound-and-Fetal-Growth-Monitoring

 

Ultrasound is a critical component of prenatal care, which allows the doctors to see the growing baby, monitor growth, and check for potential problems. Ultrasounds enable pregnant women to see their baby in the early stages of pregnancy and have a look at the baby’s anatomy in mid-pregnancy. This gives them a view of their child and health markers.

In addition to the routine scans, other third-trimester foetal growth ultrasounds measure the size and position, while nonstress tests determine how the baby is handling the pregnancy. Medical technology advancements have made 3D and 4D ultrasound images highly detailed.

Understanding the types of ultrasounds and what doctors are looking for with each one makes pregnant women feel assured about the significant role these tests play in ensuring a healthy pregnancy.

What an Ultrasound Can Show You

An ultrasound scan provides a valuable window into the womb, which permits the observation of the developing baby. Ultrasound is more than just cute photos as it has the medical purpose of growth assessment and monitoring of crucial developmental milestones.

Measurements taken at various points offer essential health indicators. Ultrasounds assess other structures and conditions, for example, the amount of amniotic fluid, the placental location, the organs’ appearance, and the blood flowing through the umbilical cord.

Subsequent ultrasounds are concerned with the development of the baby, monitoring activity levels and heart rate response. Ultrasound scans are read by trained technicians who spot warning signs. For the expecting parents, it may appear like blurry and indistinct images, but the doctors receive a lot of information about the pregnancy.

Modern ultrasound provides high-resolution foetal portraits using advanced 3D and 4D rendering.

Ultrasounds Use Soundwaves, Not Radiation

An ultrasound operates using sound waves and not radiation as X-rays or CT scans. A transducer device produces high-frequency sound waves that bounce off body structures. The echoes produced are captured and converted into digital pictures.

The sound waves used in prenatal ultrasounds do not stay in the body; thus, they do no harm to the mother or the growing baby. This makes ultrasounds very safe, even when used often.

The absence of radiation also allows for 2D and 3D scanning to be conducted as much and as often as is necessary to get a clear image. The only precaution taken during an ultrasound is to limit keepsake 3D images for nonmedical purposes until later in pregnancy.

The First Ultrasound Confirms Your Due Date

A dating ultrasound (also called a dating scan) is done early in the pregnancy, generally before 15 weeks. Its sole purpose is to determine the gestational age of the embryo that updates due date projections.

The ultrasound helps verify viability by finding a heartbeat and embryonic movements. It can differentiate between a pseudosac (a sac that mimics an early gestation sac) and a gestational sac with an embryo.

The scan gives the measurements of the embryo crown to rump length and also the overall sac size, comparing these with standard growth rates. In addition to confirming the due date, this early ultrasound determines the location of implantation and detects multiples if there is more than one embryo.

You’ll Typically Have at Least Two Ultrasounds

Most pregnant women have one ultrasound in the first trimester and another at 20 weeks (18 to 22 weeks, usually). Additional ultrasounds may be ordered for certain situations like uncertain dates, history of problem pregnancies, IVF conceptions, or newly arising issues like abnormal biomarkers or foetal growth concerns.

The first scan provides reassurance and answers in early pregnancy, while the second ultrasound offers an anatomy screening midway through. Further ultrasounds give continued follow-up and investigation as required.

Growth scan ultrasounds in late pregnancy are becoming more popular. Know that doctors follow medical imaging safety rules, so ultrasounds are done only under medical indications and not by patient request without cause.

Trust your pregnancy care team to decide how many ultrasounds are needed to ensure a healthy pregnancy, avoiding overuse without additional benefit. The critical information obtained with appropriate ultrasound imaging aims to improve obstetric standards of care.

The Anatomy Scan Checks All Organs

The anatomy ultrasound scan is an essential midpregnancy assessment, which is usually performed at 18 to 22 weeks. Over the course of 30-60 minutes, trained sonographers and doctors systematically measure and inspect every major organ and structure, assessing both anatomical appearance and functional performance. Unlike some of the brief initial ultrasounds, the anatomy scan provides a detailed look at the growing foetus.

The ultrasound images confirm growth rates and proportionality and also provide information about subtler issues in organ formation, heart function, limb alignment, and facial morphology. It provides one of the most comprehensive methods of screening for congenital disabilities and congenital conditions.

This ultrasound acts as a milestone in the care of pregnant women, starting from detecting the sex to changing the delivery plans if problems arise. When all foetal structures look okay, parents can breathe a sigh of relief, knowing that their baby is developing normally in all aspects.

3D Scans Show the Face

Conventional 2D ultrasounds give flat, grayscale images from a single-plain perspective. 3D ultrasounds produce a three-dimensional, realistic representation of the foetus in the womb.

The imaging technology is based on complex algorithms used to create a topographical map from several planes and angles. The findings are visually striking, producing sharp representations of facial features, convincing volume and surface depth, and detailed anatomical features down to tiny fingers and toes.

Contrary to the usual fuzzy profile image, delighted parents admire the keepsakes of a baby that seems to be ready for a first photo shoot while still inside. The dimensional views give doctors advanced assessment ability to analyse a cleft lip or identify minor brain structural anomalies.

Although the renders serve as sweet souvenirs, they cannot substitute for critical 2D biometrics. Make sure that the elective scans are not essential by asking your Singapore gynaecologist or healthcare provider.

Growth Scans Assess Size and Fluid Levels

The ultrasound in the third trimester of pregnancy is no longer focused on whether the foetus has fully formed, but on the baby’s size and growth patterns. Ruler measurements are used to estimate the fundal height to give external evidence of growth, but ultrasound provides the internal visualisation of the baby.

Growth scans are a key tool in ascertaining whether the baby is either too small or too large and allow tracking relative to its projected trajectory.

In the course of these ultrasound examinations, they measure the abdominal circumference, femur length, and estimated foetal weight, comparing it to the percentiles against standard tables.

In the third trimester, the ultrasound takes the amniotic fluid volume into consideration. The low level or the high volume of it can signal different problems.

It can be too early to take action at 32 weeks and some women may try to turn their breech infants. With the final metres, the accuracy of sizing and time of delivery prediction help health professionals to make the right decision on the most appropriate mode of delivery for an uncomplicated birth.

Doppler Checks Blood Flow

Doppler ultrasound is a specific application of ultrasound technology in the study of blood flow dynamics rather than anatomical structures. It uses the Doppler effect to study fluid movement in blood vessels by reflecting high-frequency sound waves off of moving red blood cells. The reflected waves experience pitch shifts, which correspond with direction and speed of flow.

Doppler scans are the main source of information for assessing vascular conditions that may affect the ideal supply of blood and oxygen to the foetus. Umbilical cord ultrasounds assess how well the blood flows from the cord to the placenta (known as the baby’s lifeline). If abnormalities are suspected, this blood flow is investigated.

Doppler monitoring is also employed to investigate blood flow patterns in foetal organs like kidneys and heart in case developmental abnormalities are suspected. Any disturbances in these systems can have severe effects on the pregnancy. Hemodynamics (physical studies of blood flow and all the structures through which it flows) tracking introduces diagnostic functionality to the conventional anatomical imaging.

Nonstress Tests Check Responses

A nonstress test represents a specialised use of ultrasound technology to examine the foetus’s heart rate responses to movement and contractions. Instead of assessing anatomical structures, it tracks physiological trends for positive signs that the baby is not distressed.

The test uses a Doppler probe to detect the heartbeat of the foetus. When the heart rate accelerates in response to the movements of the foetus, it only means one thing. The cardiovascular system can adjust to the changing oxygen needs. Decelerations following contractions validate the fact that sufficient oxygenation is maintained even when the baby is being pushed through the birth canal.

In high-risk pregnancies, NSTs start at around 28 weeks and are repeated twice weekly until delivery. The non-invasive monitoring is designed to detect early warning signs if the placental function deteriorates or distress sets in. In the context of regular prenatal care, stress tests provide assurance that the baby will tolerate labour and trigger interventions if problems arise.

Your Doctor Determines What You Need

The quantity and type of prenatal ultrasounds are decided by your gynaecologist, according to your pregnancy risk profile and medical indications. Low-risk pregnancies usually require two standard ultrasounds.

Extra growth monitoring or anatomical detailing scans are conducted for suspected problems such as slow foetal growth or abnormal tests. Close monitoring is also indicated in high-risk pregnancies.

Although additional peeks at your baby might be tempting for the anxious parents-to-be, ultrasounds should not be done by request alone without clinical cause. Excessive use without additional measurable benefit is contrary to the recommendations for the prudent use of medical imaging during pregnancy.

Let your gynae determine the set of ultrasounds that will be best for you. This brings together personal excitement and sound practices concerning the welfare of the mother and the foetus, the major principle that directs prenatal care.

WS Law Women’s Clinic is Any Pregnant Mother’s Friend

Don’t endure pregnancy worries alone or miss key assessments for foetal development. If you are looking for the best gynaecologist in Singapore for pregnancy care, why not start a partnership with WS Law Women’s Clinic?

We offer soon-to-be moms attentive care, advanced technology, and expertise to support a rewarding journey to motherhood.

Contact us today for a non-obligatory discussion or if you want to make an appointment.

You may also check our week-by-week guide to pregnancy so you have a rough idea of where your baby’s development is and the expected changes in your body for the weeks that follow.

 

References

https://my.clevelandclinic.org/

https://www.stanfordchildrens.org/

https://www.healthline.com/