PRENATAL
ULTRASOUND
In early
pregnancy ultrasound provides very accurate dating of the pregnancy,
even more accurate than menstrual history dating. In addition, twins
can be diagnosed early, abnormalities of the uterus and ovaries can
sometimes be seen, and some abnormalities of the embryo can be detected.
A scan at about 12 weeks will give us the opportunity to determine the
nuchal translucency. With modern ultrasound machines,
we can see a great deal of detail in the 12 week fetus.
Later in
pregnancy, around 18 weeks, we can do a physical exam on the
fetus, looking at the heart, brain, kidneys, etc. Also we make various
measurements of the baby to determine its gestational age or growth.
If we have done a previous ultrasound, we can see if the baby is growing
appropriately.
You will
be able to bring a few visitors to your exam if you wish. A prenatal
scan takes one half to one hour, and small children get bored. Please do not
bring a small child without bringing someone to watch the child. We
have a monitor for you and your visitors to watch, so you will see what
we see.
For our records
we document the examination on SVHS video tape. We will make a video
for you if you bring a VHS tape.
At the end
of the examination Dr. Worrall prepares the report with a computer program
called BABE. The report is printed out and kept in the computer.
If you have more than one
examination during a pregnancy, the software evaluates the growth of
the baby, and can print graphs of the estimated fetal weight, and the
various measurements we make. Graphing the measurements of two or more
examinations is a very good way of showing that the growth of the baby
is normal.
We work closely
with Alaska Perinatal Associates in Anchorage. This is a group of perinatologists who provide consultation services to the obstetrical
providers of Fairbanks, as well as the entire State of Alaska. These
are the specialists we turn to when we have a prenatal ultrasound that
we are not sure of: I send them the appropriate segments of the SVHS
video, and they let me know what they think. If necessary, we can arrange
for the mom to go to Anchorage to see the perinatologist.
There is
a wealth of information on prenatal ultrasound on the WWW. Here are
five places to start:
- Dr.
Gregory DeVore's Site Information about the value and purpose
of screening prenatal ultrasound, and information about triple marker
screening for Down syndrome and neural tube defects.
- OBGYN
Net A very comprehensive site on all obstetrical and gynecological
matters, with many sections. I am involved with the Ultrasound Section.
A good place to find information or ask questions on any ob/gyn subject.
- St
George's Hospital, London, Fetal Medicine unit. Information
about prenatal diagnosis from one of the most prestigious prenatal
diagnosis centers in the World.
We are very
interested in prenatal ultrasound and would be glad to talk to you about
it or answer your questions. Please contact my nurse at (907) 451-3302,
or Dr. Worrall at (907) 451-4225, or e-mail jworrall@alaska.net
For appointments please call (907) 451-4258.
This page
last updated
April 16 2005