Skip to main content
Trichy Fetal Medicine and Fertility Centre
Pregnancy scans

What Is a Fetal Echo and When Is It Done?

A fetal echo is a detailed ultrasound of the baby's heart, usually done between 18 and 24 weeks. Learn who needs it and what to expect.

In this guide
Ultrasound screen showing a baby's heart beside a pregnant woman

How a fetal echo differs from a routine scan

The routine anomaly scan looks at the whole baby, including a basic view of the heart. A fetal echo goes much further. It studies the heart chambers, valves, major vessels, blood flow and heart rhythm in detail.

When Is It Done?

The best window is usually 18 to 24 weeks, when the heart is large enough to be seen clearly. In some high-risk situations an early fetal echo may be done at about 12 to 16 weeks, and it can be repeated later if needed.

Who may need a fetal echo

  • A routine scan suggested a possible heart concern.
  • A previous baby, or a parent, has a congenital heart condition.
  • The mother has diabetes before pregnancy.
  • The mother has certain autoimmune conditions.
  • The pregnancy was conceived through assisted reproduction.
  • There is an abnormal NT scan or a chromosomal concern.
  • A twin pregnancy with shared placenta.
  • Exposure to certain medicines during pregnancy.

What happens during the test

The test is like a regular ultrasound. Gel is applied to the abdomen and a probe is moved over it. It is painless and safe for mother and baby. It can take 30 to 60 minutes, as the baby's position matters.

What do the results mean?

A normal result is reassuring. If a heart problem is found, your doctor will explain what it is, how it may affect the baby, where delivery should be planned and what treatment is likely after birth. Knowing early allows better planning.

What to do next

Most babies have a healthy heart, but a fetal echo gives answers when there is a reason to look closer. Dr Malathi G. Prasad at Trichy Fetal Medicine and Fertility Centre in Trichy can advise whether you need one and explain the findings clearly.

If this applies to your pregnancy, our fetal echo page explains what the visit involves, or you can meet our specialists before you decide anything.

Common questions

Sources

  1. Carvalho JS, et al. ISUOG Practice Guidelines (updated): fetal cardiac screening. Ultrasound in Obstetrics & Gynecology, 2023. · isuog.org
  2. Khalil A, et al. ISUOG Practice Guidelines (updated): performance of the routine mid-trimester fetal ultrasound scan. Ultrasound in Obstetrics & Gynecology, 2022. · 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.

Share this guideWhatsApp

Fetal Echo

A focused ultrasound of your baby's heart that checks its structure, function, and rhythm.
About Fetal Echo

Book your appointment

Call us, message us on WhatsApp, or send a request and our team will call you back to schedule your visit.

Mon - Fri: 9:00 AM - 9:00 PM