A Fetal Echo, or fetal echocardiogram, is a specialized ultrasound procedure used to assess the heart of an unborn baby (fetus). It uses high-frequency sound waves to create detailed images of the baby’s heart, allowing doctors to check for congenital heart defects or abnormalities in the heart’s structure and function. This procedure is often performed when there is a concern about the baby’s heart, such as if a parent has a family history of heart disease, if an earlier ultrasound has shown abnormalities, or if the mother has medical conditions that could affect the baby’s heart. A fetal echo is non-invasive, safe, and typically performed during the second trimester, usually around 18-22 weeks of pregnancy.