When is Doppler Ultrasound Done in Pregnancy?

When is Doppler Ultrasound Done in Pregnancy​
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The pregnancy journey is exciting and overwhelming for a couple. This is the crucial phase of their life filled with a lot of love and care. On the other side, they also feel afraid and anxious about certain scans and treatments. But we should thank evolving technology, which helps identify both the positive and negative sides of pregnancy earlier.

One among a significant test is Doppler ultrasound, prescribed during a gestation period. The primary purpose of this scan is to record the baby’s heart rate as well as ensure the fetal growth and blood flow in the womb.

In this blog, you will see its importance and the conditions requiring Doppler ultrasound during pregnancy. Understanding this topic provides you a keen sense of knowledge.

Why is Doppler Ultrasound Important in Pregnancy?

Unlike standard ultrasound scans, this test uses sound waves to monitor the blood flow in blood vessels and the health of the placenta. Let’s see how efficiently it works:

Monitoring Blood Flow and Placenta Health

The blood flow between the mother and the fetus is a crucial concern. Using Doppler ultrasound, doctors can accurately ensure the blood flow in the uterus, baby, and placenta. With sound waves produced, it exactly determines the blood flow direction and speed. Additionally, this test also helps diagnose the problems associated with blood vessel structure and blood vessel tumors.

Assessing Fetal Growth and Development

It is a non-invasive technique to assess the baby’s nutritional status and oxygenation. The change in frequency identifies any potential complications in your pregnancy early. It helps handle high-risk pregnancies with appropriate and timely medications.

Checking for High-Risk Pregnancy Conditions

Yes, Doppler ultrasound can detect abnormal blood flow in the umbilical vessels, or the way to the uterus and baby, which indicates a poor fetal prognosis. It may lead to an immature or abnormal maturation of the fetal adrenal artery, creating prolonged fetal hypoxia and IUGR.

When is Doppler Ultrasound Typically Performed During Pregnancy?

Generally, Doppler ultrasound can be performed twice during your pregnancy. It is between 10–12 weeks and 31–40 weeks of your gestation period. It helps analyze development abnormalities, pulmonary development, and other risks of blood circulation obstructions.
Not all the doctors and hospitals will routinely offer them. It is better to consult your healthcare provider on when and where it needs to be performed.

Doppler Ultrasound Timing by Trimester

The timing of performing Doppler ultrasound can vary for every patient; it is primarily dependent on their health condition. Let’s see how it’s being used for:

Doppler Ultrasound in the First Trimester

Performing Doppler ultrasound in the first trimester can help assess the risk of preeclampsia, fetal aneuploidy, and congenital heart defects. It is important to identify the high-risk pregnancies earlier, which may cause severe impacts to both the mother and developing fetus later.

Doppler Ultrasound in the Second Trimester

Doppler scans between 13 to 18 weeks help diagnose the health of the fetus and placenta. It also screens for potential complications, including perinatal death, preeclampsia, and fetal growth restrictions. Accurate measurement is quite difficult; however, it makes you aware of certain complications in pregnancy outcomes.

Doppler Ultrasound in the Third Trimester

During the third trimester, a Doppler scan evaluates the blood flow, baby’s growth, and overall well-being. It determines both the mother and fetus are vulnerable to any complications later. This test is performed between 24 and 34 weeks of pregnancy; based on your health conditions, the doctors will suggest it to you.

Who Needs Doppler Ultrasound During Pregnancy?

Doppler ultrasound tests are generally recommended for all pregnant women to ensure both the mother and fetus’s health, including the blood flow to the placenta, baby, and uterus. It is potentially important for some patients who have significant risk factors such as diabetes, high blood pressure, or a history of pregnancy complications.
If doctors suspect that you have any abnormal conditions, they recommend you personally identify the causes earlier.

Conditions Requiring Doppler Ultrasound

Doppler scans help doctors ensure that your pregnancy is processing as expected or associated with any potential risks, such as:
Fetal Growth Restriction (FGR): Doppler scan is used to diagnose the risk of fetal growth restrictions (FGR) in pregnant ladies. It occurs when a developing child is not receiving sufficient nutrients and oxygen to thrive in the womb. This can be caused by various reasons such as diabetes, smoking, high blood pressure, or drug use.
Pre-eclampsia: Doppler ultrasound helps doctors identify the risk of pre-eclampsia in the first or second trimester of pregnancy. It indicates the sign or symptom of impaired placental perfusion, leading to pre-eclampsia.
Placental Insufficiency: This condition occurs when a placenta doesn’t supply sufficient oxygen and nutrients to the fetus inside the womb. It might be due to the damages in the placenta or when the placenta is not developing properly.

How Doppler Ultrasound Helps in High-Risk Pregnancies

Doppler ultrasound assists high-risk pregnancies by:

  • Identifying problems early
  • Reducing perinatal deaths and the need for interventions
  • Analyzing complications
  • Detecting abnormal maturation of the fetal adrenal artery
  • Estimating the fetal acid-base status

Final Thoughts

Doppler ultrasound is a significant test during pregnancy. It helps detect various abnormalities and risks occurring in the developing fetus. This test gives a clear vision to healthcare providers rather than the traditional scans. It allows them to ensure both the mother and fetus are healthy.

FAQs

Doppler ultrasound is completely safe in trained hands. It helps doctors to have a clear picture of your baby’s health and overall well-being. Within a minimum length of time, they have a good reading of your pregnancy condition.

The doctor or healthcare provider suggests color Doppler ultrasound for many reasons, including:

  • To diagnose conditions like heart valve defects, peripheral artery disease, or blood clots
  • To check blood flow between the mother and the fetus
  • To identify congenital heart disease and heart valve defects

A Doppler ultrasound is generally recommended twice during the pregnancy journey. One is between 10-12 weeks, whereas the second is between 31-40 weeks. It is performed to identify high-risk pregnancies earlier and also ensure the baby’s growth and development.

The timeline of the color Doppler ultrasound is based on the complexities and risk factors involved. But it typically takes around 30 to 60 minutes and can vary for every patient.

Depends on the type of Doppler ultrasound, the procedure can vary:

  • Sometimes, you need to fast for a few hours before the scan.
  • You should stop smoking or drinking before the test, which can influence your test results.
  • Essential to wear loose clothing
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Dr. Rukkayal Fathima

Dr Rukkayal Fathima, India's Leading Gynaecologist and the best fertility doctor in Chennai. She has 11+ years of experience and treated 1000+ patients. She finished her M. S., Obstetrics and Gynaecology from the Institute of Obstetrics & Gynaecology (Madras Medical College), Chennai. She is a visiting consultant at St. Isabelle Hospital, Motherhood Hospital, Rainbow Hospital & Mehta Hospital. Dr Rukkayal Fathima specialises in Obstetrics care, Early Pregnancy Scan, IVF, ICSI, TESA/Micro TESE, Menopause advice, Gynaecological surgeries and endoscopy. She is a Co-Founder of Hive Fertility, the Best Fertility Center in Chennai.

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