Ultrasound

High-Risk Pregnancy - Ultrasound

Picture of a physician performing an ultrasound on an expectant mother

What is an ultrasound?

An ultrasound scan is a diagnostic technique which uses high-frequency sound
waves to create an image of the internal organs. A screening ultrasound is sometimes done during the course of a pregnancy to monitor normal fetal growth and verify the due date. Ultrasounds may be performed at various times throughout pregnancy for different reasons:

In the first trimester:

Mid-trimester: (sometimes called the 18 to 20 week scan)

Third trimester:

How is an ultrasound scan performed?

Although the specific details of each procedure vary slightly, generally, ultrasounds follow this process. Two types of ultrasounds can be performed during pregnancy:

There are several types of ultrasound imaging techniques. The most common is two dimensional, or 2D. This gives a flat picture of one aspect of the image.

If more information is needed, a 3D ultrasound examination can be performed. This technique, which provides a three-dimensional picture, requires a special machine and special training. But the 3D image allows the physician to see width, height, and depth of images, which can be helpful in diagnosis. The 3D images can also be captured and saved for later review.

The latest technology is 4D ultrasound, which allows the physician to visualize the unborn baby moving in real-time. With 4D imaging, a three-dimensional image is continuously updated, providing a "live action" view. These images often have a golden color, which helps show shadows and highlights.

Ultrasound images may be captured in still photographs or on video to document findings.

What are the risks and benefits of ultrasound?

Fetal ultrasound has no known risks other than mild discomfort due to pressure from the transducer on the abdomen or in the vagina. No radiation is used during the procedure.

Transvaginal ultrasound requires covering the ultrasound transducer in a plastic/latex sheath, which may cause a reaction in patients with a latex allergy.

Fetal ultrasound is sometimes offered in non-medical settings to provide keepsake images or videos for parents. While the ultrasound procedure itself is considered safe, it is possible that untrained personnel may give parents false assurances about their baby's well-being, or perhaps an abnormality may be missed. Having ultrasound performed by trained medical personnel who can correctly interpret findings is recommended. Talk with your physician if you have questions.

Ultrasound is a technique that is constantly being improved and refined. As with any test, results may not be completely accurate. However, ultrasound can provide valuable information for parents and healthcare providers to help manage and care for the pregnancy and fetus. In addition, ultrasound gives parents a unique opportunity to see their baby before birth, helping them to bond and establish an early relationship.

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