20 Week Ultrasound: Let's Get You Ready

The 20-week ultrasound, also known as the anatomy scan, is a key milestone in pregnancy. It’s more than just a check-up—it’s an exciting moment to see your baby in detail and celebrate their development. Whether you’re learning the gender, marveling at their tiny movements, or getting reassurance that everything looks great, this scan is a big deal. Here’s how to prepare, what to expect, and how to make the most of this special appointment. 🍼✨

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What Happens at the 20-Week Ultrasound?

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The anatomy scan is a detailed exam to assess your baby’s development. A sonographer will conduct the ultrasound, while your doctor typically reviews the results and discusses them with you after. Here's what to expect:

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Detailed Anatomical Check

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The sonographer will examine your baby’s brain, face, spine, heart, stomach, kidneys, bladder, and limbs to check for healthy development. 🧠💗

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Growth Measurements

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Your baby’s head, abdomen, and femur will be measured to estimate their size and weight, ensuring growth is on track.

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Gender Check (Optional!)

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If you want to know, the sonographer will check for signs of your baby’s gender—if the baby cooperates, of course! 🎀🩵

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Placenta Position

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The position of the placenta is assessed to ensure it isn’t covering the cervix, which could indicate a condition like placenta previa that your doctor would monitor.

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Amniotic Fluid Levels

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The sonographer will check the fluid surrounding your baby, which is vital for their growth and protection.

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Screening for Anomalies

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Markers for conditions like chromosomal abnormalities or congenital issues are screened for during this scan.

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Doctor’s Role

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In most cases, the sonographer performs the ultrasound, but they don’t discuss the findings. Your doctor or midwife will review the results after the scan and explain what they mean, addressing any concerns. Be prepared for a short wait after the ultrasound before discussing the results.

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Do All Pregnant People Need a 20-Week Ultrasound?

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Most providers recommend the anatomy scan for all pregnancies. It’s an important diagnostic tool that allows your healthcare team to assess your baby’s development, identify potential concerns, and ensure everything is progressing smoothly. However, it’s ultimately your choice—talk to your doctor or midwife about your preferences.

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Tips to Prepare for the 20-Week Ultrasound

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Do You Need to Drink Water Before?

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Yes! In most cases, you’ll be asked to drink 16–24 ounces of water an hour before your appointment. A full bladder helps provide a clearer image during the ultrasound. (Check with your provider—some offices may not require this.) 💧

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What to Wear

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Wear comfortable clothing that allows easy access to your belly. Separates, like a top and pants, are ideal. Avoid dresses or jumpsuits to make things simpler. 👕👖

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Who Can You Bring?

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Most ultrasound rooms are small, so check with your provider about how many people you can bring. Many places allow one or two guests, which could include your partner, a close family member, or a friend. For others who can’t attend, share the joy by posting photos or updates on your Villie Baby Page. 📸

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What About Pictures?

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Most facilities offer digital or printed copies of your baby’s ultrasound images. Let the sonographer know if you want photos—they’ll often select the clearest or cutest shots for you!

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Are Gender Reveals in the Anatomy Scan Ever Wrong?

It's rare, but not impossible. Read more here.

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What Questions Should You Ask?

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Here are some questions to consider asking your doctor after the scan:

• Is my baby’s growth on track for their gestational age?
• Is the placenta in a healthy position?
• How are my amniotic fluid levels?
• Are there any concerns or markers for anomalies?
• When will I need my next ultrasound or appointment?
• Can I have a copy of the ultrasound report or photos?

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FAQs About the 20-Week Ultrasound

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How Long Does the Scan Take?

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The anatomy scan typically takes 30–45 minutes but can vary depending on your baby’s position. If they’re feeling shy or wiggly, it might take a bit longer. ⏳

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What If They Can’t See Everything?

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Sometimes, the baby’s position makes it difficult to get all the measurements or views needed. In that case, your doctor may schedule a follow-up scan. It’s totally normal and not a cause for worry.

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Can the Gender Reveal Be Wrong?

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Yes, it’s rare but possible. Factors like your baby’s position or the sonographer’s view can affect accuracy. If you’re planning a big reveal, keep this in mind! 🎁

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Make the Most of the Moment

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The 20-week ultrasound is a chance to connect with your baby and share the joy with loved ones. Use your Villie Baby Page to upload ultrasound pictures, share milestones, or even host a gender reveal game. Let your village celebrate with you every step of the way! 🎉💞

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References

The following trusted sources provided the information in this guide:

• American College of Obstetricians and Gynecologists – Pregnancy and ultrasound insights: Ultrasound Exams
• American Pregnancy Association – Anatomy scan details and benefits: American Pregnancy Association: Anatomy Scan

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Build Your Village with Villie 💜

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Your pregnancy journey is filled with moments worth sharing, and Villie makes it easy to keep your village connected:

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• Upload Milestones: Share ultrasound photos, baby bump updates, and other special moments.
• Host Fun Games: Engage your loved ones with interactive games like the Gender Reveal Game.
• Rally Support: Let your village contribute through diaper funds, registry gifts, or simply by being there when you need them.
• Stay Connected: Use your Baby Page to keep everyone updated without juggling individual messages.
• Celebrate Together: Turn your Baby Page into a hub of love, support, and excitement as your family grows.

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Start your free Villie Baby Page today and make your village part of this unforgettable journey! 🎉👶💖

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