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How Echo Test Is Done During Pregnancy: A Complete Guide

A fetal echo test examines baby's heart development using sound waves. Performed between 18-24 weeks of pregnancy through abdominal or transvaginal methods, this safe procedure takes 30-60 minutes and helps doctors assess cardiac structure and function.

  • 28 Apr 2025
  • 3 min read
  • 3 views

A fetal echo test, or a fetal echocardiogram, is an ultrasound that checks the size, position and function of a baby’s heart during pregnancy. This test is safe for both the mother and the baby because it does not use radiation—just sound waves to create pictures of the baby’s heart.

Read on to learn why and how echo test is done during pregnancy.


What happens during the fetal echo exam?

A fetal echocardiogram is usually done between 18 and 24 weeks of pregnancy. At this stage, the baby’s heart is developed enough for doctors to see details. Doctors may recommend an echo test during pregnancy if:

  • The mother has a medical condition such as diabetes or lupus.
  • There is a family history of heart problems.
  • A previous ultrasound showed something unusual in the baby’s heart.

Even if none of these apply, some doctors may still suggest the test to examine the baby’s heart closely.

A fetal echocardiogram is done in two ways. These are:

1.     Abdominal echocardiogram

This is the most common method, similar to a regular pregnancy ultrasound. Here’s how a fetal echo is done:

  • The doctor or sonographer applies a gel on her belly.
  • A small device called a transducer is moved over the belly. This device sends sound waves that create pictures of the baby’s heart.
  • The doctor reviews the images on a screen and takes measurements.
  • The test generally takes 30 to 60 minutes.

2.     Transvaginal echocardiogram

This method is used in early pregnancy or when the baby’s heart is difficult to see with an abdominal scan. So, if you are wondering how a fetal echo scan is done, here are the steps:

  • A thin transducer is carefully inserted into the mother’s vagina for the procedure.
  • The transducer sends sound waves that create clearer images of the baby’s heart.
  • The test takes about 15-60 minutes.


Conclusion

A fetal echo test helps assess a baby’s heart health during pregnancy. If your doctor recommends this test, there’s no need to worry. If you have any concerns about the procedure, your healthcare provider can explain its purpose and address your questions. Pregnancy is a delicate time when extra care and attention are essential. That’s why having a maternity health insurance policy is advisable—to ensure coverage for medical expenses and provide peace of mind throughout your journey.


Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis, or treatment. Please consult your general physician or another certified medical professional for any questions regarding a medical condition. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.

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