Preterm Labor: Should You Get Extra Ultrasounds During Pregnancy?

Obstetrics and Gynecology

What is [premenstrual syndrome]? I regularly have prenatal check-ups at National Taiwan University Hospital, but I only had an ultrasound when I was five months pregnant.
I heard that large hospitals typically perform ultrasounds twice during pregnancy (once at eight months).
However, I am currently over six months pregnant, and general clinics perform ultrasounds at every check-up, which seems to provide a better understanding of the fetal condition.
Should I also consider going to a clinic to pay for an additional ultrasound? Dr.
Lin, could you please help me answer these two questions? Thank you.

Esther, 20~29 year old female. Ask Date: 2000/12/12

Dr. Lin Zhaopei reply Obstetrics and Gynecology

Preeclampsia commonly occurs in the second or third trimester of pregnancy and is a condition closely related to gestation, with potential causes linked to the immune system.
For the mother, symptoms may vary in severity and can include elevated blood pressure, edema, headaches, upper abdominal pain, blurred vision, and even temporary blindness.
For the fetus, there may be symptoms such as growth restriction, oligohydramnios, and fetal distress.
Generally, large hospitals conduct three ultrasound examinations during pregnancy.
The first occurs around two months, prior to receiving the maternal handbook, primarily to confirm fetal heartbeat and normal implantation.
At five months, there is one ultrasound covered by health insurance, which focuses on detailed assessments of growth, placenta, limbs, facial features, gender, and organs.
The third ultrasound at eight months is often out-of-pocket, mainly assessing fetal position and weight.
Additionally, some clinics may offer expectant mothers the option to pay for or receive free ultrasounds during each check-up, which can provide a better understanding of fetal status.
Whether this is necessary is subjective; however, if mothers are willing to pay, even large hospitals would likely be happy to provide the service.

Reply Date: 2000/12/12

More Info

Understanding preterm labor and the necessity of additional ultrasounds during pregnancy is crucial for ensuring the health of both the mother and the fetus. Preterm labor refers to the onset of labor before 37 weeks of gestation, which can lead to premature birth and associated complications for the newborn. It is characterized by regular contractions that cause changes in the cervix, such as dilation or effacement. Symptoms may include lower back pain, pelvic pressure, and changes in vaginal discharge.
Regarding your question about ultrasound frequency during pregnancy, it is important to note that the standard practice varies by country and healthcare provider. In the United States, most obstetricians recommend at least two to three ultrasounds during a typical pregnancy: one in the first trimester to confirm the pregnancy and estimate the due date, one in the second trimester (around 18-20 weeks) for anatomical assessment, and sometimes a third in the third trimester to monitor fetal growth and position.
In your case, having only one ultrasound at five months may seem insufficient, especially if you have concerns about your pregnancy. Regular ultrasounds can provide valuable information about fetal growth, amniotic fluid levels, and placental health. If your healthcare provider is only recommending two ultrasounds, it may be based on their assessment of your risk factors and the overall health of your pregnancy. However, if you feel anxious or have specific concerns, it is entirely reasonable to seek additional ultrasounds, even if it means self-paying at a clinic.
The decision to get extra ultrasounds should be made in consultation with your healthcare provider. They can help assess your individual risk factors for preterm labor and determine whether additional monitoring is warranted. For example, if you have a history of preterm labor, multiple pregnancies, or other medical conditions, your provider may recommend more frequent ultrasounds.
In addition to ultrasounds, there are other ways to monitor your pregnancy and reduce the risk of preterm labor. These include maintaining a healthy lifestyle, staying hydrated, managing stress, and attending all scheduled prenatal appointments. If you experience any signs of preterm labor, such as regular contractions or unusual discharge, it is essential to contact your healthcare provider immediately.

In summary, while the standard practice may involve fewer ultrasounds, your comfort and peace of mind are important. If you feel that additional ultrasounds would help you feel more secure about your pregnancy, discuss this with your healthcare provider. They can provide guidance based on your specific situation and help you make an informed decision. Remember, the goal is to ensure the health and safety of both you and your baby throughout the pregnancy.

Similar Q&A

Understanding Ultrasound Exams During Pregnancy: What to Expect

Hello: I have a question regarding pregnancy. Is it true that you need to have 10 ultrasounds during pregnancy? During these 10 examinations, is it really possible to check for any abnormalities in the fetus? Thank you.

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello: Because medical equipment in Taiwan is very advanced and convenient, you are able to enjoy such good resources. If you go to a large hospital for an examination, getting an ultrasound may not be as convenient. The main purpose of the ultrasound is to check whether the feta...

Should You Consider Fetal Heart Ultrasound During Pregnancy?

Hello, doctor: I’m not sure, my sister is 22 weeks pregnant, and next week the doctor said she needs to undergo a fetal echocardiogram, which will cost 800 NTD out of pocket. She asked me if I have had such a test before, but I haven't, so I don't know if this test is a...

Dr. Lin Wenbin reply Obstetrics and Gynecology
The fees for neonatal echocardiograms vary among hospitals, so you will need to make your own judgment. However, undergoing more detailed examinations (especially since echocardiograms are non-invasive) can be beneficial for both the pregnant woman and the fetus. During the ovula...

Do Expecting Mothers Need High-Level Ultrasounds? Costs and Options

Do general pregnant women need to undergo a high-level ultrasound? What is the approximate cost? Additionally, which hospitals in central Taiwan have such equipment? Thank you for your response.

Dr. Wu Linting reply Obstetrics and Gynecology
Hello, generally, expectant mothers first undergo a basic ultrasound screening. If any potential issues are identified, a more detailed examination, known as a "high-level ultrasound," is performed. This includes serious conditions such as fetal growth restriction, poly...

Is Frequent Ultrasound Safe for My Baby During Pregnancy?

Hello doctor, I am currently 23 weeks pregnant. In the past month, I have experienced gastroenteritis and a cold, and I have also had routine check-ups and high-level ultrasounds. In this month, I had an ultrasound approximately once a week due to gastroenteritis, a cold, routine...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, there is currently no evidence that ultrasound examinations have any impact on pregnancy, so you can rest assured. However, it is generally recommended not to have such close examinations. Wishing you good health.