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Episode 12: Testing & Scans in Pregnancy
Dr Ruba runs through the list of tests you can expect during your pregnancy, from blood tests to ultrasounds to more invasive testing if required. It can be quite a busy schedule! Tune in to find out the benefits of each test and what you will learn about your baby at each step. When can we rule out common chromosomal disorders…and when can you expect to find out the gender of your baby?
Explaining the Testing Schedule in Pregnancy
The schedule of pregnancy appointments and tests can be a little confusing for a first-time parent. So we thought we’d talk through the common screening tests and ultrasounds women may have as they go through pregnancy.
For a more thorough explanation of each test, please listen to the full podcast.
For most women, the first test during pregnancy will be a dating ultrasound. This ultrasound will be checking for the baby’s heartbeat as well as looking for twin pregnancies and issues such as ectopic pregnancy.
At around 10 weeks, there will be early screening tests, including the common NIPT test, which is a non-invasive blood test looking for chromosomal abnormalities such as Down Syndrome. If there are any concerns or difficulties analysing the results, your obstetrician will recommend a form of invasive testing called CVS, which is conducted after 12 weeks. If further testing is required, amniocentesis testing can be carried out at around 14-15 weeks.
The next test is another ultrasound at around 12 weeks, which is also looking for chromosomal abnormalities, as well as checking the baby’s heart, brain, and other structures. Your specialised sonographer will also assess for risks such as pre-term birth and pre-eclampsia in the mother.
At 20 weeks, you’ll return for another detailed ultrasound, where the sonographer will study the baby’s anatomy and growth, and assess the position of the placenta and the length of the cervix to assess the risk of pre-term birth. This is the ultrasound where you can definitely find out the gender of your baby, although you can sometimes see on the 12 weeks scan as well, so do tell your sonographer if you don’t want to know!
Between 24 and 28 weeks you will have another blood test to check for things like iron levels, as well as a glucose tolerance test to check for gestational diabetes.
After the 20 week scan, the ultrasounds are often conducted by your obstetrician, who will continue to check on the baby’s growth as you progress towards the big day. If there are any concerns, we will continue to use a specialised sonographer for these scans.
Most of the sonographers are actually amazing at communicating. And the better quality ultrasound you have, the more information we get. And so we do tend as obstetricians to gravitate towards ultrasound that’s provided by specialised groups so that we can give you the best information.
We look forward to supporting you.
If you have any questions or would like to book a consultation, please contact us via any of the methods below. You can also submit a question for Dr Ruba to address on her fertility podcast, Fertile Ground.
Practice Hours
Monday-Thursday: 8:30 – 5:00pm
Dr Jyotica Ruba
Fertility Specialist, Obstetrician & Gynaecologist
BM, FRANZCOG, MRMed
Suite 2.5, Level 2,
Deakin Health Hub,
63 Denison St
Deakin ACT 2600
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