The number of JSUM Registered Medical Sonographers, who are categorized by specialty (gastroenterology, cardiology, superficial organs, urology, obstetrics, medical checkup, and blood vessels), is growing. On the other hand, while the total number of doctors has increased by 80% in comparison with 30 years ago, the number of obstetricians has decreased by 20%. Although the number of births has decreased by 30% in the past 30 years, the work of obstetricians has expanded, such as an increase in high-risk pregnant women, and obstetricians have become overworked. Echography is being performed by ultrasonographers in a proactive manner, and it has now become an indispensable physiological examination in every area. Fetal echography performed by ultrasonographers in the obstetrics area may be more necessary than ever in obstetrics medical care, where obstetricians will likely be more and more overworked going foward. I have presented checkpoints for the methods recommended by the Japan Society of Obstetrics and Gynecology and for the fetal echography that we perform.