Ultrasound in Obstetrics

Introduction:
* Dramatic increase.
* Routine in every pregnancy.
* Popularity.
* Informative.
* Standard of care.


Indications:
1- Estimation of gestational age.
2- Evaluation of fetal growth .
3- Vaginal bleeding.
4- Determination of fetal presentation.
5- Suspected multiple gestation.
6- Adjunct to amniocentesis.
7- Pelvic mass detected clinically in association with pregnancy.
8- Suspected hydatiform mole.
9- Assessment of cervical competence/ incompetence.
10- Suspected ectopic pregnancy.
11- Adjunct to special procedures.
12- Suspected fetal death.
13- Suspected uterine abnormality.
14- Intrauterine contraceptive localization.
15- Biophysical evaluation for fetal well-being.
16- Observation of intrapartum events.
17- Amniotic fluid assessment.
18- Suspected abruptio placentae.
19- Adjunct to external version from breech to vertex presentation.
20- Estimation of fetal weight.
21- Abnormal serum alpha-fetoprotein level for clinical gestational
age.
22- Follow up observation of identified fetal anomaly.
23- Follow up evaluation of placental location.
24- History of previous congenital anomaly.
25- Serial evaluation of fetal growth.
26- Evaluation of fetal condition in late registrants for prenatal
care.
27- Doppler vascular evaluation of the invasive potential of molar
disease.
28- Doppler assessment.


Benefits of Routine Ultrasound Examination:
* Detection of errors in gestational age assignment.
* Detection of multiple gestation.
* Detection of abnormalities of fetal growth.
* Detection of placental abnormalities.
* Detection of some fetal malformations.


Safety:
* The safety of diagnostic ultrasound is an important element of any
discussion of routine scanning of all patients.
* The scanning is safe for the fetus and mother and the benefits
provided far outweigh any theoretical risks of diagnostic
ultrasound.
* There is no harmful or biologic effects after exposure to diagnostic
ultrasound.

Dr. Wael Tohamy
PanoramaScan.com Project Manager
email:
Url: http://www.panoramascan.com