Ultrasounds

No matter how you feel about your pregnancy, an ultrasound will provide you with vital information.

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Our limited obstetric ultrasound will  determine these three critical pieces of information to know about your pregnancy:

  • determining the gestational age( measurement) and due date

  • confirming the pregnancy is intrauterine

  • visualization and measurement of baby's heartbeat

A client with a positive pregnancy test will be evaluated by a qualified registered nurse to determine eligibility for an ultrasound. If appropriate, an ultrasound is offered and provided if client desires.

Ultrasonography is the transmission of high frequency sound waves through the body tissue which are reflected back from this tissue to a transducer and converted into images. From the transducer an image of the baby is displayed on the monitor screen. These images are then sent to our radiologist who reviews them and determines the viability of the pregnancy. 

Only license registered nurses trained in the limited obstetrical ultrasound, and with documented competency per Medical Director, may perform ultrasound examinations.  A licensed registered diagnostic medical sonographer (RDMS) may also perform ultrasound examinations.

Typically we allow one person to come in for the ultrasound. Exceptions may be made by nurse's discretion.  The nurse and an LCVC Client Advocate will be in attendance.

Once we have obtained a positive pregnancy test via an in-office urine sample, our female staff will prepare you for your ultrasound exam.  
 
Transabdominal: This is a non-invasive method of obtaining images limited to scanning over the abdomen. We will begin by obtaining images transabdominally which involves placement of the transducer over the abdomen to obtain images.  A full bladder is ideal because the soundwaves travel best through liquid, resulting in brighter images on the monitor.  We will ask you to lie flat with your abdomen exposed.  We will apply a gel to help with the conduction of the sound waves.  If the initial transabdominal measurements show you are between 6 and 12 weeks pregnant, we will perform a transvaginal exam.
 
Transvaginal:  Vaginal ultrasounds are the standard of care in the first trimester, particularly if pregnancy is under 12 weeks gestational age. You will be asked to empty your bladder and undress from the waist down.  We will give you a bid drape to use for privacy. A specially designed probe with a latex cover will be used and inserted a few inches into the vaginal canal to obtain more detail in the images of the baby and more accurate measurements of the gestational age and fetal heart rhythms. You may feel some slight pressure as we scan through your uterus, but this should be a pain free experience. 
You will need to drink 16- 24 oz. of water a half hour before your appointment time.  If you need to use the restroom before the exam, please drink another glass of water.  
 
We will confirm your pregnancy with an onsite pregnancy test unless you have verification of pregnancy from your doctor. Please bring that with you.
It is best to wear loose fitting clothes, to more easily access your abdomen for the scan.

All of our services are free. Ultrasounds are effectively performed starting six weeks from the clients first day of their last menstrual period, which should be considered when scheduling appointments. Performance of an ultrasound is at the expressed consent of a registered nurse.  A typical client receives one to two ultrasounds. This may vary based on client's needs. Please feel free to call with any questions.

One of the most important things you can do at the beginning of your pregnancy is to confirm viability with a limited obstetric ultrasound. Our limited obstetric ultrasound will establish verification of an intrauterine pregnancy, estimate the gestational age of the baby, and detect the baby’s fetal heart motion.

Our threshold for scanning is a six week pregnancy, based on the first day of your last menstrual period.  After discussion with the nurse regarding the accuracy of your dates , the nurse will perform the ultrasound if client desires. The heartbeat can be visualized via ultrasound at six weeks although it begins beating at 21 days.