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The Cleveland Clinic

Pregnancy: Prenatal Ultrasound

Introduction to Prenatal Ultrasound

A prenatal ultrasound test uses high-frequency sound waves, inaudible to the human ear, that are transmitted through the abdomen via a device called a transducer to look at the inside of the stomach. With prenatal ultrasound, the echoes are recorded and transformed into video or photographic images of your baby.

The ultrasound can be used during pregnancy to show images of the baby, amniotic sac, placenta and ovaries. Major anatomical abnormalities or birth defects can show up on an ultrasound.

Most prenatal ultrasound procedures are performed topically, or on the surface of the skin, using a gel as a conductive medium to aid the quality of the image. However, a transvaginal ultrasound is an alternative procedure performed using a tubular probe that is inserted into the vaginal canal. This method of ultrasound produces an image quality that is greatly enhanced, but it is not a common prenatal procedure. However, it may be used early in pregnancy to get a clearer view of the uterus or ovaries if a problem is suspected. It may also be used early in pregnancy to determine how far along you are in your pregnancy (gestational age).

Is Prenatal Ultrasound Safe?

Studies have shown ultrasound is not hazardous. There are no harmful side effects to you or your baby. In addition, ultrasound does not use radiation, as X-ray tests do.

When Is an Ultrasound Performed During Pregnancy?

An ultrasound is generally performed for all pregnant women at 20 weeks gestation. During this ultrasound, the doctor will confirm that the placenta is healthy and attached normally and that your baby is growing properly in the uterus. The baby's heartbeat and movement of its body, arms and legs can also be seen on the ultrasound.

If you wish to know the gender of your baby, it can usually be determined at 20 weeks. Be sure to tell the health care provider performing the ultrasound whether or not you want to know the gender of your baby. Please note that ultrasound is not a foolproof method to determine your baby's gender; there is a chance that the ultrasound images can be misinterpreted.

An ultrasound may be performed earlier in your pregnancy to determine:

  • Presence of more than one fetus
  • Your due date or gestational age (the age of the fetus)

Later in pregnancy, ultrasound may be used to determine:

  • Health of the baby
  • Placenta location
  • Amount of amniotic fluid around the baby
  • Position of the baby
  • Baby's expected weight


Next: How should I prepare for a prenatal ultrasound? »

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Healthy Pregnancy Introduction

Eat this. Don't eat that. Do this. Don't do that. Pregnant women are bombarded with dos and don'ts. Here's help to keep it all straight.

Eating For Two

Eating healthy foods is more important now than ever! You need more protein, iron, calcium, and folic acid than you did before pregnancy. You also need more calories. But "eating for two" doesn't mean eating twice as much. Rather, it means that the foods you eat are the main source of nutrients for your baby. Sensible, balanced meals combined with regular physical fitness is still the best recipe for good health during your pregnancy.

Weight Gain

The amount of weight you should gain during pregnancy depends on your body mass index (BMI) before you became pregnant. The Institute of Medicine provides these guidelines:

  • If you were at a normal weight before pregnancy, you should ga...

Read the Pregnancy: Your Guide to Eating Right article »











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