Foetal Echo Test in Pregnancy: What It Is and Why It’s Done?

Foetal echocardiography is a crucial prenatal test that provides a comprehensive view of a baby’s heart structure and function inside the womb. Doctors recommend this test for pregnancies with higher risk factors based on a mother's medical history. Undergoing a foetal echo test offers reassurance to expectant parents by providing a timely diagnosis and care.

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Pregnancy is a beautiful yet overwhelming experience for a woman. However, one crucial step in ensuring your baby’s well-being is checking how their heart is developing. While a routine ultrasound shows the overall growth and position of your baby, a foetal echocardiography (foetal echo) shows the heart’s function, rhythm, and structure.
Doctors generally recommend this test to identify heart-related conditions, including congenital heart defects or rhythm issues, and to guide proper care and treatment before birth. Let’s understand what a foetal echo test is, why doctors recommend it, and essential tips for expectant parents.

What is a Foetal Echo Test?

A foetal echocardiography is a safe and non-invasive detailed ultrasound examination of the unborn baby’s heart. It uses high-frequency sound waves to create images of the heart’s chambers, valves, blood flow, and rhythm. Unlike a routine pregnancy ultrasound, a foetal echo provides a complete view of the foetus and detects structural or functional heart abnormalities.

Not every woman undergoes a foetal echo test. Doctors recommend this test between 18 and 24 weeks of pregnancy, when there’s an increased risk of heart abnormalities due to genetic, foetal, or maternal factors.

Why is a Foetal Echo Done?

A foetal echo is a crucial part of prenatal care that checks whether your baby’s heart is developing normally. Detecting heart issues before birth allows doctors to plan and prepare for the best possible outcomes for both mother and baby. Here’s why a foetal echo test is essential.

Helps Early Diagnosis & Intervention

A foetal echo test can identify structure or rhythm-related heart problems in early pregnancy. When detected early, it allows doctors to plan treatment strategies, such as medications or surgeries, right before birth if necessary. Furthermore, it helps save lives and reduce your chances of complications.

Plan for a Safe Delivery

If there are any heart abnormalities, your doctor can plan a safe, well-coordinated delivery. From choosing the hospital with neonatal intensive care or cardiac support to 24/7 immediate medical attention, preplanning is crucial to keep your newborn safe. Furthermore, follow your doctor’s checklist to avoid any medical complications.

Ongoing Monitoring of Foetal Development

If the foetal echo test comes out positive, your doctor can monitor your baby’s heart development throughout the pregnancy. Regular follow-ups are crucial for tracking progress, adjusting care plans, and keeping the baby stable until delivery. Furthermore, an early diagnosis enables timely adjustments to the treatment plan, which is crucial to protecting you and your baby’s health.

Provides Peace of Mind

If no heart problems are detected, a foetal echo test reassures parents that their baby’s heart health is developing well, providing peace of mind. When you know that your baby’s heart is strong and healthy, it eases anxiety and also brings comfort during pregnancy. Furthermore, it allows you to focus on bonding, planning, and preparing for your little one’s arrival with confidence.

Essential Tips for Expectant Parents

Undergoing a foetal echo test can feel overwhelming, but it’s a standard way of providing detailed information about your baby’s heart. Here are the essential tips that every expectant parent should keep in mind.

Stay Calm

If your doctor recommends a foetal echo test, it doesn’t necessarily mean that your baby has a heart problem. Doctors usually recommend this test as a precaution, especially if there are factors such as family history and maternal health. Stay calm and understand the purpose of this test to lead your pregnancy with a positive mindset.

Ask Questions & Stay Informed

Always be open with your doctor about your concerns, test results, and any further steps needed. When you don’t hesitate to ask relevant questions, you’ll feel more confident about your pregnancy. Furthermore, open communication will keep you informed, which may help you make the right decisions.

Follow Healthy Habits

Once your pregnancy starts, following healthy habits is crucial to support your baby’s heart development. Stick to a balanced diet, proper sleep schedule, and adequate hydration as advised by your doctor. If you have diabetes or blood pressure-related issues, your doctor can manage them during pregnancy, which protects your baby’s heart health.

A foetal echo test is a crucial aspect of advanced prenatal care, which offers detailed information about your baby’s heart health. While doctors often recommend it as a precaution, it can save lives if abnormalities are detected early. With timely diagnostics and expert medical care, expectant parents can navigate a safer, healthier pregnancy.

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FAQs on Foetal Echo Test in Pregnancy: What It Is and Why It’s Done?

  1. Is a foetal echo test safe for the baby?
    Yes, a foetal echo test is completely safe for both the mother and the baby. It is a non-invasive procedure that uses sound waves to examine the baby’s heart.
  2. Do all pregnant women need to undergo a foetal echo test?
    No, doctors usually recommend the foetal echo test for mothers who are at higher risk of heart conditions based on their medical history.
  3. Can lifestyle factors affect my baby’s heart development?
    Yes, poor nutrition, excessive alcohol consumption, smoking, or chronic medical conditions can affect your baby’s heart development.
Disclaimer: Dr Nikhat siddiqui, Senior Consultant - Obstetrics & Gynaecology, Apollo Spectra Hospital, Kanpur