Healthy Balance

The 20-Week Ultrasound: More than Pink Cupcakes and Blue Drinks

For many expecting parents, week 20 is the best part of the pregnancy. That’s when they get an ultrasound that can reveal the baby’s sex. And if the baby cooperates — that is, gets in a position to give the sonographer a clear view — excited parents begin discussing names and sending registry links to family and friends.

Ultrasound image of fetus at 22 weeks
Prenatal ultrasounds look for heart problems and other birth defects.

Some come up with some creative ways to share the news.

“People talk about the reveal parties where they give the envelope to a family member and then they get a certain color cupcakes,” says Gay Longley, a sonographer at UVA.

Other examples UVA employees have heard:

We asked our Facebook fans to share their stories:

Longley notes she still has patients who don’t want to know the sex. “There are a lot of people who still value that surprise on the day the baby’s born.”

The Real Reason for Ultrasounds

Longley always waits until the end of the appointment to tell patients the baby’s sex. “You lose the parents once you tell them that. They’re painting the room and picking out names and texting people.”

The mother’s excitement causes the baby to move around a lot, making it harder for the health care providers to get a good look.

“There’s a lot of work to be done in the scan besides finding out the sex,” adds Christian Chisholm, MD. “We’re assessing the health of the baby, the age of the baby and any potential issues that might exist with the pregnancy.”

Typically, a woman with a low-risk pregnancy gets an ultrasound around 12 weeks and again at 20 weeks.

During the 20-week ultrasound, health care providers look for:

“A normal scan at that stage of the pregnancy provides the family with a very high level of reassurance,” Chisholm says.

Boy or girl? Did you find out your baby’s sex in advance, or was it a birth day surprise? Leave a comment to share your story.

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