The mid-pregnancy 20 week Anomaly (or anatomy) Scan is an important detailed ultrasound scan of your baby, including placenta position, amniotic fluid and fetal growth. It is offered to everybody by the National Health Service. The purpose of the anomaly scan is to determine the presence of rare conditions including those of the brain, spine or heart conditions.
Our Specialist Sonographer will complete a detailed, comprehensive ultrasound scan to check your baby's brain, face and lips, heart, spine, stomach, kidneys, bowel and limbs. The Anomaly pregnancy scan checks the physical development of your baby. The Specialist sonographer is highly trained to determine any differences in your baby’s development, although the ultrasound scan cannot pick up every condition.
We will give a detailed explanation of our ultrasound findings, and also check the placenta, amniotic fluid and the umbilical cord. You can find out the sex of your baby from the Anomaly Scan if you wish to. Just let our Sonographer know, and they will look at baby’s gender.
Due to the development of the baby’s brain, and the size and complexity of the baby’s heart, 20 weeks onwards is the optimum gestation to perform the routine anomaly scan.
Some people chose to have their anomaly ultrasound scan from 18 weeks, however the anatomy may be more difficult to visualise and it may be necessary to book another scan at a later date to complete the anatomy checks. There will be a charge for the extra scan. If you do chose to have your anomaly scan as early as 18 or 19 weeks, please do not be concerned if the Specialist Sonographer is unable to visualise some of babies anatomy. They will be limited by the early gestation. Baby’s grow and develop weekly, and within a few weeks they will be able to complete the checks.
If you have a higher BMI, it may be best to wait until 22-23 weeks.
Pregnant women are offered two routine ultrasound scans during pregnancy, this is called the Fetal Anomaly Screening Programme.
The Nuchal Translucency scan is offered between 12-14 weeks of pregnancy to screen for the most common chromosomal conditions including Down’s syndrome, Edwards’ Syndrome and Patau’s syndrome.
The other routine pregnancy scan offered by the NHS is around 20 weeks of pregnancy called the Anomaly scan. The purpose of this ultrasound scan is to assess your baby’s physical development and to look for 11 rare conditions, including head/brain and heart conditions.
The 20 week anomaly scan is a very important ultrasound scan during pregnancy. Parents to be often come to have a scan with us as a result of the following:
The heart, brain, face, spine, bowel, stomach, kidneys, limbs, hands and feet for any major physical conditions.
Our sonographers are highly skilled and accredited in the performance of the Anomaly Scan. They will be able to talk to you if you have additional questions or concerns. The Consultant is available if needed to discuss any unexpected findings.
The Anomaly Scan is recommended for all babies, ensuring that if any conditions are present Parents to be and baby are well prepared, supported and monitored.
We offer morning, afternoon and evening availability during the week, as well as weekend appointments. A surcharge will be applied for evening and weekend appointments. We have a wide range of availability therefore same day appointments can be easily arranged. Our Sonographers are here to reassure even at short notice.
The Birth Company is the first clinic in UK to offer this service allowing you to share your pregnancy ultrasound with friends and family wherever they are in the world. This optional recording can be shared via Email, Facebook, Instagram and Twitter. We will offer this to you routinely at the end of the Anomaly Scan. The transmission is instantaneous. Please note that the video of baby moving will not have any sound. It is a national policy not to permit patient or partner's phone recording in a room. Simply tell your sonographer that you would like an electronic transmission of your scan. It will appear on your phone immediately.
Yes. An additional £30 charge is applied for mothers expecting twins or triplets. We need to allocate more time for your appointment as there are twice (or three) times as many ultrasound checks to be performed as there are more babies.
The NHS will not routinely offer any further pregnancy scans however a Wellbeing and Growth scan can be done any time after 22 weeks for reassurance and to assess baby’s growth pattern.
A Cervical Length Assessment can be added to your Anomaly Scan - Click here for more details
Some early pregnancy ultrasound scans are performed using a transvaginal probe technique. This technique is used to view the pelvic anatomy optimally, as the ultrasound probe can transmit safe ultrasound waves more directly to the pelvic area. In later stages of pregnancy, it may be advised to perform a transvaginal ultrasound scan to have a closer look at a baby’s anatomy, or to assess the maternal cervix.
There is no clinical risk associated with performing a transvaginal ultrasound scan. Transvaginal ultrasound scans can safely be performed during episodes of vaginal bleeding.
It is important that you understand the procedure that is associated with this examination.The ultrasound transducer will be placed in the vagina (the probe is prepared using high grade medical disinfectant)
Below is a link to our Transvaginal Ultrasound Consent Form. This must be completed ahead of your appointment to confirm whether you consent or do not consent to having your scan performed transvaginally.
We had received possible worrying news from our NHS anomaly scan, without much information provided or confirmation. I am so pleased that we came to The Birth Company for reassurance, as we are now extremely happy that everything is fine. Shahrzad was fantastic and went through the whole anomaly scan thoroughly, explaining everything and looking in detail at each area. Nothing was rushed and she took her time to make sure baby was in the correct position to get the best results. We can’t thank her and Dr Gibb enough for the confidence they have given us. Would highly recommend The Birth Company for all scans.
' Professional and reassuring 'Helen Campbell
The sonographer was ready as soon as I arrived, and she was extremely calming, personable and professional. The scan and blood test where efficient without feeling rushed and all very easy. These appointments can feel uneasy and make you feel anxious but I felt reassured and in professional hands the whole time
I saw Kate throughout my first pregnancy and am now doing so again with my second. She is absolutely amazing, she explains everything really clearly, and has answered all sorts of bizarre questions and worries I have had. On top of being clinically excellent she is also just the loveliest person and always a pleasure to see.Sarah Elliott
We had the harmony test with the Birth Company and had a reassurance scan with sonographer Kirsty McGarry who was absolutely lovely and really put our minds at rest. We had been scared by our NHS dating scan and left feeling like there was something wrong. We explained the situation and was treated very professionally and with good care. Also speedy appointments also as I had phone in the morning and got an appointment by afternoon. So thankful.Ashley and Tom
Really friendly, efficient service. Great experience overall. Had the Panorama. My appointment was with Kate who was absolutely fantastic. The results came really quickly. Have a comparison with private healthcare elsewhere and must say that The Birth Company was just how I would like to be treated when I pay for medical services - attentively, calmly, friendly, in a pleasant environment that doesn't look like hospital. Top marks!Anna
' Efficient, friendly and always on hand to provide last minute appointments 'Hannah Murphy
The Birth Company has been excellent, providing timely scans and blood tests during my IVF treatment abroad. Staff are always friendly and extremely efficient. I would highly recommend coming here.
' Professional and friendly 'Lyndsey Dilla
When I first contacted the Birth Company I spoke to Danielle. She was fantastic. She went above & beyond to put me at easy & make the journey from Kent as stress free as possible. Every staff member that myself and my husband have come into contact with have been approachable, professional and friendly. Kate scanned me the first time and put me completely at easy. Lisa on reception is professional and very approachable. Highly recommended
' Highly recommended 'Emelie
Donald was so lovely! I was so nervous as I have a bad history and he was super quick and confirmed my baby's heartbeat as quickly as he could. He spent time showing me the baby and the anatomy and it was the best money I have ever spent! The reception girls were lovely too - considering they deal with babies day in day out they were super excited for me! Thank you so much one and all! If only I lived in London and could have all my scans with you!
Great Portland Street