Fetal Ultrasound

Pregnant Woman Ultrasound.jpg

What to Expect During Your Fetal Ultrasound

Fetal ultrasound is a test done during pregnancy that uses reflected sound waves. It produces a picture of the baby (fetus), the placenta (the organ that supports your fetus) and the liquid that surrounds your fetus (amniotic fluid). It’s the safest way to make sure your fetus is healthy. The image is displayed on a TV screen, so you can see what the ultrasound technologist is seeing, too. The pictures are also called a ‘sonogram,’ an echogram or a scan and may be in black and white or color.

Fetal ultrasound doesn’t use x-rays or other types of radiation that may harm your fetus. It's done in a doctor’s office, hospital or clinic in two ways: transabdominal or vaginal ultrasound.

Transabdominal Ultrasound

In a transabdominal ultrasound, you may need a full bladder. This helps transmit the soundwaves and pushes the intestines out of the way, making the ultrasound picture clearer. You shouldn't urinate until the test is over but tell the ultrasound technologist if your bladder is so full you're in pain. For ultrasounds done later in pregnancy, a full bladder may not be necessary as the growing fetus will push the intestines out of the way.

During the scan, you'll lie on your back on an exam table. A gel is spread on your abdomen that may feel cool. An ultrasound transducer is pressed against the gel on your skin and moved across your belly several times. You may feel some light pressure from the ultrasound wand on your abdomen and experience some bladder pressure. Please tell your technologist if you’re ever uncomfortable. A transabdominal ultrasound takes 30-60 minutes to complete, during which, you can watch the monitor to see the picture of your fetus.

Transvaginal Ultrasound

In a transvaginal ultrasound, you don’t need a full bladder. You’ll lie on your back with your knees bent and feet and legs supported by footrests. A cover, such as a condom, is placed over the thin ultrasound wand. It's gently inserted into your vagina and moved to adjust the image on the monitor. A transvaginal ultrasound is not typically painful. However, some women may experience mild discomfort or pressure when the probe is inserted. The discomfort usually goes away quickly. Tell your technologist if you’re ever uncomfortable. A transvaginal ultrasound takes 15-30 minutes to complete, during which, you can watch the monitor to see the picture of your fetus.

Fetal Ultrasound Appointment FAQs

How should I prepare for my fetal ultrasound?

. For a transabdominal ultrasound, you may need to have a full bladder. This helps transmit the soundwaves and pushes the intestines out of the way, making the ultrasound picture clearer. For a transvaginal ultrasound, you don’t need a full bladder.

Your healthcare provider will tell you how to prepare for your ultrasound. Ask questions if anything isn’t clear and tell your healthcare provider if you’re sensitive or allergic to any medicine, latex, tape or anesthetic medicines (general and local).

For the safety and privacy of all patients, please avoid bringing visitors who require supervision, such as children, to your appointment, unless it’s necessary.


How long does an ultrasound take?
A transabdominal ultrasound takes 30-60 minutes to complete. A transvaginal ultrasound takes 15-30 minutes. During both, you can watch the monitor to see a picture of your fetus.
How are the results shared?

Ultrasound techs are trained to gather images of your fetus, but they can’t tell you if they see any abnormalities. Your doctor will share this information with you after the ultrasound images are reviewed by a radiologist or perinatologist.

After an ultrasound scan, a radiologist reviews your images, and you’ll receive your results from the healthcare provider who ordered the scan. Please note you may receive your test results via MyUnityPoint before your provider has reviewed them. These results could include sensitive or difficult to understand information. Your provider will contact you if additional action is required.


How can I tell where the placenta is on ultrasound?
Your ultrasound technologist will look for a thick, dark area on the image during your scan. The placenta typically attaches to the upper part of the uterus.

Fetal Ultrasound FAQs

How early will fetal ultrasound detect pregnancy?

A fetal heartbeat is often detected around five to six weeks and ranges between 110 to 160 beats per minute (bpm). However, those numbers vary throughout your pregnancy. Some babies’ heart rates rise to 170 bpm.

Multiple pregnancies may be visible on ultrasound as early as six weeks. However, the exact timing depends on the position of your fetus(es) and clarity of the image.


How many fetal ultrasounds will I receive during pregnancy?
The number of ultrasounds you receive during pregnancy depends on several factors, including health conditions, medical history, age and weight. If you have specific questions regarding the number of fetal ultrasounds, talk to your provider.
When can you see sex of the baby on fetal ultrasound?
Your baby’s sex can typically be seen during a routine ultrasound between 18-20 weeks of pregnancy. However, the accuracy depends on the baby's position and clarity of the image.
Are fetal ultrasounds safe during pregnancy?
Yes, fetal ultrasounds are safe during pregnancy. They don't use any radiation, only high-frequency sound waves to create images of your baby. Millions of ultrasounds are performed every year, and there’s no scientific evidence suggesting they pose a risk to your developing fetus.
Do urgent care locations do fetal ultrasounds for pregnancy?
No, fetal ultrasounds aren’t available at our walk-in care facilities.
How early can ectopic pregnancy be detected by fetal ultrasound?
An early ultrasound may not definitively diagnose an ectopic pregnancy. Symptoms like abdominal pain (often on one side), dizziness and vaginal bleeding (heavy or light) may indicate an ectopic pregnancy. A blood test and pelvic exam can help confirm. If needed, a transvaginal ultrasound may be used to visualize the uterus and fallopian tubes.
Is a fetal ultrasound necessary to determine if the baby is head down?
A fetal ultrasound can confirm if your baby's head is down, but it's not always necessary. Your provider can tell your baby's position through a physical exam, especially later in your pregnancy. However, your doctor may order an ultrasound if there are concerns about your baby's position, or if they want to confirm the position for other reasons.