Obstetrics Ultrasound services Early first trimester screen This examination is usually carried out using the trans vaginal approach. The scan is used to determine the number of foetus' present, whether the foetus can be seen and to determine whether the pregnancy is progressing normally at this stage. Women who are having pain or bleeding those who have had previous miscarriages or ectopic pregnancies are advised to have this scan. The 11 to 13 weeks scan: This scan can provide the most accurate dating for a pregnancy. It is recommended for women who • Cannot recall the date of their last period • Have irregular cycles • Have conceived whilst breast feeding or soon after stopping the pill. The gestational age is calculated from the measurement of the foetus from the crown to the rump. The scan can be done to assess the risk for Down syndrome Diagnose multiple pregnancies. Ultrasound can provide valuable information affecting normal development and ongoing management of multiple babies. The sharing of placentas in twin pregnancy the presence of conjoined twins or the presence of triplets or more can be confidently diagnosed by ultrasound. Ultrasound monitoring of the pregnancy is crucial for good management of a twin pregnancy To diagnose certain major foetal abnormalities or early pregnancy failure The foetal anatomy scan This is a detailed scan at 20 to 24 weeks Each part of the foetal body is examined in detail The position of the placenta, assessment of amniotic fluid and measurement of the foetus is carried out. A trans vaginal scan of the cervix is carried out on women at high risk for pre-term deliveries A Doppler scan is done of the uterine artery to detect early diastolic notching in women suspected of developing hypertensive problem (pre- eclampsia) in pregnancy The foetal well being scan: This scan is sometimes offered by their doctors to all women. The scan aims is to determines the growth and health of the foetus by using ultrasound measurements to determine • The weight of the foetus • Examining the movements of the baby • Evaluation of the placental position and appearance • Measurement of the amount of amniotic fluid • Use of colour Doppler to assess blood flow General Services Offered
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