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What is the need of pregnancy 20 week ultrasound?

Hey my wife is in her 20 week of pregnancy and she is pregnant for the first time. Her doctor suggests her for 20 week ultrasound. She is worrying a lot as first time she is going for an ultrasound. So tell me that what will be happen in this ultrasound? So that I can make her fell calm and relaxed. And also I want to know that Is there any need of 20 weeks ultrasound or it is just to determine the gender of the baby? Do you have any suggestion?

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