What is an ultrasound scan?
An ultrasound scan involves transmitting high frequency sound
waves through the uterus. These bounce off the baby and the
returning echoes (sound waves) are translated by a computer into
an image on a screen that reveals the baby's position and
movements.
Hard tissues such as bone reflect as white in the image, and soft
tissues appear grey and speckled. Fluids (amniotic fluid) do not
reflect any echoes so appear black. The contrast between these
different shades of white, grey and black allows your sonographer
to interpret the images.
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.
Most have completed a post graduate Certificate, Diploma or
Master's degree in Medical Ultrasound.
What happens during an ultrasound
examination?
ultrasonologistUltrasound examinations are performed on your lower
abdomen. Gel is
spread
on your stomach area to allow the ultrasound waves to pass from a
transducer into your body. The waves reflect off internal organs
and the fetus if you are pregnant, creating a moving picture on a
screen. This is known as real time ultrasound, and you can view
the picture on the monitor at the same time as the ultrasonologist.
Why do I need a full bladder?- In the early weeks
of pregnancy, the uterus and the ovaries lie deep in the pelvis.
So if you are having a scan in early pregnancy, you will need to
drink several glasses of water beforehand so that your uterus is
pushed out of your pelvis by your bladder, allowing the
sonographer to get a good picture of your baby. If you have any
bleeding complications in pregnancy, the lower part of the uterus
needs to be viewed carefully to make sure that the afterbirth
(placenta) is not in the way. Under these circumstances, a
moderately filled bladder is need for a proper examination. For
most of the other ultrasound examinations, a small amount of urine
in your bladder is adequate. If you are not sure whether you can
empty your bladder before the examination, ask the attending staff
before your ultrasound scan.
pregnancy ultrasoundWill an ultrasound scan hurt? - An
abdominal scan is painless
except
for the discomfort of the transducer pressing on your tummy if you
have a very full bladder. A full bladder is not necessary for
scans done later in pregnancy, though some hospitals may still
request it. The gel used may feel slightly cold and wet. There
will be no sensations from the ultrasound waves.
Are ultrasound scans safe? - Ultrasound has been in clinical use
since 1960 and medical research has found no side effects. Most
experts agree that the procedure should not be done without clear
medical reasons, and limited to the minimum needed to make a
diagnosis.
Transvaginal probeWhat are Transvaginal scans? - Ultrasound
scanning can be done
with
the probe placed in the vagina of the patient. This method usually
provides better images in the early stages of pregnancy or in
patients who are overweight. Fetal cardiac pulsation can be
clearly observed as early as 6 weeks of gestation and vaginal
scans are also becoming indispensible in the early diagnosis of
ectopic pregnancies. The sonographer will use a cover similar to a
condom and will lubricate this with plenty of gel so it slides in
easily. The sonographer will cover you with a sheet, and, if you
relax your muscles so that the transducer can slide in easily, it
should not be in the least bit uncomfortable. It is not necessary
to go in very deeply, and it will not harm you or your baby in any
way. You would usually be asked to empty your bladder before
vaginal scanning.
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