Nuchal Translucency Ultrasound

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First Trimester Scans

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Doppler Ultrasound The doppler shift principle has been used for a long time in fetal heart rate detectors. Further developments in doppler ultrasound technology in recent years have enabled a great expansion in its application in Obstetrics, particularly in the area of assessing and monitoring the well-being of the fetus, its progression in the face of intrauterine growth restriction, and the diagnosis of cardiac malformations.

Doppler ultrasound is presently most widely employed in the detection of fetal cardiac pulsations and pulsations in the various fetal blood vessels. The “Doptone” fetal pulse detector is a commonly used handheld device to detect fetal heartbeat using the same doppler principle. Blood flow characteristics in the fetal blood vessels can be assessed with Doppler ‘flow velocity waveforms’. Diminished flow, particularly in the diastolic phase of a pulse cycle is associated with compromise in the fetus.

Various ratios of the systolic to diastolic flow are used as a measure of this compromise. The blood vessels commonly interrogated include the umbilical artery , the aorta , the middle cerebral arteries , the uterine arcuate arteries , and the inferior vena cava. The use of color flow mapping can clearly depict the flow of blood in fetal blood vessels in a realtime scan, the direction of the flow being represented by different colors.

Color doppler is particularly indispensible in the diagnosis of fetal cardiac and blood vessel defects , and in the assessment of the hemodynamic responses to fetal hypoxia and anemia. A more recent development is the Power Doppler Doppler angiography. It uses amplitude information from doppler signals rather than flow velocity information to visualize slow flow in smaller blood vessels. A color perfusion-like display of a particular organ such as the placenta overlapping on the 2-D image can be very nicely depicted.

10 weeks pregnant – all you need to know

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Can the scan show the gender of my baby? Examples of ultrasonography you may see used during your pregnancy. Most parents look forward to their scan because it gives them the first glimpse of their baby. You will probably be give you a printout of your baby by the sonographer as a keepsake, it is important to remember the main purpose of the scan.

It is not to provide the first photo for your baby album, or to find out your baby’s sex. It is to check that your baby is growing and developing normally. Who will do the scan? Scans are usually performed by a doctors, midwives or radiographers who are specially trained in ultrasound, and are known as sonographers. Why do I need an ultrasound scan?

Ultrasound has been used in pregnancy for about 30 years, it has progressively become an indispensible obstetric tool and plays an important role in the care of every pregnant woman. The common reasons for your doctor to request an pregnancy ultrasound scan are: To establish the date when the baby is due. To check the number of babies.

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An ultrasound can be exciting for the parents! An ultrasound is a picture that is formed by using sound waves. In order to create the picture, the person doing the scan spreads a conductive gel on the mother’s belly, then glides a small handheld scanner over the gel.

First trimester ultrasound is performed in the first months of a pregnancy. Pregnancy ultrasounds are performed mainly using transabdominal ultrasound. For many women, especially after 8 weeks gestation, sufficient information about the baby may be obtained with transabdominal ultrasound only. However, in the early pregnancy, the developing embryo is very small at 6 weeks gestation, the baby is only mm long and a transvaginal ultrasound may be required to get a better image of the baby.

Transvaginal ultrasound is safe and commonly performed during all stages of pregnancy, including the first trimester. It will not harm you or your baby. Transabdominal ultrasound involves scanning through your lower abdomen. A small amount of ultrasound gel is put on the skin of the lower abdomen, with the ultrasound probe then scanning through this gel. The gel helps improve contact between the probe and your skin. Transvaginal ultrasound is an internal ultrasound.

It involves scanning with the ultrasound probe lying in the vagina. Transvaginal ultrasound usually produces better and clearer images of the female pelvic organs including the developing pregnancy, because the ultrasound probe lies closer to these structures.

Development Scans

Breast tenderness is common during the first trimester, and is more common in women who are pregnant at a young age. Sometimes, timing may also use the fertilization age which is the age of the embryo. Start of gestational age According to American Congress of Obstetricians and Gynecologists , the main methods to calculate gestational age are: Early obstetric ultrasound , comparing the size of an embryo or fetus to that of a reference group of pregnancies of known gestational age such as calculated from last menstrual periods , and using the mean gestational age of other embryos or fetuses of the same size.

If the gestational age as calculated from an early ultrasound is contradictory to the one calculated directly from the last menstrual period, it is still the one from the early ultrasound that is used for the rest of the pregnancy. Estimated date of confinement Due date estimation basically follows two steps:

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What You Should Know About the Anatomy Ultrasound

You may like to take a look at charts for crown-rump length , biparietal diameter , femur length , abdominal circumference , gestational sac diameter , yolk sac diameter and intrauterine fetal weight. If you have problems understanding and calculating your due date, check out and download a copy of the Ob calculator by York Winston. Hutchon’s site and the Gestation Network also provide pregnancy calculators.

A large number of mails I received are about fetal anomalies, I have therefore tried to put together a Catalogue of Web pages which describe in some detail specific congenital anomalies that are diagnosable by ultrasound. You can visit the page here. I am pregnant for 7 weeks.

You may hear your baby’s heartbeat for the first time at your dating dating scan usually happens between eight weeks and 14 weeks. Some scanning equipment doesn’t provide sound, though, so your sonographer may only show you your baby’s heartbeat on the screen.

When will I have my first scan? Share Becky Rutherford Midwife sonographer If your pregnancy is going well, your first ultrasound scan will be your dating scan, between 10 weeks and 14 weeks of pregnancy. Early scan An early scan is offered from six weeks, so before your dating scan. Your midwife or GP will only recommend an early scan if there’s a concern, for example, if you’ve had bleeding in this pregnancy.

Your GP may also refer you for a scan if you’ve had a previous miscarriage. Many hospitals have early pregnancy assessment units EPAUs that run daily. This means you can be referred for an early scan straight away, if needed. Your sonographer may ask to carry out a vaginal scan rather than one via your tummy.

Is it ok to have no fetal pole in 5 week 3 day ultrasound? – Dr. Shashi Agrawal


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