Fetal echocardiography is a specialized ultrasound test performed during pregnancy to evaluate the position, size, structure, function and rhythm of the unborn baby’s heart. An obstetrician is able to obtain a limited view of the baby’s heart during a routine pregnancy ultrasound. A fetal echocardiogram provides a detailed evaluation by a specialist in fetal echocardiography of the baby’s heart. One of the benefits of fetal echocardiography is prenatal diagnosis of congenital heart disease (CHD). This allows the baby to have faster access to medical and surgical intervention after birth. In some cases, prenatal diagnosis has been shown to improve overall outcomes in babies with complex heart disease. There are some abnormalities that even a detailed fetal echocardiogram cannot detect prenatally. These include pulmonary venous anomalies, coarctation of the aorta, small holes and mild valve abnormalities. Additionally, some cardiac lesions are not evident until after the baby is born. Occasionally, repeat evaluation is necessary.
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