Procedures & Gynaecology
Fetal Echocardiography
A specialised ultrasound examination focused on the baby's heart structure and function.
What is Fetal Echocardiography?
Fetal echocardiography is a detailed ultrasound examination specifically focused on the baby's heart. While the routine anomaly scan includes a basic cardiac assessment, fetal echocardiography provides a much more detailed evaluation of the heart's structure, chambers, valves, and blood flow patterns. It is typically performed between 18 and 24 weeks of pregnancy.
Why is it a Concern?
Congenital heart defects are among the most common structural anomalies, affecting approximately 1 in 100 babies. Early detection allows planning for delivery at a centre with paediatric cardiac services, which significantly improves outcomes. Some heart defects may also be associated with chromosomal conditions.
Signs & Symptoms
- Suspected heart abnormality on routine anomaly scan
- Family history of congenital heart disease
- Maternal diabetes (pre-existing or gestational)
- Increased nuchal translucency in the first trimester
- Maternal use of certain medications
- Fetal arrhythmia (irregular heartbeat)
How It is Monitored
The examination evaluates the four chambers of the heart, the great vessels, heart valves, blood flow patterns, and heart rhythm. It takes approximately 30–45 minutes. If an abnormality is identified, follow-up scans, genetic testing, and coordination with paediatric cardiologists are arranged.
Why See an MFM Specialist?
MFM specialists with echocardiography training can perform this complex examination, interpret subtle findings, and provide immediate counselling. They coordinate care with paediatric cardiologists to plan postnatal management.
Dr. Kartik Balaraman Manages This Condition
Dr. Kartik performs fetal echocardiography for babies at risk of heart defects. If a cardiac concern has been raised, contact Dr. Kartik for a specialist assessment.
Book ConsultationFrequently Asked Questions
Who needs a fetal echocardiogram?
It is recommended for women with risk factors including abnormal findings on routine scanning, family history of heart defects, maternal diabetes, increased nuchal translucency, or fetal arrhythmia.
Can heart defects be treated before birth?
In rare cases, fetal cardiac intervention is possible. More commonly, early diagnosis allows planned delivery and immediate postnatal care by a paediatric cardiology team.
Is fetal echocardiography different from a regular scan?
Yes. It provides a much more detailed assessment of the heart than the cardiac views obtained during a routine anomaly scan, using specialised techniques and views.
When is fetal echocardiography performed?
Typically between 18 and 24 weeks, when the heart is large enough for detailed examination. Earlier scans (around 13–16 weeks) are sometimes possible with specialist equipment and targeted indications.
If a heart defect is found, what happens next?
Dr. Kartik will explain the finding, arrange further tests if needed, and coordinate with paediatric cardiology for postnatal planning. Delivery at a centre with appropriate neonatal cardiac services may be recommended.
Related Conditions
Detailed Anomaly Scans
A comprehensive ultrasound examination at 18–22 weeks to check the baby's structural development in detail.
Fetal Structural Anomalies
When a detailed scan identifies a structural difference in the baby's development.
Chromosomal & Genetic Screening
Screening and diagnostic tests to assess the risk of chromosomal conditions such as Down syndrome.
Reviewed by Dr. Kartik Balaraman, Consultant OBGYN & Maternal Fetal Medicine Sub-Specialist ·
This page is for general education and does not replace personalised medical advice. If you have concerns about your pregnancy or health, consult a qualified specialist directly.