An apparatus for generating a 3D ultrasonic color image of a fetus based on skin color of a mother includes a sample image acquisition unit acquiring a sample image by photographing a skin of a pregnant woman, a 2D color map generator generating a 2D color map based on the sample image, a probe irradiating ultrasonic signals into the pregnant woman and receiving reflected ultrasonic echo signals, a volume data generator generating 3D volume data based on the ultrasonic echo signals, and a controller generating a 3D ultrasonic color image of the fetus by applying values of the 2D color map to a 3D ultrasonic image obtained by volume rendering of the 3D volume data.