Prenatal Ultrasounds: When and Why They’re Done
There are a few milestones that expectant mothers look forward to most: feeling their baby kick for the first time and seeing their baby for the first time during an ultrasound.
While you never know exactly when you’ll feel those first few flutters (it can vary), your ultrasound cadence is much more predictable. These imaging tests use sound waves to create pictures of your baby in the womb, which helps our team monitor your pregnancy, track your baby’s growth, and detect potential issues early.
Our team here at OBGYN Westside, PLLC, offers prenatal ultrasounds to expectant mothers from our offices on the Upper West Side of New York City and recommends the right ultrasound schedule for you. If you have questions about your upcoming ultrasound, don’t hesitate to ask.
In the meantime, here’s a general look at when you need prenatal ultrasounds and why you need them.
When to expect prenatal ultrasounds
The timing of ultrasounds during pregnancy typically follows a schedule that aligns with key developmental milestones during each trimester.
First trimester
- Your first ultrasound, often called a dating scan, confirms your pregnancy, establishes your due date, and checks for multiple pregnancies. This ultrasound is usually scheduled around 7-9 weeks gestation. It also can rule out a rare condition called an ectopic pregnancy. This is an exciting ultrasound because most parents can see their baby’s heartbeat.
- The nuchal translucency (NT) scan is a prenatal ultrasound that measures the amount of fluid behind a fetus's neck to assess the risk of chromosomal abnormalities and other genetic conditions. It's usually performed between 11 and 13 weeks of pregnancy
Second trimester
Known as the anatomy scan, your second-trimester ultrasound evaluates your baby’s organs, growth, and development. Because your baby’s body is fully developed at this time, many parents use this as an opportunity to learn their baby’s sex if desired.
There is an early anatomy ultrasound at 15-17 weeks and then a follow up detailed anatomy ultrasound at 20-22.
Third trimester
Later ultrasounds are sometimes recommended to assess your baby’s position, amniotic fluid levels, and overall health as you near delivery.
Ultrasounds can also be included in non-stress tests during your third trimester. A non-stress test (NST) is a simple, non-invasive test that monitors your baby's heart rate and movement to make sure they’re healthy and getting enough oxygen.
You might need more if …
Additional ultrasounds may be necessary if you have a high-risk pregnancy or your OBGYN Westside provider needs more information about your baby’s health.
Scenarios where you might benefit from additional ultrasounds include:
- Screening for chromosomal disorders during week 12
- A need to rule out conditions based on markers detected during a previous ultrasound
- A need to confirm your baby’s position for birth or check if a version was successful
- A need for a non-stress test
- You’re pregnant with multiples
You might also need another ultrasound if your technician couldn’t capture all the necessary images in a previous ultrasound based on your baby’s movement or position.
Why ultrasounds are important
Prenatal ultrasounds have three very important purposes. Our team uses ultrasounds to:
Monitor your baby’s growth
Ultrasounds allow our team to monitor your baby’s development. We can check that your baby is growing as expected and measure vital markers like heart rate and movement.
Identify potential issues that need more testing
Ultrasounds help identify structural issues, genetic abnormalities, or other health concerns that may require further testing or treatment. For example, if the ultrasound reveals that your baby has a cleft lip, you can prepare ahead and plan for their future surgery.
Prepare for delivery
Ultrasounds also help our team prepare for your delivery. For example, if your placenta is covering your cervix — a condition known as placenta previa — or if your baby is breech, you may need a C-section. Both of these conditions can be confirmed via ultrasound.
Do you need a 4D ultrasound?
While traditional ultrasounds focus on medical assessment, 4D ultrasounds provide detailed images and videos of your baby. These are typically optional rather than medical evaluation.
What to expect during your ultrasound
During your ultrasound, you lie on an exam table. Your technician applies a warm gel to your abdomen and uses a handheld device called a transducer that moves over your belly and sends sound waves to create an image of your baby on a screen. The process is 100% noninvasive, painless, and usually lasts about 30 minutes.
After your ultrasound technician completes your scan, your OBGYN Westside provider reviews your results and discusses them with you.
Questions about your upcoming ultrasound? Give us a call or book an appointment online today. For prenatal emergencies, call our after-hours number.