#463: The 20 Week Ultrasound: Dissecting the Anatomy Scan

#463: The 20 Week Ultrasound: Dissecting the Anatomy Scan

The 20-week anatomy scan has become a routine part of modern pregnancy, but is it truly essential, or just another layer of over-monitoring?

After receiving a listener question, Dr. Stu and Blyss dissect the purpose, limitations, and unintended consequences of the anatomy scan. From what providers are actually looking for, to why so many women walk away with more anxiety than answers, this episode challenges the assumption that more information always equals better outcomes.

At the end of the day, the real question isn’t can we look, it’s should we?


Additional References:

Birthing Instincts Podcasts:

Episode 446: Baby Aspirin For All??

Episode 459: Over-Monitoring & Outcomes, How Are We Doing & Who Benefits.

Episode 313: Comforting Truths About Low Lying Placentas

Episode 274: I Remember Every Detail

Pub Med Study: Therapeutic ultrasound as a potential male contraceptive: power, frequency and temperature required to deplete rat testes of meiotic cells and epididymides of sperm determined using a commercially available system

Cleveland Clinic: What to Expect at Your 20-Week Ultrasound (Anatomy Scan)


Discussed in This Episode

The many names of the anatomy scan (and what it’s supposed to do)

Ultrasound, anomaly scan, fetal survey—same test, very different interpretations

The 11 major conditions they look for vs. everything else that gets added on

How tiny measurements turn into weeks of stress and follow-ups

The rise of false positives and soft markers

Ultrasound-free pregnancy: radical or reasonable?

Why more testing keeps becoming the standard, regardless of outcomes


Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care


This show is supported by


Connect with Dr. Stu and Blyss



Advertising Inquiries: https://redcircle.com/brands

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#462: When Surrounded, Take The First Opportunity To Fight Like Hell With Del Bigtree

#462: When Surrounded, Take The First Opportunity To Fight Like Hell With Del Bigtree

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#461: Fertility Back In Balance With Acupuncturist Emily Marson

#461: Fertility Back In Balance With Acupuncturist Emily Marson

What if infertility isn’t a broken body… but a disconnected one?In this episode, Blyss and Stu sit down with integrative fertility expert Emily Marson to challenge everything you’ve been told about co...

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#460: The Process Is The Punishment....And The Reward with Angee Hock

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8 Apr 1h 35min

#459: Over-Monitoring & Outcomes, How Are We Doing & Who Benefits.

#459: Over-Monitoring & Outcomes, How Are We Doing & Who Benefits.

What happens when we monitor birth too much?In this episode, Blyss and Stu pull back the curtain on one of the most normalized, and least questioned, practices in modern obstetrics: continuous monitor...

1 Apr 1h 26min

#458: Why Home Birth? A New Book For Fathers To Be With Jacob Dubois

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What happens when a skeptical dad starts asking real questions about birth? Dr. Stu and Midwife Blyss sit down with Dad Jacob Dubois, author of Why Home Birth, to talk about how he went from doubter t...

25 Mars 1h 19min

#457: Asymptomatic Bacturia & UTIs in Pregnancy. Balancing Antimicrobial Stewardship

#457: Asymptomatic Bacturia & UTIs in Pregnancy. Balancing Antimicrobial Stewardship

Is every positive urine culture in pregnancy a problem that needs antibiotics? Dr. Stu and midwife Blyss explore ACOG’s UTI guidelines, the evidence behind screening, and the growing concern about mic...

18 Mars 1h 32min

#456: Principalities & Powers & Protecting Traditional Midwifery with Abby Iovine

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On this week’s episode Blyss and Stu introduce guest Abigail Iovine, a Pennsylvania traditional midwife, and her mission to create legislation to protect traditional midwifery through her organization...

11 Mars 1h 23min

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