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Obstetric ultrasound scan
Contents
  Procedure description: Obstetric ultrasound scan
Patient preparation: Obstetric ultrasound scan
Recovery: Obstetric ultrasound scan
Note: Obstetric ultrasound scan
Conditions: Obstetric ultrasound scan
Common Synonyms: Obstetric ultrasound scan

Procedure description: Obstetric ultrasound scan
Ultrasound pictures are formed using sound waves. A machine sends sound waves through the body, which are then reflected back and converted into an image that is visible on a screen. Ultrasound has revolutionised the care of women during pregnancy.

In most countries all around the world an ultrasound scan is a routine examination, usually performed when a woman first attends the antenatal clinic and often again at 18 to 22 weeks of pregnancy.

In the first 10 weeks of pregnancy the best way to scan is by inserting a small probe into the vagina. The examination is similar to a pelvic examination. Even embryos that are only a few millimetres long will be visible on the TV monitor.

In later stages of the pregnancy, the scanning will be done via the surface of the abdomen. Ultrasound gel will be spread on the skin, then the scanner is passed over the uterus until the foetus and the placenta are found. Usually, the pregnant woman and her partner can watch the scan on the monitor.

Ultrasound is used for different reasons at different stages in pregnancy. In the first stage of the pregnancy, usually before 14 weeks, ultrasound scanning is used to check whether the foetus is alive and whether it is alone or one of twins or triplets.

By measuring the length of the foetus it is also possible to accurately determine when the baby will be due.

Some major abnormalities can also be detected at this stage. At 11 to 14 weeks, measurement of the thickness of the skin at the back of the neck (known as nuchal translucency measurement) can be used to calculate the risk of the foetus having a chromosome abnormality.

From 18 weeks onwards, it is possible to examine the foetus in more detail. Most organ systems can be examined to ensure that the foetus appears to be developing normally. The spine, skull, brain, heart, lungs, kidneys, arms and legs can all be seen. If the mother is overweight, then the quality of the examination may be poor.

From 30 weeks onwards, ultrasound is often used to estimate how well the baby appears to be growing. It is difficult to be precise about this but it is often useful if the woman has had a small baby in the past or has a condition that may affect the baby's growth, such as pre-eclampsia.

The bloodstream in the umbilical cord is also examined to see if it is functioning well enough to transport sufficient oxygen and nutrition to the foetus.

It is also possible to check the position of the placenta to see whether it is lying normally or if the placenta is lying abnormally close to the inside of the cervix (a condition known as placenta praevia).



 
Patient preparation: Obstetric ultrasound scan
 
Recovery: Obstetric ultrasound scan
 
Note: Obstetric ultrasound scan
Will an ultrasound scan guarantee a healthy child?

An ultrasound scan can provide a good overall impression of the foetus, but even the finest examination cannot detect all possible problems.

Can ultrasound scans harm the unborn child?

There is no scientific evidence to support this concern.

 
Conditions: Obstetric ultrasound scan
 
Common Synonyms: Obstetric ultrasound scan 
Ultrasound scan during pregnancy

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