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Second trimester extra ultrasounds
Pregnancy

Second trimester extra ultrasounds

2 min readWeek 23
Key takeaways
2 min
  • Understand that extra ultrasounds are ordered when doctors need to investigate potential issues like polyhydramnios, cervical problems, or delayed fetal growth.
  • Recognize that Doppler ultrasounds specifically assess blood flow and oxygen delivery to your baby through the umbilical cord.
  • Know that additional scans may be needed even when everything seems normal if measurements or vital signs raise questions during routine appointments.
  • Request an ultrasound if you notice significantly decreased fetal movement, as this warrants medical evaluation.
  • Rest assured that frequent ultrasounds have not shown adverse effects on babies in current studies, though doctors use them judiciously.

Extra second trimester ultrasounds are ordered to investigate potential issues like polyhydramnios, cervical problems, delayed fetal growth, or irregular measurements during routine appointments. These additional scans are precautionary and help ensure both maternal and fetal health.

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You know you’ll have an ultrasound in your second trimester, but why might your doctor ask you to come back for another? It’s not common, but it’s also nothing to worry about just yet.

Did my doctor miss something?

Your doctor is a qualified and experienced professional, but that doesn’t mean they’re fully sure about everything all the time. Sometimes, additional investigation is needed to be fully safe. If your doctor suspects polyhydramnios (excess amniotic fluid), for example, they’ll ask you to return for another ultrasound one or two weeks after your first one. If your doctor suspects issues related to your cervix — particularly if you experienced such problems in a previous pregnancy — you’ll likely have to come in for an ultrasound every couple of weeks through week 24 or so.

If the ultrasound reveals delayed growth of the baby, you may be prescribed a Doppler ultrasound.

What is a Doppler ultrasound?

A Doppler ultrasound uses high frequency sound waves to get information about your blood flow, as well as the baby’s. It can be used to assess whether baby is getting enough oxygen and nutrients via the umbilical cord.

My doctor said everything is fine. Why would I need additional ultrasounds, in that case?

After your 20th week of pregnancy, each doctor’s appointment will include measurements of your uterus and abdomen, as well as listening to baby’s heartbeat and checking your blood pressure. If at any time your doctor is unsure about these measurements and checks, they’ll likely prescribe an ultrasound. Examples of this would be if your belly is too large or small (to rule out polyhydramnios or too little amniotic fluid) or if baby’s heartbeat is too fast, too slow or irregular. If your blood pressure is high, a Doppler ultrasound may be used to rule out complications associated with preeclampsia.

Sometimes the expectant mama herself may request an ultrasound if she’s noticed baby moving a lot less or not at all.

Are frequent ultrasounds bad for the baby?

Not that we know of [1]. Studies haven’t shown any adverse effects on baby. However, doctors don’t rule out that there may be effects we don’t know about yet, so they’re careful about scheduling them only when needed. If all signs of the pregnancy are normal, there’s no need for a “just in case” ultrasound [2].


Frequently asked questions

No, studies haven't shown any adverse effects of ultrasounds on babies. However, doctors only order them when medically necessary as a precautionary measure.

A Doppler ultrasound uses sound waves to assess blood flow between you and your baby. It checks if your baby is getting enough oxygen and nutrients through the umbilical cord.

Even with normal initial results, doctors may order additional scans if routine measurements seem off. This includes belly size concerns, irregular heartbeat, or high blood pressure readings.

Contact your doctor if you notice significantly decreased fetal movement or no movement at all. This warrants immediate medical evaluation and possibly an ultrasound.

Conditions like polyhydramnios, cervical issues, delayed fetal growth, or preeclampsia concerns typically require follow-up scans. Your doctor will monitor these conditions closely through week 24 and beyond.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated March 25, 2025

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