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What to expect from Your Baby in the Womb?

What to expect from Your Baby in the Womb?

by: Dr. Nupur Shah
Consultant - Fetal Medicine Paras Bliss, Panchkula

Congratulations, that your Urine pregnancy test is positive and white stork will be visiting you soon! So it’s your fourth week and you are advised an ultrasound in the coming week. With all the questions coming in your mind on what to expect from the ultrasound in regards to a normal pregnancy, I am here to help you month-wise.

Baby in the Womb

In the First Month

On ultrasound you will see the pregnancy sac and the doctor would describe the same as the womb-pregnancy sac. This highlights that the pregnancy is not ectopic (pregnancy outside the womb).Cheers! You will be called again a week or two later to see the further developments of the baby.

first month

In the Second Month

On ultrasound you can now see a fetal node and the doctor makes you hear a typical galloping horse like sound-that’s the fetal heart beat- the heart beat of your baby. You can also see a small ring like structure in the pregnancy sac which is yolk sac. It takes care in terms of nutrition until the placenta is formed

second month

In the Third Month

You are asked to give your Dual test- a blood test which tests for hormones like B hcg and PAPP-A which indirectly indicate whether the baby has chromosomal abnormalities or risk of growth restriction later on. You will be told to have an 11-13 weeks scan .In this scan ,markers for chromosomal abnormalities like Nasal bone, Nuchal; translucency(fluid behind the neck) ,blood flow through the liver(Ductus venosus) , Tricuspid regurgitation along with Length of the baby and heart rate will be studied .During the ultrasound you will be shown the structure of the baby from head to toe. At the end you will be counselled whether you are a low risk or high risk for getting a baby with chromosomal abnormalities(especially Down Syndrome).

third month 1third month 2

And if all is well you are called for the next scan at 5th month.

In the Fifth Month

This is the anomaly scan or Level 2 scan. You will notice your baby has grown significantly since you last saw. The doctor will see the structure of the baby including the brain and heart .The location of your placenta will also be reported. It you have a quadruple test/ triple test ,the results will be interpreted and explained.

If its a thumbs up, you are advised to follow up with your obstetrician and come for an ultrasound at 8th month if everything continues to be as expected.

fifth month 1 fifth month 2

In the Eighth Month

This scan checks the growth of the baby and the fluid around it. The medical experts check the blood flow through the essential structures like the brain,liver and umbilcal cor (fetal Dopplers ). The same is done to reassure you or decide further management. In some cases , this scan may be pre-pond starting at 7th month.

Eight month 1 eight month 2

eight month 3

3D/4D Ultrasound

If along with the expertise, there is a high end ultrasound machine , you get a chance to see your baby moving/dancing/thumb-sucking in 4 dimensions. You and your hubby will surely fight over the nosy -its alike yours or your hubby’s! And the experience is awesome and ever cherishing.

3d 4d ultrasound 3d 4d ultrasound 1

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