Anomaly Scan (Level II / TIFFA, 18–22 weeks)

A detailed, organ-by-organ check of the baby between 18 and 22 weeks — the most important scan of pregnancy.

Sex determination of the foetus is not done at this centre. It is a punishable offence under the PC-PNDT Act, 1994.

About this test

The anomaly scan (also called Level II or TIFFA — targeted imaging for foetal anomalies) systematically examines the baby's brain, face, spine, heart, abdomen, kidneys and limbs, along with the placenta, amniotic fluid and the mother's cervix. It takes longer than a routine scan because every structure is checked in turn.

When is it advised?

  • Recommended for every pregnancy at 18–22 weeks
  • Detecting structural problems in the baby's organs
  • Checking the position of the placenta and the length of the cervix
  • Follow-up of a finding on an earlier scan

How to prepare

  • No fasting. Eat normally — a moving baby is easier to scan.
  • A partly full bladder helps; you will be told if you need to empty it.
  • Allow extra time: if the baby's position hides a structure, you may be asked to walk and come back.

On the day

  • A female staff member (chaperone) is always present during the scan.
  • Bring a photo ID (required by law for every pregnancy scan), your doctor's prescription and your previous scan reports.
  • You will fill and sign the PC-PNDT Form F, as required for every pregnancy scan in India.
  • The report is prepared by the radiologist, handed to you and also shared on WhatsApp.

Frequently asked questions

Can every problem be seen on the anomaly scan?

No scan can detect every condition. Some problems are too small to see or develop later in pregnancy. The scan detects most major structural problems.

Why is the anomaly scan done at 18–22 weeks?

By then the baby's organs are large enough to examine in detail, and there is still time for further tests and decisions if a problem is found.

This page is general information, not medical advice. Your doctor will decide which test is right for you.