Jfc, I have a cousin whose baby needed heart surgery hours after birth to preserve his life. Without ultrasounds, he would have been born in a rural hospital and may have died. Instead, his parents arranged for him to be born 3 hours away from their home, and he lived.
This happened to my sister. She did not free birth, got ultrasounds and all, but the hospital didn’t complete the heartscan. Baby wiggled too much and they said “well it’s good enough”
spoiler: it wasn’t good enough, he had a life threatening heart defect that possibly could have been corrected in utero. He passed away at 4 months old, but he would have been 1 this month.