Why Are Ultrasounds Done During Pregnancy? Understanding Their Role in Fetal Health

When you hear the word “ultrasound” or “scans” during pregnancy, the first thing that might come to mind is the exciting moment of seeing your baby for the first time.
But beyond the joy of catching a glimpse of your little one, pregnancy scans play a crucial role in ensuring the health and well-being of both the baby and the mother.
What Is an Ultrasound?
An ultrasound, also known as a sonogram, uses high-frequency sound waves to create images of the baby inside the womb. It is a safe and non-invasive tool that helps doctors assess fetal development, detect potential complications, and provide essential information for a healthy pregnancy.
Why Are Ultrasounds Done During Pregnancy?
1. Confirming Pregnancy and Checking Viability
In early pregnancy, an ultrasound can confirm if the pregnancy is developing inside the uterus (ruling out ectopic pregnancy) and check for the presence of a heartbeat, which usually appears around 6 weeks.
2. Determining the Gestational Age and Due Date
A dating scan, usually done in the first trimester, measures the baby’s crown-rump length (CRL) to estimate the due date accurately. This helps in planning prenatal care and identifying if the baby is growing as expected.
3. Monitoring Baby’s Growth and Development
Throughout pregnancy, growth scans assess whether the baby is growing appropriately according to gestational age. These scans check fetal weight, length, and important measurements like head and abdominal circumference.
4. Detecting Structural Anomalies
The mid-pregnancy anomaly scan (typically done between 18-22 weeks) is one of the most critical ultrasounds. It evaluates the baby’s organs, spine, limbs, and facial structures to detect any congenital anomalies.
5. Assessing Placental Health and Amniotic Fluid Levels
The placenta provides oxygen and nutrients to the baby, and an ultrasound can determine its location and function. It also measures amniotic fluid levels to ensure the baby has a safe environment for growth.
6. Checking Blood Flow and Oxygen Supply (Doppler Scan)
A Doppler ultrasound assesses blood flow in the umbilical cord, placenta, and fetal vessels. This is especially important in high-risk pregnancies where issues like fetal growth restriction or preeclampsia are concerns.
7. Detecting Multiple Pregnancies (Twins or More!)
An early ultrasound confirms whether a woman is carrying one baby, twins, or even more. It also determines whether the babies share a placenta, which is essential for monitoring complications in twin pregnancies.
8. Predicting Labor and Delivery Needs
Late pregnancy scans evaluate the baby’s position (head down or breech), placental position (checking for placenta previa), and cervical length to predict the likelihood of preterm labor or the need for a C-section.
9. Emotional Bonding and Reassurance
For many parents, ultrasounds provide emotional reassurance. Seeing the baby move, hearing the heartbeat, or watching tiny hands and feet brings the pregnancy to life and strengthens the parent-child connection even before birth.
Are Ultrasounds Safe?
Yes! Ultrasounds have been used in obstetrics for decades and are considered safe when performed by trained professionals. They use sound waves, NOT radiation, making them a harmless tool for monitoring pregnancy.

How Many Scans Are Needed During Pregnancy?
The number of scans depends on individual pregnancy needs, but a typical low-risk pregnancy may include:
- Dating Scan (6-9 weeks) – Confirms pregnancy and due date.
- NT Scan (11-14 weeks) – Assesses growth, risk of chromosomal abnormalities and preterm birth.
- Anomaly Scan (18-22 weeks) – Assesses growth, Checks for structural defects.
- Growth Scan (28-36 weeks) – Monitors baby’s growth and well-being. Evaluates blood flow and fetal health.
High-risk pregnancies may require additional scans based on medical conditions.
Final Thoughts
Ultrasounds are more than just a peek at your baby; they are a vital part of prenatal care that helps ensure a safe and healthy pregnancy. By understanding the role of ultrasounds, expectant parents can approach them with confidence, knowing that each scan provides valuable insights into their baby’s well-being.