Dr Sandeep K Yadav, Consultant, Radiology & Fetal Imaging, Motherhood Hospital, Gurgaon, discusses how targeted fetal imaging, genetic assessment and sensitive family counselling help doctors evaluate unusual findings during pregnancy and guide parents on the next steps without causing unnecessary anxiety
An unusual finding on a pregnancy scan does not always mean a serious problem. So, understand that targeted imaging, genetic evaluation, and careful counselling can help families understand what it may mean.
Pregnancy scans are done regularly as they are an important part of monitoring the baby’s growth and development. Sometimes, a routine ultrasound may show a finding that needs a closer look. Hence, parents should not immediately assume that an unusual scan finding means the baby has a major abnormality and get bogged down. A targeted scan, along with genetic assessment when required, can help the expert to understand the finding and guide the family about the next steps.
What happens when a scan shows a concern?
- The pregnant woman may be advised to have a targeted scan: A detailed or targeted ultrasound will help to examine a particular organ, body part, or developmental feature more closely. Moreover, it can provide information than a routine pregnancy scan and know whether the initial finding is problematic or not.
- The baby’s overall development is assessed: The expert will look at the baby’s growth, anatomy, organs, placenta and amniotic fluid, instead of focusing only on one finding.
- Genetic assessment may be considered: Depending on the scan finding, the mother’s age, family history, and other pregnancy factors, the doctor may discuss genetic counselling or testing to check chromosomal and genetic conditions.
- Further tests depend on the individual case: Not every pregnancy with an unusual scan finding requires genetic testing. The treating team decides whether additional blood tests, repeat ultrasound, genetic testing, or other investigations are appropriate based on the findings.
- Follow-up to track changes: Repeat scans can help doctors understand whether the finding is stable or whether any change in the monitoring plan is needed for the pregnant mother.
The importance of family counselling: An unexpected finding on a pregnancy scan can lead to anxiety and panic in parents. Hence, it is necessary not to jump to any conclusions. Don’t get stressed thinking that the baby is in trouble. The expert will first try to know what exactly has happenedwhether it is an isolated finding and whether there are any other concerns. If needed, we discuss genetic evaluation and further testing with the family in simple terms. The expert will explain the finding honestly without creating unnecessary fear, discuss the possible outcomes, and allow the family to make informed decisions based on medical advice and their own circumstances.
An unusual finding on a fetal scan does not automatically mean that something is seriously wrong. A step-by-step evaluation allows the care team to provide appropriate monitoring while helping parents make informed decisions without unnecessary fear.