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Obstetrics   Ultrasound in pregnancy US of the pregnant patient is simple to perform and has proved reliable in examining the fetus  and detecting the complications of pregnancy .  Unlike  X-Ray examination . Radiation to the developing fetus can have catastrophic effects . As well as  increased  incidence of malformations induced in the developing fetus, it has been shown that the frequency with which leukaemia and other malignant  neoplasm's developing within the first 10 years of life is increased in children exposed to diagnostic x-rays while in utero , probably by about 40 % compared to normal population. X-raying a fetus should therefore be kept to the absolute minimum and preferably avoided .
Obstetrics US in pregnant women  T-abdominal. T-vaginal give superior images and does not need a full bladder . US in first trimester GS CRL ( crown rump length )  is the longest  fetal demonstrable  length  within the GS . This length is highly  reliable method Multiple pregnancies can be recognized by presence of two or more  gestational sacs . Nuchal translucency  Measurement of the fluid on the back of the fetal necks to be made between 10 – 14 Wks gestation . If the nuchal translucency is more than 3 mm so chorion villous sampling is need .
 
 
 
 
 
 
 
 
 
 
 
 
obstetrics' ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
At 18 – 20 Wks of gestation  the fetus is we ll  formed and this  is  an approperiate time to obtain an accurate biparital diameter to estimate fetal maturation &  a lso this is a sutable time to examin the fetus for fetal anomalies , so enabiling for medical abortion if  lethal  abnormlity is seen  .  Accurate dating is very  helpful if in problems arise  in   late pregnancy   as  the ob st atrician  then know the maturity of the fetus  should  induction of the labour or ceasarian section is necessory  Obtaining sereal BD & HC for fetal head grouth , how ever the grouth  restriction  may be manifestated first by lack of fetal body grouth this estemated by maesuring the abd circomferanc , so abdominal circumference is the single most important measurement in assessing fetal size and growth it is also mandatory measurement  . Sever intrauterine growth restriction can be missed if the AC is not measured . Sex of the fetus ( for those where there is risk of sex – linked inherited disease )  .
 
 
 
 
The Placenta ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
Large for date  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Large for date  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Small for date ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Fetal abnormality  ,[object Object],[object Object],[object Object],[object Object]
Fetal abnormality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Us for karyotyping ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Obstetrics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 

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radiology.Obst lec 3 & 4.(dr.nasreen)

  • 1. Obstetrics Ultrasound in pregnancy US of the pregnant patient is simple to perform and has proved reliable in examining the fetus and detecting the complications of pregnancy . Unlike X-Ray examination . Radiation to the developing fetus can have catastrophic effects . As well as increased incidence of malformations induced in the developing fetus, it has been shown that the frequency with which leukaemia and other malignant neoplasm's developing within the first 10 years of life is increased in children exposed to diagnostic x-rays while in utero , probably by about 40 % compared to normal population. X-raying a fetus should therefore be kept to the absolute minimum and preferably avoided .
  • 2. Obstetrics US in pregnant women T-abdominal. T-vaginal give superior images and does not need a full bladder . US in first trimester GS CRL ( crown rump length ) is the longest fetal demonstrable length within the GS . This length is highly reliable method Multiple pregnancies can be recognized by presence of two or more gestational sacs . Nuchal translucency Measurement of the fluid on the back of the fetal necks to be made between 10 – 14 Wks gestation . If the nuchal translucency is more than 3 mm so chorion villous sampling is need .
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  • 18. At 18 – 20 Wks of gestation the fetus is we ll formed and this is an approperiate time to obtain an accurate biparital diameter to estimate fetal maturation & a lso this is a sutable time to examin the fetus for fetal anomalies , so enabiling for medical abortion if lethal abnormlity is seen . Accurate dating is very helpful if in problems arise in late pregnancy as the ob st atrician then know the maturity of the fetus should induction of the labour or ceasarian section is necessory Obtaining sereal BD & HC for fetal head grouth , how ever the grouth restriction may be manifestated first by lack of fetal body grouth this estemated by maesuring the abd circomferanc , so abdominal circumference is the single most important measurement in assessing fetal size and growth it is also mandatory measurement . Sever intrauterine growth restriction can be missed if the AC is not measured . Sex of the fetus ( for those where there is risk of sex – linked inherited disease ) .
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