Specialized fetal examinations

Specialized fetal examinations are more detailed investigations than routine ultrasound examinations. They are performed when the pregnancy is associated with an increased risk or when a previous ultrasound examination has shown an unclear finding that needs further assessment.

 

The aim of these examinations is to assess fetal organ development as accurately as possible, clarify the possible significance of a finding, and determine whether further investigations, genetic testing, fetal MRI, closer pregnancy follow-up, or involvement of other specialists may be needed.

 

A specialized fetal examination does not automatically mean that there is a problem with the baby. Often, the purpose of the examination is to clarify a risk, calmly assess an unclear finding, and provide the family with as clear an answer as possible.

 

Specialized fetal examinations include:
 

• Fetal neurosonography – detailed ultrasound examination of the fetal central nervous system
• Fetal echocardiography – detailed ultrasound examination of the fetal heart
• Ultrasound examination of twin pregnancy and assessment of the risk of twin-to-twin transfusion syndrome
• Ultrasound examinations in cases of fetal growth restriction
• Fetal ultrasound examination in overweight mothers
• Ultrasound examinations in gestational diabetes
• Fetal ultrasound examination when fetal infection is suspected, including CMV and toxoplasmosis
• Detailed fetal ultrasound examination in IVF pregnancy
• Fetal ultrasound examination in cases of high blood pressure and risk of preeclampsia
• Fetal MRI examination at a partner clinic in selected cases

Fetal MRI does not replace a detailed ultrasound examination; rather, it complements it in selected cases. MRI may be needed when, after a specialized ultrasound examination, a specific question remains that MRI may help clarify.
 

The need for each examination depends on the gestational age, previous findings, the mother’s health and fetal development. During the examination, the patient is informed about what is being assessed, what the findings may mean, and what the next steps may be.