
If you have a condition that needs to be monitored (such as carrying multiples), you may have more than one detailed ultrasound. True to its name, the 20-week anatomy scan is performed in the second trimester of pregnancy, and can be done anytime between 18 weeks and 22 weeks. At this appointment, a trained sonographer will perform a detailed anatomy scan.Įven if you had a first-trimester (level 1) sonogram to confirm or date your pregnancy, or as part of a first-trimester screening test, the more detailed level 2 sonogram is important because of all the additional valuable information it gives your practitioner about what's going on with your baby. Please have a look at the preparing for your appointment information as well.The American College of Obstetricians and Gynecologists (ACOG) says that women should get at least one sonogram in the second trimester of pregnancy, and virtually all practitioners now order an ultrasound anatomy scan for their moms-to-be. As with the Down syndrome screening, the most accurate results are obtained by practitioners with the right training and accreditation. 90% of early pre-eclampsia (developing before 34 weeks) can be detected (for a 10% false positive risk), and 80% of early pre-eclampsia prevented by using low-dose aspirin and calcium supplements. The risk can be calculated in the same way as calculating the risk of Down syndrome based on your background risk, the results of hormone tests and physical and ultrasound examination. Pre-eclampsia is a dreaded condition in pregnancy: high blood pressure brought on by the pregnancy, which is of danger to yourself and the baby.
13 WEEK SONOGRAM FREE
Therefore, we strongly recommend having the blood test (for PAPP-A and free b-HCG) done between 8 and 10 weeks.Īn ultrasound at 20 weeks is also recommended to exclude physical problems. Including the blood tests improve the overall accuracy of screening for Down syndrome. The blood tests are most accurate when done between 8 and 10 weeks (although they can be done until 14 weeks). Optimal conditions include a blood test done between 8 to 10 weeks and an ultrasound performed by someone with the specific training and whose ultrasound examinations are subject to independent quality control. (Although the blood tests are done previously, their results are only taken into account once the ultrasound results are available.) Under optimal circumstances the test would detect 90% of babies with Down syndrome, with a 5% chance of a false positive test. The risk assessment remains a screening test. Based on the risk assessment you can decide whether you would like invasive testing (by mean of a chorionic villus sample or amniocentesis) (usually if the risk is higher than 1:300) or non-invasive DNA testing. To refine the risk assessment, the nasal bone, heart rate and blood flow in a vein between the umbilical cord can also be evaluated.Īfter the ultrasound evaluation, the risk of Down syndrome and other chromosomal anomalies (trisomy 13 and 18) will be discussed with you.
To assess the risks of Down’s syndrome and other chromosomal abnormalities.


Some major abnormalities can be visible at 12 weeks, but it is much better to have an ultrasound examination at 20 – 22 weeks as well to exclude structural abnormalities as far as possible.
