Fetal Wellbeing & Growth Scan, Includes Doppler Scan and Presentation - 23-40 weeks of pregnancy

  • Appointment duration 30 - 40 minutes
  • An important pregnancy scan for all parents-to-be
  • See baby’s heartbeat and baby’s movements
  • Assess baby’s growth pattern
  • Confirm the position of baby (presentation e.g cephalic or breech)
  • Assess the position, appearance and function of the placenta, including the blood flow to baby- Umbilical Artery Doppler measurement
  • Assess the quantity amniotic fluid (AFI) surrounding baby
  • Includes an Advanced Gestation Anatomy Scan by our Specialist Sonographers.
  • Confirm the gender of baby, if you wish to know your baby’s sex
  • Baby and Parents-to-be focused care
  • If you require a second opinion, please ensure that you provide us with your relevant ultrasound report
  • ahead of your appointment
  • Your questions answered
  • We offer longer appointment times as routine- more time for baby, more time for you
  • Same day and short notice appointments available
  • A Consultant is available to discuss any findings if needed
  • Committed to advances in pregnancy care
  • The latest Ultrasound Technology and Software

 

Fetal Wellbeing and Growth ultrasound scans are performed from 24 weeks of pregnancy. The scan can even be performed if you have reached 40 weeks or have passed your due date. This ultrasound scan is for parents-to-be who wish for reassurance in their pregnancy or have particular concerns.

A growing baby is a healthy baby so sometimes serial growth scans are performed during pregnancy at 28, 32 and 36 weeks, plotting charts of baby’s growth velocity pattern. We can however perform this pregnancy scan at any stage from 24 weeks.

During this pregnancy scan we measure the baby's head circumference HC, abdominal circumference AC and femur length FL. These measurements are plotted onto growth charts and used to calculate baby’s current weight. This is called the Estimated Fetal Weight, or EFW. This gives an indication to the size your baby will be at birth. This is best predicted from 28 weeks gestation onwards.

We also look at how your baby is moving, the amount of amniotic fluid AFI, and the position of the placenta. We will also assess the Umbilical Artery Doppler blood flow in the umbilical cord blood vessels. It is possible to tell the sex of your baby from this scan, but this becomes more difficult as you approach the end of your pregnancy.



Fetal Wellbeing & Growth Scan, Includes Doppler Scan and Presentation - 23-40 weeks of pregnancy

 

Which pregnancy scans are currently offered by the NHS?

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.

Serial or individual Fetal Wellbeing and Growth scans may be offered to you by your pregnancy care team if;

  • The placenta is low lying at the 20 week Anomaly scan
  • The Sonographer or Fetal Medicine Specialist is monitoring a condition present which was determined at the Nuchal Translucency or Anomaly Scan
  • If the baby was measuring small for dates (SFD) or large for dates (LFD) at the 20 week Anomaly Scan
  • If there is a previous history of birth where there was premature delivery
  • If there is a previous history of pre-eclampsia in pregnancy
  • If there is a medical history of Maternal Type1 Diabetes, Type 2 Diabetes or Gestational diabetes
  • If there is a medical history of maternal Thyroid problems or Fibroids
  • The Midwife or Doctor measures the baby bump with a tape measure as small for dates (SFD) or large for dates (LFD)
  • If the midwife or doctor thinks that your baby is in breech presentation

Parents-to-be often come to have a second or third trimester private pregnancy scan with us for the following reasons:

  • A third trimester Fetal Wellbeing and Growth scan is not offered routinely within the NHS
  • The NHS Sonographer reported findings during your pregnancy scan and a second opinion is needed
  • You would prefer a more comprehensive, detailed ultrasound scan to be performed in a calming and relaxing environment
  • You would like some extra reassurance in your pregnancy
  • To assess for Vasa Previa. A rare but severe condition in which blood vessels cross or run near the internal cervical os. Diagnosis of such complications can give your antenatal team the best opportunity to ensure you and baby are safe during delivery.
  • If the midwife or doctor thinks that your baby is in breech presentation and you would like a second opinion

When can I have a Fetal Wellbeing and Growth scan?

A Fetal Wellbeing Scan is performed any time from 24 weeks of pregnancy. Your baby’s growth is assessed by ultrasound, which is more accurate than the traditional tape measure used by the antenatal team in the NHS. Measurements are taken of baby’s head (the head circumference or HC), the size of the baby’s tummy (the abdominal circumference or AC) and the length of the baby’s upper leg (femur length or FL). These measurements can give an Estimated Fetal Weight, EFW, which can help predict baby’s weight at birth. These measurements are plotted on a growth velocity chart, which is printed on a report that you can show your midwife at your next antenatal appointment.

Further checks include the position, or presentation, of baby and the volume of amniotic fluid (AFI) which baby is surrounded by. The Umbilical Doppler blood flow in the Umbilical cord is also assessed.

A consistent growth pattern, normal amount of amniotic fluid and normal umbilical doppler can reassure that your baby is thriving. Assessing the position of the placenta and blood vessels reassures that your baby will be delivered safely.

We recommend that all parents-to-be consider having a Fetal Wellbeing and Growth scan at around 36 weeks of pregnancy. This third trimester scan can provide reassurance that there are no signs of birth complications, by confirming the presentation of baby, the size of baby and assessing the doppler blood flow and fluid. This third trimester checks can help you feel confident about baby’s birth.

What structures of the baby can be checked?

Depending on the fetal position and advanced gestation (as the pregnancy progresses it becomes harder to see all of baby’s anatomy), the sonographer will try to visualise major organs and structures. This is an advanced gestation anomaly scan.



 

What are the indications or reasons for having the Fetal Wellbeing and Growth scan?

  • The Midwife or Doctor measures the baby bump with a tape measure as small for dates (SFD) or large for dates (LFD)
  • A third trimester Fetal Wellbeing and Growth scan is not offered routinely within the NHS
  • If there is a previous history of birth where there was premature delivery
  • You would like some extra reassurance in your pregnancy
  • You would prefer a more comprehensive, detailed ultrasound scan to be performed in a calming and relaxing environment
  • The NHS Sonographer reported findings during your pregnancy scan and a second opinion is needed
  • If you are experiencing reduced movements, or a change in pattern of your baby’s movement
  • To assess for Vasa Previa. A rare but severe condition in which blood vessels cross or run near the internal cervical os. Diagnosis of such complications can give your antenatal team the best opportunity to ensure you and baby are safe during delivery.
  • If you experience adverse symptoms such as bleeding or fluid loss
  • If there is a previous history of pre-eclampsia in pregnancy
  • The placenta is low lying at the 20 week Anomaly scan and you wish to fly from 28 weeks of pregnancy.
  • The Sonographer or Fetal Medicine Specialist is monitoring a condition present which was determined at the Nuchal Translucency or Anomaly Scan
  • If the baby was measuring small for dates (SFD) or large for dates (LFD) at the 20 week Anomaly Scan
  • If there is a medical history of Maternal Type1 Diabetes, Type 2 Diabetes or Gestational diabetes
  • If there is a medical history of maternal Thyroid problems or Fibroids

Fetal Wellbeing & Growth Scan, Includes Doppler Scan and Presentation - 23-40 weeks of pregnancy



Is there someone I can talk to about the outcome of my Fetal Wellbeing and Growth scan?

Our Specialist Sonographers are very experienced, they will take time to answer your questions and concerns. You will be given a comprehensive ultrasound report to show to your antenatal team for further discussion.

Consultant Obstetrician or Specialist Sonographer?

  • In the majority of pregnancies a Fetal Wellbeing and Growth Scan can be performed by one of our experienced sonographers. All of our sonographers are fully qualified and accredited, so you are in safe, expert hands.
  • If however, you are experiencing complications with your pregnancy or need a second opinion, a Fetal Wellbeing and Growth ultrasound scan with our Consultant Obstetrician is recommended.

Is it easy to make an appointment?

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.

What you will receive:

  • Detailed ultrasound report, with charts and images, to file with your maternity notes.
  • YourBabyScan Images and Videos direct to mobile and email
  • Baby Ultrasound Keep Sake Images to take home
  • Longer appointment times as routine
  • A calm and relaxing environment
  • High quality professional care from our Specialist Sonographers who are committed to advances in pregnancy care

How is the scan electronically sent to you?

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 scan. The transmission is instantaneous. Please note on this system currently there is no sound, only video. 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.

Fetal Wellbeing & Growth Scan, Includes Doppler Scan and Presentation - 23-40 weeks of pregnancy

Is preparation required?

No preparation is required.

What is the next scan following a Fetal Wellbeing and Growth scan?

A further Fetal Well-being and Growth scan (including Doppler) can be done anytime if there is a continuing concern. Where serial growth scans are recommended, a period of 2-4 weeks between scans gives the best opportunity to assess baby’s growth pattern.

A Cervical Length Assessment can be added to your Wellbeing/Growth Scan - Click here for more details

A 3D/4D 'HD Live can be performed anytime between 26 - 32 Weeks- Click here for more details

Upgrade to the Bronze Package if you have already had a Reassurance scan - Click here for more details

Cancellation Policy


For cancellations, a full refund of your appointment fee will be given with 24 hours notice. If less than 24 hours notice of cancellation is given, a £50 cancellation fee will be applied. Our full terms and conditions can be found here: Terms and Conditions

Covid-19 (SARS-CoV-2) IgG Antibody blood test £100

The Birth Company is now able to offer the Covid-19 (SARS-CoV-2) IgG Antibody blood test, at a cost of £100. If you would like to have this blood test performed whilst attending for your ultrasound scan appointment, please let us know ahead of your appointment in order to allow for a longer appointment time and to take payment over the telephone using our secure payment portal.
For more information about the test, please follow this link to The Doctors Laboratory website. 

Patient Information

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)
The transducer will be introduced with a latex / non latex type covering and sterile ultrasound gel.
It will be necessary to move the transducer from side to side, up and down and may be swivelled to obtain ultrasound images of your pelvic anatomy.
If you prefer, you may insert the transducer yourself, otherwise the person conducting the examination will do this.
A third person may be present during the examination acting as a chaperone, if required by the sonographer or yourself.
You may request the examination to be stopped at any time during the procedure.   

Transvaginal Ultrasound Consent

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 internally.

Transvaginal Ultrasound Consent Form 

Contraindications 

If you are a virgin (Virgo intacta; hymen intact), guidance determines that transvaginal ultrasound scans are clinically contraindicated. If you have discussed this concern with your referrer and wish to proceed with a transvaginal ultrasound scan, this type of examination can be performed.

 

Pregnancy Ultrasound Scans Available

Longer Appointments - Time to discuss choices with our expert staff

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Clinic Locations

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THE BIRTH COMPANY - LONDON

137 Harley Street, London W1G 6BF
Nearest Underground Tube Stations

Baker Street
Regent’s Park
Great Portland Street

THE BIRTH COMPANY - CHESHIRE

Alderley Edge Medical Centre, Talbot Road, Alderley Edge, Cheshire, SK9 7HR
Nearest Overground Train Station

Alderley Edge