A fully updated and expanded version is published in Gentle Birth, Gentle Mothering: When I was pregnant with my first baby in , I decided against having a scan. What influenced me the most was my feeling that I would lose something important as a mother if I allowed someone to test my baby. I knew that if a minor or uncertain problem showed up — and this is not uncommon — that I would be obliged to return again and again, and that after a while, it would feel as if my baby belonged to the system, and not to me. In the years since then I have had three more unscanned babies, and have read many articles and research papers about ultrasound. Nothing I have read has made me reconsider my decision.
Harris Birthright Centre
The thought of coming into hospital can be a little daunting. We naturally want to make your stay comfortable and are aware that many women would prefer the added comfort and privacy of a single amenity room during their stay. At Watford General Hospital we have two types of amenity rooms available for women to book. Amenity rooms are available for women who wish to have extra privacy after they have given birth.
You will still be treated as an NHS patient, but are paying for the privacy of a single room. Please ask your midwife on admission regarding room availability.
Our complete pregnancy care. Mr Impey offers complete pregnancy care including delivery and hour mobile phone access. You can have the reassurance of Mr Impey’s more than 10 years experience at NHS Consultant level and reputation in pregnancy care.
Morgan Griffin Who Gets the Test? The first trimester screening is a safe, optional test for all pregnant women. It’s a way of checking your baby’s risk of certain birth defects , such as Down syndrome , Edward’s syndrome trisomy 18 , trisomy 13 and many other chromosomal abnormalities as well as heart problems. What the Test Does The screening involves two steps. A blood test checks for levels of two substances — pregnancy-associated plasma protein-A PAPP-A and human chorionic gonadotropin.
A special ultrasound , called a nuchal translucency screening, measures your baby’s nasal bone as well as the fluid at the back of your baby’s neck. A high volume of fluid can be a sign of problems. The combined result of the blood tests and the ultrasound gives you a sense of your baby’s risk. However, it’s not a diagnosis. Most women who have an abnormal firsttrimester screening go on to have healthy babies.
Whether you get this test is your choice. Some women want the test so they can prepare. They may decide that knowing the results wouldn’t change anything.
Fetal medicine unit
Will I be given a risk level for any other abnormalities? What is nuchal translucency? Nuchal translucency is a collection of fluid under the skin at the back of your baby’s neck. The amount of fluid is measured during a nuchal translucency NT ultrasound scan:
Following the dating scan, a Nuchal Translucency (NT) scan is usually performed around Week 12 of pregnancy but can generally be done between 11 weeks 4 days to 14 weeks 1 day. The NT scan is a screening test for early detection of Down Syndrome.
Having this information in advance of the birth means that healthcare staff as well as parents can better prepare themselves for the delivery of a child with a health problem. For example, Down Syndrome is associated with cardiac defects that may need intervention immediately upon birth. Many expectant parents would like to know the sex of their baby before birth. Methods include amniocentesis with karyotyping , and prenatal ultrasound.
In some countries, health care providers are expected to withhold this information from parents, while in other countries they are expected to give this information. Since screening tests yield a risk score which represents the chance that the baby has the birth defect, the most common threshold for high-risk is 1:
Early Pregnancy Scans for Reassurance
If clinical symptoms remain troublesome, standard haemorrhoid creams should be considered. If it is associated with itch, soreness, offensive smell or pain on passing urine there may be an infective cause and investigation should be considered. It is not recommended. Antenatal examination will then allow planning of intrapartum care.
In some cases we may not be able to see all of the parts of your baby’s anatomy to enable us to complete the scan. If this happens, we will follow the NHS National Screening Committee (NSC) Fetal Anomaly Screening Programme (FASP) guidelines and provide a further scan to .
Twitter Antenatal Care If you have had a positive pregnancy test, we recommend that you access maternity care as soon as possible via your GP or Community Midwife, who will complete the necessary referral into maternity services. Early access to maternity care is important to ensure that all the appropriate care options are discussed, including all antenatal screening options. As soon as you find out you are pregnant, you should either contact your community midwife, or make an appointment with your GP: FAQs Who will look after me during my pregnancy?
When you attend for your antenatal booking appointment a thorough risk assessment of your pregnancy, including blood tests, is undertaken to make sure that the correct pathway of care is chosen for you. There are 3 different pathways depending on this risk assessment: Midwifery Led Care Midwife as the lead professional Shared Care Consultant Obstetrician and Midwife share responsibility with the GP Consultant Led Consultant Obstetrician is the lead professional If you are booked for midwifery led care, your care will be provided by a midwife, usually your community midwife.
If you have any existing medical conditions or if we identify any issues, then you will be referred to a hospital for review by the medical team. You might be seen at hospital once or you might need to attend regularly depending on your individual needs. The doctor who sees you will make a plan of care for your pregnancy, and you may be able to receive some of your care closer to home, as this is usually more convenient for you.
At your booking appointment, you will be given your handheld maternity records. This is where all the information about your care in pregnancy will be recorded. You should look after this booklet carefully and always carry it with you so that important medical information is always immediately available to any health care provider.
Nuchal translucency (NT) scan
Ultrasound Scans What is an ultrasound scan? An ultrasound machine uses sound waves to create an image on a computer screen. The person who does the scan is called a sonographer. The sonographer will explain about the scan during your appointment. How is the scan arranged? If you decide you would like to have a scan, your midwife will tell you where it can be done and will arrange the appointment for you.
Combined Nuchal Scan Other than our expertise in all types of Obstetric scans (listed on the right); our specialist interest is in combined Nuchal Scan for Downs Syndrome screening. The benefits of having a combined Nuchal Screening scan for Downs Syndrome privately include the following.
As your baby will be so tiny at this stage, to get as clear a picture as possible, this pregnancy scan may be carried out using a small probe that goes inside your vagina. The scan will check the age and size of your baby and will also check for the heartbeat. It will give you an accurate due date and assesses several important details: The age of your baby. Whether there is more than one baby.
Whether there are any obvious abnormalities NT scan. Whether your ovaries are in a healthy condition. The scan lasts around 10 minutes during which time images of your baby will be taken. Seeing your baby on the monitor is such an exciting experience and many mums often feel quite emotional too. It takes around minutes and most hospitals will let you buy pictures taken from the scan. This scan is usually offered between 18 and 21 weeks.
The spine and abdomen to see that everything is aligned and developed.
Yes, it is recommended that you drink approximately 1 pint of water at least 20 minutes prior to your scan. It is best if you do not empty your bladder before your scan. Who will perform my scan?
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How does ultrasound scanning work? High frequency sound waves that cannot be heard by the human ear are known as ‘ultrasound’. Scanning uses these high frequency waves. A probe placed on your skin transmits short pulses of ultrasound into the body and within a fraction of a second receives back multiple echoes from the part of the body being examined.
These echoes are converted into detailed images of internal organs and tissue, which are viewed on a screen. The use of a gel enhances the transmission of the high frequency waves and the quality of the image that is obtained. For pregnancy scans 3D allows us to see a baby’s internal organs, as well as external shapes, such as their face. Our machine is also equipped with the latest technology including ‘HD Live’, which can produce stunning static images of unborn babies.
It is widely used in pregnancy scanning to show the baby’s external features more clearly, including images of the baby’s face. Both 3D and 4D images can be obtained any time during pregnancy including the early dating scan, the week nuchal translucency scan, and the week fetal anatomy scan. It is useful in pregnancy to observe placental function, and in gynaecological scans Doppler provides information about ovarian function, among other things.
Fetal Ultrasound Measurements in Pregnancy
Gynaecological Service The female pelvis can be examined using a trans-vaginal approach. This gives the best picture of the uterus, ovaries and pelvis. The ultrasound transducer is similar in size and shape to a tampon: Approximately 2 inches is gently inserted into the vagina in the same way as a tampon, if you prefer you can insert it yourself. Please arrive with an empty bladder.
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Facebook Early Pregnancy Scans for Reassurance GP Care provides an early pregnancy scan service for private patients, which aims to give reassurance by assessing fetal wellbeing. Why would you want a reassurance scan? If you have had a previous miscarriage or ectopic pregnancy you will naturally be very anxious about your pregnancy.
You may have a friend or relative who has suffered a miscarriage or problem and you may be worried about your baby. Studies have shown that fetal health anxiety is relieved by ultrasound, particularly when women are able to see the image of their baby and receive encouraging verbal feedback from the ultrasonographer. The ultrasound scan will only take 15 – 20 minutes and the ultrasonographer will be happy to print an image for you, at no extra cost.
Please note that this is an early pregnancy reassurance service to assess fetal well being.
Nuchal dating scan today what to expect?
Getting a nuchal scan All pregnant women will be routinely offered the nuchal translucency scan as part of their antenatal care. The scan needs to be done between 10 weeks and 13 weeks plus six days gestation, so many hospitals will include the test as part of your week scan. It is up to you whether you want to have it. What happens during a nuchal scan and what do they measure?
During the scan, the sonographer will measure the amount of fluid at the base of your baby’s neck. On the scan it looks like a black space at the top of the spine.
The early pregnancy scan is the first pregnancy scan that you can have and is not routinely available on the NHS. It is often done if you are not sure if you are pregnant or to provide reassurance in the very early stages of your pregnancy.
Was told it was going to be a little girl, after 2 boys I was over the moon!! Had our 20 week scan today and it was confirmed! Little girl on her way!!! Confetti canon was a great way to reveal to the kids. It was an amazing seeing our baby girl for the first time. We liked it so much that we came back for an early gender scan for our reveal we were having with family.
Again an amazing experience listening to the baby’s heartbeat and crystal clear scan.