Our position regarding Wellbeing Scans
Our understanding of fetal well-being as a minimum includes:
- absence of structural anomalies
- normal growth velocity
- normal vital signs (heartbeat, movements)
- normal placenta
- normal liquor
Wellbeing is checked at every scan
Checking fetal vital signs does not provide complete reassurance for parents. The baby with severe and even lethal anomaly can have completely normal vital signs (heartbeat, movements, blood flow and amniotic fluid volume).
Our vision is to perform maximal possible assessment of the baby during every scan. It includes careful evaluation of the fetal anatomy (especially the heart and the brain) at any stage of gestation. The reason for this is that serious anomaly can be previously invisible or have not developed at the time of previous scans.
It means that after 26 weeks we always will offer you the Developmental Scan, which will include fetal wellbeing assessment and as well as anatomical review.
How wellbeing is checked in the 3rd trimester
In the third trimester during our Developmental Scan fetal wellbeing is checked by:
- examination of fetal anatomy (especially brain, heart and kidneys)
- examination of fetal heart rate
- observation of fetal movements
- assessment of amniotic fluid volume
- examination of blood flow in fetal vessels (umbilical artery and middle cerebral artery)