Sonography

Ultrasound imaging, also called ultrasound scanning or sonography, is a method of using high frequency sound waves to obtain images of pelvic organs, or in the case of pregnancy, a fetus.

What to Expect During Your Ultrasound
Ultrasound uses sound waves that bounce off internal organs to create a black and white image. We use the state of the art GE Voluson 3D/4D machine to ensure the best possible resolution. Although ultrasound has come a long way, even the best equipment in the best hands can not identify every abnormality or guarantee a "perfect baby." It should also be remembered that although most expectant parents view an ultrasound as a fun and exciting experience, it is in fact a diagnostic tool like MRI or a blood test and therefore a medical need is generally necessary for its use.

GYN Scans
These examinations are used to evaluate the pelvic organs; for example uterus, cervix, and ovaries. Usually a brief abdominal scan is followed by a vaginal scan. Vaginal ultrasounds are performed with a small, sheath covered, sterile probe. This is usually the best way to evaluate the organs of the pelvis. You will need to undress from the waist down and will be covered during the exam. You will need to come with a full bladder for the abdominal portion of the procedure.

First Trimester Ob Scans (14 weeks or less)
These scans, like GYN scans, will begin with an abdominal ultrasound and typically are completed with a vaginal scan. You will need to come with a full bladder for these procedures.

Second and Third Trimester OB scans (14-40 weeks)
Usually this ultrasound will be performed on your abdomen. You should not have to undress and should have no discomfort during the exam. It may not be necessary to have a full bladder during this procedure. We ask, however, that you come with your bladder full. Our sonographer will have you empty your bladder if it is appropriate.

FREQUENTLY ASKED QUESTIONS

How many ultrasounds will I receive during my pregnancy? 
Ultrasound timing is doctor dependent and usually happens at 20-22 weeks. This scan is to evaluate the baby's anatomy. Other scans may be performed earlier and/or later in your pregnancy for a variety of reasons. We try to obtain 3D/4D images at this initial scan however at 20-22 weeks the baby may not be cooperative. You can request a later 3D/4D ultrasound after consultation with your doctor. These scans may not be covered by insurance.

Who will perform my ultrasound?
Our Ob/Gyn registered sonographer performs most of the ultrasounds here in the office. In certain cases one of the doctors may perform your scan or you may be sent to an off-site facility for a specialized ultrasound.

Will I be able to see my ultrasound?
Yes, for your convenience we have two monitors in the room for easy visualization of the entire exam.

Will I receive pictures of my baby's ultrasound?
Yes, we will provide you with a few black and white ultrasound pictures of your baby. You may also bring a CD. We can save several still images to the CD for your later viewing. No video clips are saved and video cameras are not allowed.

Will I be able to find out the sex of my baby?
If you want to find out the gender of your baby we will do our best to accurately determine the sex. In rare cases the fetus will not cooperate and gender determination is not possible.

What is 3D/4D sonography?
3D ultrasound uses the same safe sound waves as 2D imaging but by capturing another dimension gives a much more realistic picture of the fetus. 4D is a live mode of 3D to watch the baby move.

Does every patient get a 4D scan?
3D/4D ultrasound has very little clinical application (usefulness in making diagnoses) in OB.  They are mostly used for mementos and bonding with your baby. We try to obtain 3D/4D images with the 20-22 week scans we perform; however babies at this age are rarely cooperative enough to obtain good pictures. A 3D/4D ultrasound can be scheduled at a later date (usually 28-34 weeks) after consultation with your doctor. While bonding with your baby is an important aspect of your pregnancy, these types of ultrasounds are not covered by insurance. You would be responsible for the charge related to the scan. This is usually about $200 for a follow up ultrasound.

Will every 3D/4D scan look like the pictures in magazines and on TV?
3D/4D ultrasound is very dependent upon the baby's position and amount of amniotic fluid present. Just like regular 2D ultrasound there are times when it is difficult to obtain a good image of the baby. We will always try to get the best images that we can for you.

When is the best time to do a 3D/4D scan?
The optimum time is around 28-34 weeks; however, many patients enjoy the 1st trimester and earlier scans as well.

Whom can I bring with me to my ultrasound appointment?
The ultrasound is an intimate bonding time and you are welcome to bring family and friends with you. Unfortunately, we have a policy that children older than 6 weeks not come due to infection exposure risk to our other pregnant patients.

What if I still have questions about my ultrasound options?
Please feel free to discuss all of your ultrasound questions with any of the doctors at your regular scheduled appointments. You may also contact us for more information.

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