Obstetric Examinations

Obstetric or Pregnancy ultrasound examinations can be performed in all three trimesters during a pregnancy to assess overall growth and development of the foetus.

Specific examinations include

Early Pregnancy Ultrasound Scans
This ultrasound examination is performed mainly at 5 -12 weeks gestation.

  • It is used  for the confirmation of the  correct intrauterine location  of the pregnancy.
  • Dating of the pregnancy by  measurement  of the foetal pole or embryo.
  • Identification of cardiac activity  and Estimation of the due date based on ultrasound measurements.
  • This scan is particularly recommended t where there has been pain, bleeding or history of complications in previous pregnancies.

The scan  can be performed trans-abdominal, with the ultrasound probe gliding gently across the surface of your abdomen or endovaginal to allow better visualization  of the embryo and maternal  pelvic structures.

Preparation for examination:

  • Arrive for the ultrasound examination with full bladder or drink 4 -6 glasses of water 1 hour before your appointment time.
  • You can eat and and drink as normal on the day of your examination.
  • Wear  clothing  that will allow easy exposure  of your abdominal region

 

 

Nuchal translucency assessment

This scan is performed between 11 and 14 weeks gestation. This examination allows for the measurement of fluid at the back of the baby’s neck,  the presence or absence of baby’s nose bone and  full anatomy and development checks for any abnormalities. The scan  can be performed trans-abdominal, with the ultrasound probe gliding gently across the surface of your abdomen or endovaginal to allow better visualization  of the embryo.Nuchal translucency is a collection of fluid under the skin at the back of your baby’s neck. It is measured using ultrasound in order to evaluate risk of a Down’s syndrome. All babies have some fluid at the back of their neck, but those with Down’s syndrome will have an increased amount. This is one of the markers used to identify this chromosomal abnormality.

Preparation for examination:

  • Arrive for the ultrasound examination with full bladder or drink 4 -6 glasses of water 1 hour before your appointment time.
  • You can eat and and drink as normal on the day of your examination.
  • Wear  clothing  that will allow easy exposure  of your abdominal region.

 


Foetal anomaly scan
This is a mid-pregnancy  20 week scan,  detailed scan or anomaly scan is primarily concerned with checking for normal development of your baby’s physical features and internal organs. This scan is perfumed between  18 – 22 weeks gestation .At this stage all of the baby’s organs are developed and clearly visible. Anatomy scan is a very detailed examination where special attention is given to certain organs or features in order to detect any structural abnormalities. In the anomaly  scan very detailed checks are made on the  flowing anatomical parts  of the foetus

  • face, head and brain
  • stomach, kidneys, liver and bladder
  • heart, diaphragm
  • vertebral column
  • upper and lower limbs
  • umbilical cord
  • foetal position and lie
  • placenta location
  • amniotic fluid index and gender identification  (at your request)
Preparation for examination:

  • No preparation required

 

 

abnormal


Serial Growth Scans
This is called a routine foetal well being or growth scan in which foetal growth and development is assessed through a number of These measurements include

  • Circumference and diameter of  the fetus  head
  • Circumference of foetal  abdomen
  • Length of fetus femur or thigh bone
  • Amount of amniotic fluid around the baby

The measurements obtained from the data collected gives an estimate of the foetus weight and  possible due date . Doppler of the umbilical artery to assess the blood flow of the foetus from the placenta is performed in every scan.

Preparation for examination:

  • No preparation required

 

 abnormal

Biophysical Profiling
The foetal biophysical profile is used to assess baby’s well-being. This includes a  combination  of fetal heart rate monitoring (non-stress test) and fetal ultrasound. During the ultrasound  the foetal  heart rate, breathing, movements, muscle tone and amniotic fluid level are evaluated and given a score. The test is most commonly done when there’s an increased risk of pregnancy loss whereby the obstetrician  will  determine the necessity and timing of a biophysical profile examination.

Preparation for examination:

  • No preparation required

 

 


Doppler of major vessels including but not limited to umbilical artery, middle cerebral artery and uterine artery for the assessment of intrauterine growth restriction.

Preparation for examination:

  • No preparation required