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Routine third-trimester ultrasound is frequently offered to pregnant women to identify fetuses with abnormal growth. Infrequently, a congenital anomaly is incidentally detected. To establish the prevalence and type of fetal anomalies detected during routine third-trimester scans using a systematic review and meta-analysis. Electronic databases (MEDLINE, Embase and the Cochrane library) from inception until August 2019. Population-based studies (randomised control trials, prospective and retrospective cohorts) reporting abnormalities det