Continuous electronic FHR monitoring for healthy women during labour, is a routine procedure in many hospitals, yet is associated with an increase in caesarean and instrumental births without improving Apgar score, NICU admission or intrapartum fetal death rates. IA allows women more freedom of movement during labour, enhancing their ability to cope with labour pain and utilize gravity to promote labour progress. Upright positions and walking have been associated with shorter duration of first stage labour, fewer caesareans and reduced epidural use. The routine use of CTG for intrapartum fetal surveillance has become entrenched in practice without robust randomised controlled trial RCT evidence to support it. The RCTs of continuous CTG which have been undertaken have identified that its use is not associated with statistically significant improvements in long-term neonatal outcomes such as cerebral palsy, but that it is associated with significantly increased rates of unnecessary operative delivery. CTG is the visual interpretation of continuously generated signals from the fetal heart and is subject to shortcomings in interpretation. Review of cases with poor outcomes repeatedly demonstrate that abnormal CTGs were misinterpreted and the resulting management inappropriate. Admission CTG increases the rate of continuous electronic fetal monitoring use, may increase the rate of caesarean section but may identify a small number of previously unidentified at-risk fetuses.
Ultrasound scans in pregnancy
Routine ultrasound should not be offered or requested simply to confirm an ongoing early pregnancy in the absence of any clinical concerns, symptoms or specific indications. The purpose of the scan is to confirm viability, accurately establish gestational age, determine the number of viable fetuses, evaluate gross fetal anatomy and, if requested, assess the NT as part of the risk assessment for aneuploidy. Document findings as per Early pregnancy ultrasound examination see above :.
Once a live embryo is visible, the CRL should be used to calculate the due date. The MSD should not be included in this calculation. For reporting pro forma examples, see First trimester reporting pro forma.
Twin to Twin Transfusion Service in New Zealand. The aim was to should be done using the mean of the HC if there is no previous dating scan. • The first scan.
Nuchal translucency is a measurement of fluid behind the baby’s neck that is present in all babies during the first trimester of pregnancy. Our staff are specially trained and audited through the Fetal Medicine Foundation to undertake this examination using very specific guidelines. Fortunately, these defects are rare. Growth scans allow us track how your baby is growing.
Specialised scans can evaluate your risk of having a baby that is small. There are several reasons why you may be referred for a tertiary level scan.
The four most common stages to have an ultrasound
Trans abdominal ultrasound scan. Some warm gel is applied to your lower abdomen and a probe is used to transmit ultrasound images to the screen for interpretation. A trans-vaginal internal scan may also be required to fully assess your pregnancy.
Dating scans; Early pregnancy; Nuchal translucency with accredited Obstetric scan (NZ Residents) Obstetric scan (non NZ Residents).
This scan allows us to check how your baby is developing and in combination with a blood test allows us to check for any genetic concerns. This scan should be ideally performed between 12 weeks 5 days and 13 weeks 6 days of your pregnancy. As well as checking that your baby is growing well and confirming your due date the main aim of the scan includes:. On the day of your scan you can choose to have the results given to you by our resident radiologist or obstetrician or have the results delivered by your doctor or obstetrician at your follow-up appointment, please note: some specialist like their patients to return to them for the results.
Please let us know at the time of booking if you would like your results on the day. Ultrasound is safe to use throughout your pregnancy. Sometimes we need to do a vaginal scan. Occasionally there is some discomfort from probe pressure on a full bladder or from the vaginal probe manipulation. If this is extremely painful please let us know. We are able to take some important measurements which allows us to give you an accurate risk assessment for your baby.
The grief of not knowing our baby
Please contact Healthline on for advice and Contact Us if you need to reschedule your appointment. For information on Alert Level 2 and what we’re doing to keep you and our staff safe, please Click Here. We aim to provide an affordable and accessible service and we are pleased to offer free pregnancy scans to Community Services Cardholders some exceptions apply.
(a) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 (i) is a Member or a Fellow of the Royal Australian and New Zealand College of.
After 12 weeks gestation, the age is confirmed from calculations using the head, abdomen and upper leg measurements. The ultrasound scan can also identify fetal abnormalities as well as twins. The time for your pregnancy ultrasound has arrived and we are pleased to join you on your journey providing quality scanning to support the best outcome for you and your baby. The person who does your scan is a Sonographer and there are several different types of scans they complete throughout your pregnancy.
During each scan we try to ensure your comfort although this can sometimes be challenging depending on the position of your baby. We discuss your pregnancy at each of your appointments to ensure you are kept informed and reassured. Nervousness is often an emotion felt by expectant mothers, it is also felt by our Sonographers as they know from experience that not every scan has a normal outcome. We always hope there are normal findings and that the scan is a positive experience to share with you, however if the outcome is not positive we will do everything we can to provide you with the best possible care.
As you will appreciate, these medical appointments are very important and the quality of the scan is heavily dependent on the Sonographer being able to concentrate on performing them without too much interruption. Whilst our Sonographers do their best to explain what they are seeing on the screen, sometimes they need to remain quiet so they can focus entirely on your assessment. Most of the analysing and assessment of your baby is done at the time of scanning so if anything is missed, there is a risk that when the Radiology Doctor reviews the scanned images, something may go undetected.
Pregnancy / Obstetric Ultrasound
Please contact Healthline on for advice and Contact Us if you need to reschedule your appointment. For information on Alert Level 2 and what we’re doing to keep you and our staff safe, please Click Here. Below are the common scans performed during the course of a pregnancy. Additional scans may be referred at any time during the course of your pregnancy to check the wellbeing of the baby and mother.
ARG offers a range of radiology services including MRI, CT Scan, Ultrasound and and then our radiologist will write a report for your doctor or Immigration NZ.
Pregnancy these days can be a minefield of medical examination and testing, from the time you first do the home pregnancy test until the moment baby takes his or her first breath, and even after then. Most women accept the barrage of testing without question, feeling that the more information they can have, the better, whereas others opt out of some or all of them entirely.
Many people will also use this one to find out the sex of the baby. Facebook and other social media sites are often awash with images expectant parents put up to share their growing baby with the world. So with all this in mind, we must ask the question: how safe is ultrasound really? And how necessary? The vast majority of women will undergo at least one scan during pregnancy, generally aimed at ensuring the developing foetus is growing normally and is free from the myriad congenital abnormalities that can be viewed by sonography.
Generally the view is that the sooner you know about something, the easier it will be to treat and the better the outcome. However, there is also evidence that for all the good they can potentially do, ultrasounds could possibly be harmful to the growing fetus, being linked in recent years to various neurological problems, intra-uterine growth restriction, and other health problems, and the scans may not even make any significant difference to the outcomes for those infants in whom a congenital abnormality is detected.
There are a number of issues with ultrasound that many women may not be aware of, each of which could be the subject of an entire story — please consider this a mere overview! Firstly, the level of radiation exposure and dosage of ultrasound used varies across equipment, meaning broad differences in potential levels a fetus may be exposed to.
Many people are unaware that this is a form of pulsed ultrasound with much higher output than other forms, and that there are non-radiation alternatives available on request such as wooden pinard horns fetoscopes.
This blood test is available at Ascot Radiology, Auckland, from 10 weeks of pregnancy. The prenatal screening programme for Down Syndrome and other conditions has been in place in New Zealand since The combination of clinical factors, serum levels Papp-A and bHCG and nuchal translucency scanning gives women in the first trimester of pregnancy a high quality risk result. If a woman has a high-risk result 1 in or higher , she can choose to have a more invasive test amniocentesis or Chorionic Villus Sampling to determine whether the fetus has Down Syndrome.
This scan can be used for dating purposes if LMP is uncertain. If women choose not to have fetal anomaly screening, a late first trimester ultrasound may be.
Please remember keep your phone on flight mode during the scan. Please do not go to the toilet for the half hour before your appointment. I just wanted to say how wonderful you are! I popped in this morning for my 12 week scan and I was blown away by how you are genuinely enthusiastic and passionate about what you do. It made my husband, myself and my very excited mother in law reassured that we are and bubs in the best of hands.
So thank you, you are doing an awesome job! There are four common times in your pregnancy when you will be referred for an ultrasound by your doctor or midwife. This scan is best done at weeks. The amount of fluid under the skin at the back of a baby’s neck is measured using ultrasound. All babies have some fluid, but many babies with chromosomal abnormalities e.
Down’s syndrome have an abnormal amount.
Unless there are concerns about the pregnancy it is better to wait to have this scan after 7 weeks as the images are clearer for you to see and better for us to measure. If you come before 7 weeks the baby will be less than 1cm in size and so the scan sometimes has to be performed transvaginally placing the probe inside the vagina to enable us to see the baby well enough to measure and to see the heartbeat.
We ask that you come with a full bladder for this scan as it usually allows us to get the best possible picture of the baby. If you decide to go ahead with this optional screening test you will be offered a scan between 12 weeks and 13 weeks 6 days ideally 12 weeks. This is the only time that this scan can be performed.
Pregnancy is traditionally counted from the date of the last menstrual period, Pregnancy scan: Fertility Associates will arrange a pregnancy scan when you Click here to be directed to a guide to pregnancy and child birth in New Zealand.
Why undertake pregnancy diagnosis in deer? The principal reason for conducting pregnancy diagnosis in farmed deer herds is to make informed decisions about hind culling. Farmers generally prefer to cull hinds primarily on reproductive productivity. Show me the science Bingham, C. Proceedings of a Deer Course for Veterinarians. Revol, B. Lawrence, D. Foetal ageing involves assessing the age of the scanned foetus, and thus determining its conception date by back-calculation from scanning date.
However, pregnancy diagnosis can also serve other purposes: ensuring that in-calf sale hinds are indeed pregnant; measuring the success of artificial insemination AI ; and allocation of hinds to calving groups based on expected calving date. Repeated scanning can be used to check for abortions. Pregnancy diagnosis. The most reliable method of pregnancy diagnosis in hinds is real-time ultrasound scanning.
Medical Tests During Pregnancy
Most pregnant women will have an ultrasound scan during their pregnancy. This simple test is quite safe for both mother and baby and causes only minor, if any, discomfort. Ultrasound is a way of taking a look at the baby without using potentially dangerous X-rays. During an ultrasound scan, high-frequency soundwaves are used to create moving images of the developing baby, shown on a screen. Ultrasound scans may be recommended at various stages of pregnancy for several reasons.
babies with congenital abnormalities in New Zealand at this time. contained the date of each scan, the type of scan and whether the reviewer was able to.
Congratulations on your positive pregnancy test. Having a pregnancy confirmed is generally a happy and exciting time. However, when pregnancy follows fertility treatment, it is also natural to feel other emotions such as caution, anxiety, and maybe fears about the pregnancy outcome. Fertility Associates offers support and counselling during early pregnancy. Appointments: At the time of your positive pregnancy test you will be four weeks pregnant using the usual way of calculating gestation.
Pregnancy is traditionally counted from the date of the last menstrual period, which for many treatments is the same as the day 1 of your cycle. We may ask for further tests if the day 14 and 18 results are outside the usual range, if you have previously had a pregnancy loss, or if there are other reasons for following your pregnancy more closely.
Your nurse will discuss tests with you. Pregnancy scan: Fertility Associates will arrange a pregnancy scan when you are around 7—8 weeks pregnant. This is a vaginal scan, just like those done during treatment. Most women bring their partner to the scan. It is good idea to have someone you know well as a support person at the time of the scan.
Your LMC can be a midwife or an obstetrician.