Level 2 Ultrasound in Pregnancy: Purpose, Procedure and Result

Ultrasound or sonogram is the most common imaging exam used during pregnancy. It is a safe and effective way of screening, determining the baby’s growth, and ensuring a safe delivery.

A Level II ultrasound is a targeted, high-resolution ultrasound done in the second trimester of pregnancy to monitor the baby for some birth defects. This non-invasive diagnostic test uses a probe placed over the uterus to get pictures of the fetus. Ultrasounds help to identify problems such as ectopic pregnancies, miscarriages, and placenta issues. The Level II ultrasound scans also monitor the baby's growth, including head, abdomen, and thigh measurements. It also measures the amniotic fluid level and the baby's heart rate and size. 

Generally, the Level II ultrasound is conducted during the second trimester, just like normal ultrasound. Read on to learn more about Level II ultrasound, how it is done, the procedure, test results, and more.

Level 2 Ultrasound Test Details

Also Known As	Targeted ultrasound, advanced ultrasound, level II sonogram, fetal anomaly scan
Purpose It measures	The Level 2 ultrasound scan examines the development of a fetus and placenta and detects congenital abnormalities and fetal growth issues.
Preparation	Do not take any over-the-counter medicine without confirming with your Doctor.
Fasting	No Fasting Required
USG Level 2 Ultrasound price	₹2000 to 3000

Why is the Level II Ultrasound Scan done?

The Level 2 ultrasound detects the fetal condition in the uterus. Women of all ages should undergo an ultrasound scan during 18-23 weeks. This scan helps check the baby's development and can detect any abnormalities. Here's why the Level II Ultrasound is done- 

• Detailed Organ Check: A level 2 ultrasound scan shows the baby's organs, such as the heart, kidneys, brain, and spine, and helps identify any abnormalities early.
• Growth & Development: This scan assesses the baby's growth and measures the head, abdomen, and limbs to ensure the organs are developing normally.
• Detects Structural Abnormalities: This level II ultrasound scan also identifies structural issues in life,tus including cleft lip, spina bifida, or heart defects.
• Placenta and Amniotic Fluid: The USG level 2 scan also examines the position of the placenta and the amount of amniotic fluid. 
• Confirms Due Date: The scan also helps to verify the estimated due date by measuring the baby's size.

Level II Ultrasound is a vital part of prenatal care. It helps expected parents provide details about the baby's health and development. 

Also Read: Role Of Ultrasound Scan In Pregnancy 

When is a Level II ultrasound done?

Are you confused about which week to do Level 2 Ultrasound? Level II ultrasound is performed between 18 and 20 weeks of pregnancy. Your doctor examines the fetal health, possible fetal abnormalities, and other complications related to the development of the baby during this scan. 

How is the Level 2 Ultrasound done?

The Level 2 Ultrasound process is comparable to other pregnancy ultrasound procedures. 

Ultrasound level 2 includes the following steps:-

• The Level 2 ultrasound scan is the same as other ultrasound scans done during pregnancy. Here is the complete procedure of the process- 
• To scan requires a lot of concentration, this is why the scanning is performed in a quiet or darkened room. 
• The healthcare eexpert will ask you to lie on the couch and raise your clothes. 
• The sonographer applies a gel to the lower abdomen and moves the probe over the skin. The Level 2 Ultrasound time is nearly 30 to 40 minutes but it might take longer depending on your condition. 
• The doctor will point out your baby's heartbeat and other parts of his body, such as face and hands. 

How To Prepare for the Level 2 Ultrasound Scan?

Before going for the ultrasound scan, you do not require any special preparation. 

• You just need to drink atleast 4 to 6 glasses of water to make your bladder full. This improves the ultrasound image and allows your doctor to see the baby. 
• You will not be allowed to urinate before completing the test.
• Wear comfortable clothing so that you can raise during the ultrasound scan. 
• No special aftercare is required after the test. Just wipe the gel with a towel, which was applied during the scan.

What can you expect from a Level 2 ultrasound scan?

The level 2 ultrasound scan detects the abnormalities in the fetus. During the scan the doctor will measure the body parts of your baby and see how the baby is growing.

 The doctors will measure-

• Head circumference (HC)
• abdominal circumference (AC)
• femur or thigh bone (FL)
• humeris or arm bone

After examining the measurements, the doctor will match up what's expected from the baby within the anticipated date. The doctor will examine the placenta after birth. The placenta is low if it reaches down to or covers the neck of your uterus. However, if the placenta is low-lying, then you will have to go for another scan in eight months to check the position.

Also read: Essential Blood Tests For The Second Trimester Of Pregnancy

What problems can the Level 2 Ultrasound Scan Detect?

Here are some problems the Level 2 ultrasound can help to detect-

Problem	Description	Chances of Detection
Spina Bifida	A neural tube defect where the spine doesn’t fully close, exposing the spinal cord.	90%
Cleft Lip and Palate	Openings in the upper lip or roof of the mouth.	75-80%
Heart Defects	Issues with the structure of the heart, like holes in the chambers.	50-70%
Kidney Abnormalities	Includes enlarged kidneys or blockages that affect urine flow.	85%
Limb Abnormalities	Missing or underdeveloped limbs or fingers.	80-90%
Abdominal Wall Defects	Conditions where organs develop outside the body, like gastroschisis.	90%
Brain Abnormalities	Includes issues like hydrocephalus (fluid in the brain) or anencephaly (underdeveloped brain).	90-95%
Down Syndrome Indicators	Soft markers such as shortened limbs or certain skull shapes (not definitive).	50-60%

The Level II Ultrasound is highly effective as it detects physical abnormalities in the fetus and allows early interventions and treatment if needed.

What if there are signs of problems?

If your healthcare provider has found the problems during the scan, then the doctor might suggest the scan again. The most common reason for unclear vision of a baby might be that your baby is not lying in a good position or you are overweight. In this case, the scan should be repeated after one or two weeks. 

If the doctors find the problem, for example, the issues related to heart problems, they will ask you to go for a fetal echo. The fetal ECHO scan will give you a detailed view of your baby's heart condition.

If any scan reveals serious problems, then our doctor will give you multiple options. Although such serious problems are rare, it is very difficult for parents to make the difficult decision of not continuing the pregnancy. Other problems may mean a baby needs surgery or treatment after birth or even surgery while it is still in the uterus.

How much does the Level 2 ultrasound scan cost?

USG Level 2 Ultrasound price ranges between Rs 2000 to 3000. However, the price of a level 2 ultrasound scan may vary depending on the body part that needs to be examined and the type of ultrasound scan. You can book your Level 2 ultrasound from your nearby labs. The doctor will examine the growth of your baby's organs and will help you understand how the baby is growing. After the scan, you can ask the healthcare provider for a Level 2 Ultrasound report format PDF. Before going for the scan, check if the lab uses the latest technology and maintains proper hygiene. Get the ultrasound level 2 scan done and know the status of your baby's health.

The Final Words

A level 2 ultrasound is a part of prenatal care. While no ultrasound can detect 100% of serious birth defects, it is an important part of prenatal care to understand your baby's health status. The scan offers detailed information about the baby's growth, and development and helps expectant parents and doctors to know the issues early and make better arrangements for the baby. It is important to always consult with your doctor to understand the USG II scan results and ensure your pregnancy is normal. Why are you delaying so much? If you are in the second trimester, get your level 2 ultrasound scan done today!

FAQ's

1. How long does it take for a level 2 ultrasound report?

The Level 2 Ultrasound scan takes 30 to 45 minutes, but it may take longer if there is a multifetal pregnancy. The level 2 ultrasound report format PDF will be available after successful scanning.

2. Can I drink water before a level 2 scan during pregnancy?

Yes, you have to drink at least 4-6 glasses of water before the scan to get a clear picture of the fetus. 

3. Is fasting required for level 2 ultrasound in pregnancy?

No fasting is required before the level 2 ultrasound pregnancy. You can eat and drink as usual.