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Trichy Fetal Medicine and Fertility Centre
Twins and high-risk pregnancy

High-Risk Pregnancy: What Extra Scans and Tests Can You Expect?

A high-risk pregnancy usually means extra scans and tests. Here is a plain guide to what they are and why they are done.

In this guide
Pregnant woman with icons of ultrasound, blood test and monitor around her

Extra Scans

  • Early dating and NT scan: confirms due date and screens for chromosomal and some structural issues.
  • Detailed anomaly scan: a careful head-to-toe check of the baby around 18 to 22 weeks.
  • Fetal echocardiogram: a closer look at the baby's heart when there is a risk.
  • Growth scans: to track the baby's size, usually every two to four weeks in the third trimester.
  • [Doppler](/guides/why-doppler-scan-during-pregnancy) scans: to check blood flow through the umbilical cord and the baby's vessels.
  • Cervical length scan: to assess the risk of preterm birth in selected women.

Extra blood and other tests

  • Glucose tests for diabetes.
  • Blood pressure checks and urine protein tests.
  • Thyroid, kidney and liver function tests where needed.
  • Tests for infections.
  • Screening such as double marker or NIPT.
  • Diagnostic tests such as CVS or amniocentesis when indicated.

Monitoring the Baby

  • Kick counts: you note the baby's movements daily.
  • Non-stress test (NST): a belt monitors the baby's heartbeat and movements.
  • Biophysical profile: a scan-based score of the baby's wellbeing.

Planning the Delivery

Your team will help decide the right time, place and mode of delivery, ideally at a hospital equipped with facilities for mother and baby.

Tips for going through extra tests

  • Ask your doctor why each test is needed.
  • Keep all reports in one file.
  • Do not skip a visit because you feel well.
  • Share how you are feeling emotionally. Extra tests can be tiring.

What to do next

Extra tests are meant to protect you and your baby, not to alarm you. Dr Malathi G. Prasad at Trichy Fetal Medicine and Fertility Centre in Trichy can create a clear monitoring plan and explain each step along the way. For the broader picture, see our guide to High-Risk Pregnancy.

If this applies to your pregnancy, our growth scan with Doppler page explains what the visit involves, or you can meet our specialists before you decide anything.

Common questions

Sources

  1. National Institute for Health and Care Excellence (NICE). Antenatal care (NG201), 2021. · nice.org.uk
  2. Khalil A, et al. ISUOG Practice Guidelines: performance of third-trimester obstetric ultrasound scan. Ultrasound in Obstetrics & Gynecology, 2024. · isuog.org

This guide is for general information and does not replace a consultation with a fetal medicine specialist.

In line with the PCPNDT Act, we do not perform or support sex determination.

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