20.08.2014

First pregnancy ultrasound

I have to do ONE MORE beta on Wednesday and then I should be able to schedule my ultrasound. For many women, especially after 8 weeks gestation, sufficient information about the baby may be obtained with transabdominal ultrasound only. Your privacy will always be respected during your ultrasound, especially the transvaginal examination. We usually get better images during transabdominal ultrasound if the bladder is partially filled, so to help your examination we ask you to drink water prior to the assessment. A full bladder moves bowel out from the pelvis into the abdomen, helping visualisation of the pregnancy, uterus and ovaries. You will be able to empty your bladder after the transabdominal ultrasound is completed and before the transvaginal ultrasound begins (if transvaginal ultrasound is required). Your doctor may be concerned about your pregnancy because of abdominal pain or vaginal bleeding.
Sometimes the results of a first trimester scan may be inconclusive or uncertain, and need to be combined with your clinical history and blood tests (serum BhCG). Some women need to return for another ultrasound scan a few weeks later to assess the progress of the pregnancy, or they may require another blood test (serial serum BhCG). We realise this is often an anxious time for parents, while they wait for the next ultrasound to check on their baby. A first trimester ultrasound will usually include each of the following components however some ultrasounds may focus more on particular areas. Your ultrasound is always performed in the context of your clinical history and the results of previous ultrasounds and investigations.
I am scheduled for another round of blood work and another ultrasound next wednesday (at 7 weeks 3 days) so hopefully we can start get a clearer picture of what is going on in there. However, in the early pregnancy, the developing embryo is very small (at 6 weeks gestation, the baby is only 5-9mm long) and a transvaginal ultrasound may be required to get a better image of the baby.


A small amount of ultrasound gel is put on the skin of the lower abdomen, with the ultrasound probe then scanning through this gel. You will have a large towel covering your lower body, in addition to wearing a gown during the transvaginal ultrasound.
If you have concerns about transvaginal ultrasound, please discuss this with your sonographer before your ultrasound begins.
You may have gone to your doctor with vaginal bleeding or you may be anxious because of problems in a previous pregnancy (such as miscarriage). Your doctor may have concerns that your pregnancy is located in the fallopian tube (ectopic pregnancy). Your doctor may be concerned about you having more than one baby (for example, twins or triplets) if your pregnancy was conceived with the help of clomiphene or IVF, you have a family history of twins, you have severe morning sickness or your uterus seems larger than expected.
Your doctor may want an ultrasound to check other things in your pelvis apart from your pregnancy, such as the uterus (for example, if you have a history of fibroids) and the ovaries (for example, if you have pelvic pain and there is concern about an ovarian cyst). The pregnancy normally develops in the uterus, within the endometrium (the lining of the uterus). The endometrium (the lining of the uterus where the pregnancy will grow) should appear thick and secretory.
A transvaginal ultrasound is usually required to see the baby at this stage of the pregnancy.
Unfortunately the weather did not want to cooperate for the first day so instead of hiking and enjoying the outdoors we spent the day swimming!
Transvaginal ultrasound is safe and commonly performed during all stages of pregnancy, including the first trimester. 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.
Establishing accurate dates can be important, especially if there are concerns about your baby later in the pregnancy (for example, if the baby is not growing well).


It may also detect a serious problem with either you or your pregnancy, some of which require further investigations or treatment. Many parents are amazed at the detail that can be seen even at this early stage of the pregnancy.
She finally did find the second heartbeat but it was only 85-90 compared with the 124 of the first baby. An ultrasound in the first trimester can give an accurate estimated date of confinement (EDC) to within 3-5 days.
This ovarian cyst is a normal part of getting pregnant, as the egg forming your baby was released from this cyst. Although the ultrasound may see your baby, it measures only a few millimetres long, and it is too early to always detect the baby’s heartbeat. Generally speaking, the earlier in your pregnancy the ultrasound is performed, the more accurate it will be at estimating your baby’s due date (technical factors such as the quality of the ultrasound image and the expertise of the sonographer will affect this accuracy). The smile first thing in the morning, seeing that little person for the first time, hearing them say mama for the first time. The yolk sac lies within the gestation sac and looks like a little round circle inside the pregnancy sac.
Seeing a yolk sac helps the doctor confirm the presence of a developing pregnancy within the uterus, even before the embryo is seen. This is useful if there are concerns that your pregnancy may not be correctly located in the uterus (an ectopic pregnancy).



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