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Fetal echocardiogram is an ultrasound specifically looking at the unborn baby's heart structure and function. The fetal echocardiogram is performed using similar equipment as that used for the ultrasound of the whole baby, but more specialized pictures and information are obtained of the baby's heart. The fetal heart evaluation may be very important for being prepared at the time of delivery for special interventions needed. With many different types of birth defects, it is important to assess the heart function to determine appropriate treatment or fetal therapies.