The first step is to explain the procedure to the mother, so as to have a very calm environment. The mother can be shown the real time images. Obtain the 4-chamber view of the heart, the second, to rotate the transducer through 90° and the third, to sweep the beam longitudinally through the fetus, adjusting the transducer position to image the sagittal views of the heart:

• The short axis of the left ventricle
• The long axis of the arterial duct
• The long axis of the aortic arch
• The caval vein view

Note the changes in the transducer orientation necessary to obtain the correct long axis projections. Some cuts (yellow lines) are almost straight antero-posterior and some (blue lines) are angled into the thorax

For further information please contact Dr. Ashok Kapoor Fetal Cardiologist 0504505865 www.getwelluae.com