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

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Do all pregnant women need to undergo a high-level ultrasound?


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.

Xiao Shan, 20~29 year old female. Ask Date: 2004/09/16

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, polyhydramnios or oligohydramnios, abnormal umbilical cord blood flow, or fetal arrhythmias.
At this point, a high-level ultrasound should be conducted.
Additionally, if maternal serum screening for Down syndrome indicates elevated fetal protein levels, or if there has been exposure to harmful medications or environmental toxins during early pregnancy, a high-level ultrasound examination should also be performed.

Reply Date: 2004/09/16

More Info


High-level ultrasounds, also known as advanced or specialized ultrasounds, are an important tool in prenatal care, particularly for expecting mothers who may have specific risk factors or concerns regarding their pregnancy. While not all pregnant women are required to undergo high-level ultrasounds, they can be beneficial in certain situations.


When is High-Level Ultrasound Necessary?
High-level ultrasounds are typically recommended for women who have:
1. Previous Pregnancy Complications: If you have a history of complications such as congenital heart defects, preterm labor, or fetal growth restrictions, a high-level ultrasound can provide more detailed information about the current pregnancy.

2. Abnormal Findings in Routine Ultrasounds: If a routine ultrasound reveals potential issues, such as abnormal fetal growth, amniotic fluid levels, or placental placement, a high-level ultrasound can help clarify these findings.

3. Maternal Health Concerns: Conditions such as diabetes, hypertension, or infections can affect fetal development. High-level ultrasounds can help monitor the fetus's health in these cases.

4. Advanced Maternal Age: Women over the age of 35 are at a higher risk for chromosomal abnormalities, and high-level ultrasounds can help assess fetal health and development.

5. Genetic Concerns: If there are known genetic conditions in the family, high-level ultrasounds can help identify potential issues early in the pregnancy.


Costs of High-Level Ultrasounds
The cost of high-level ultrasounds can vary significantly depending on the healthcare facility and the specific tests performed. In general, the fees for high-level ultrasounds in Taiwan range from approximately NT$1,500 to NT$1,800 (around $50 to $60 USD). However, this cost may not include additional fees for consultations or follow-up visits, so it's essential to check with your healthcare provider for a comprehensive estimate.


Options for High-Level Ultrasounds in Central Taiwan
In Central Taiwan, several hospitals and medical centers offer high-level ultrasound services. Some of the notable institutions include:
1. Taichung Veterans General Hospital: Known for its advanced maternal-fetal medicine department, this hospital provides comprehensive prenatal care, including high-level ultrasounds.

2. Chung Shan Medical University Hospital: This facility offers specialized prenatal testing and has experienced obstetricians who can perform high-level ultrasounds.

3. National Taiwan University Hospital: With a strong reputation in maternal-fetal medicine, this hospital provides a range of prenatal diagnostic services, including high-level ultrasounds.

4. China Medical University Hospital: This hospital is equipped with advanced imaging technology and offers high-level ultrasound services as part of its obstetric care.


Conclusion
While not every expecting mother needs a high-level ultrasound, they are a valuable resource for those with specific risk factors or concerns. The decision to undergo this type of ultrasound should be made in consultation with your healthcare provider, who can assess your individual situation and recommend the best course of action. If you have any concerns about your pregnancy or the need for specialized ultrasounds, don't hesitate to reach out to your obstetrician for guidance.

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