Various embodiments include systems and methods for detecting amniotic fluid position based on shear wave propagation. Ultrasound image data may be acquired, and shear wave related data for an area corresponding to the acquired ultrasound image data may also be acquired. Identification data associated with one or more particular structures or elements within the area may be generated based on the shear wave related data, and ultrasound imaging during an ultrasound examination may then be controlled based on the identification data. The ultrasound imaging may comprise generating and rendering one or more ultrasound images based on the acquired ultrasound image. The ultrasound examination may be obstetric (OB) ultrasound examination, with the area comprising one or more of: at least portion of a fetus, amniotic fluid surrounding the fetus, and tissue of a mother carrying the fetus.