Third‑Trimester Assessment

Fetal Well‑being Scan

A comprehensive check of your baby's health – combining ultrasound, Doppler, and heart rate monitoring to ensure they are thriving.

Overview

Ensuring your baby is thriving.

A fetal well‑being scan is a detailed evaluation performed in the third trimester to assess how your baby is coping with the demands of pregnancy. It goes beyond basic growth measurements to evaluate fetal movements, tone, breathing, heart rate, and blood flow – providing a comprehensive picture of your baby's health.

The scan typically includes a biophysical profile (BPP), which assesses five parameters: fetal breathing, movement, tone, amniotic fluid volume, and heart rate reactivity (non‑stress test). When indicated, Doppler studies of the umbilical artery, middle cerebral artery, and ductus venosus are added to evaluate placental and fetal circulation.

At Amytri, our fetal well‑being scans are performed by consultant radiologists with expertise in fetal medicine. We use state‑of‑the‑art ultrasound and fetal monitoring equipment to provide accurate, reassuring assessments. We explain every aspect of the evaluation and work closely with your obstetrician to ensure coordinated care.

What a fetal well‑being scan covers

  • Biophysical profile (BPP) – breathing, movement, tone, fluid, and heart rate
  • Doppler studies of umbilical artery, middle cerebral artery, and ductus venosus
  • Fetal heart rate monitoring (non‑stress test or NST)
  • Amniotic fluid assessment – AFI or deepest vertical pocket
  • Biometric measurements (BPD, HC, AC, FL) to estimate fetal weight
  • Placental appearance and location
Why it matters

Knowing your baby is well gives you peace.

The fetal well‑being scan is a powerful tool to confirm that your baby is healthy and coping well, even in high‑risk situations.

Reassurance

Confirmation of fetal health

A normal biophysical profile and Doppler study provide strong evidence that the baby is well‑oxygenated and not in distress – even if you have risk factors.

Planning

Guide delivery decisions

If the scan suggests compromise, it can prompt timely delivery or further monitoring – reducing the risk of stillbirth and neonatal complications.

Management

Optimise care for high‑risk pregnancies

For women with conditions like pre‑eclampsia, diabetes, or growth restriction, serial well‑being scans help tailor interventions and timing.

What we assess

A complete picture of fetal wellbeing.

Our fetal well‑being scan integrates multiple modalities to give a holistic view of your baby's health.

Biophysical Profile (BPP)

We score five parameters – fetal breathing movements, gross body movements, fetal tone, amniotic fluid volume, and heart rate reactivity – each up to 2 points, for a total of 10. A score ≥8 is normal.

Doppler Studies

We measure blood flow velocity in the umbilical artery (assessing placental resistance), middle cerebral artery (assessing fetal brain perfusion), and ductus venosus (assessing cardiac function) – key indicators of fetal wellbeing.

Non‑Stress Test (NST)

We monitor fetal heart rate accelerations and variability over 20‑30 minutes. A reactive NST (with at least two accelerations) is reassuring.

Amniotic Fluid Volume

We measure the amniotic fluid index (AFI) or deepest vertical pocket – abnormal fluid (too much or too little) can indicate placental dysfunction or other issues.

Placental Assessment

We evaluate placental location, maturity (grade), and any abnormalities like calcifications or placental lakes.

Biometric Measurements

We measure head, abdomen, and femur to estimate fetal weight – important for detecting growth restriction or macrosomia.

How it works

Your fetal well‑being scan journey, step by step.

01
Book

Schedule your scan

We recommend booking based on your obstetrician's advice – often from 28 weeks onwards, especially if you have risk factors.

02
Prepare

No special preparation

You can eat and drink normally. Wear comfortable, loose clothing. A full bladder is not required.

03
Scan

Comprehensive assessment

We perform the ultrasound (BPP and Doppler) and then monitor the fetal heart rate with an NST. The whole process takes 30‑45 minutes.

04
Results

Immediate discussion & report

We review the BPP score, Doppler indices, and NST results with you on the spot. A detailed report is provided for your records and your obstetrician.

Is it for you?

A fetal well‑being scan is particularly recommended if any of these apply.

It is often part of the third‑trimester surveillance for high‑risk pregnancies, but may also be offered for reassurance in uncomplicated pregnancies.

Maternal hypertension or pre‑eclampsia

These conditions can affect placental blood flow – well‑being scans help monitor fetal adaptation and guide delivery timing.

Gestational or pre‑existing diabetes

Diabetes can affect amniotic fluid, fetal size, and placental function – regular well‑being scans are often recommended.

Suspected growth restriction (IUGR)

Babies with poor growth need close monitoring of umbilical artery Doppler and BPP to decide when to deliver.

Decreased fetal movements

If you notice reduced movements, a well‑being scan can provide reassurance or identify the need for intervention.

Multiple pregnancy

Twins or triplets need regular well‑being checks to ensure both babies are growing and thriving.

Post‑term pregnancy (beyond 40 weeks)

As you approach 41 weeks and beyond, a well‑being scan helps assess whether the placenta is still functioning well.

Dr. Abhishek at Amytri Diagnostics & Healthcare
Dr. Abhishek Consultant Radiologist & Fetal Medicine
Meet your specialist

Expert in fetal wellbeing assessment.

Our consultant radiologist has extensive experience in third‑trimester fetal assessment – including biophysical profiling, Doppler interpretation, and non‑stress testing. We combine technical expertise with a compassionate approach, ensuring you receive accurate information and clear guidance.

Qualified consultantMBBS · DMRD · DNB (Radiodiagnosis)
Fetal medicine expertiseBPP, Doppler, NST, and fetal echocardiography
Advanced technologyHigh‑resolution ultrasound and fetal monitors
Patient‑centred careClear explanations and compassionate support
Share the experience

Your partner is welcome to join.

The fetal well‑being scan is an important milestone – having your partner with you provides support and shared understanding.

We welcome partners into our comfortable scan room. We explain the BPP and NST as we go, so you both understand what's being assessed. If any concerns arise, we discuss them sensitively and provide a clear plan for next steps.

See and hear your babyWatch movements and heart rate
Ask questions togetherGet clarity as a couple
Take home photosPrinted images of your baby
Emotional supportNavigate the final weeks together
Gentle answers

Questions about the fetal well‑being scan.

Book with confidence

Ensure your baby is thriving – book your fetal well‑being scan today.

From your baby's very first heartbeat to your family's lifelong health — we're here with precision, expertise and care. Reserve your appointment in under a minute.

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