Ultrasonic screening of pregnancy

It is very important to see pregnancy in uterus cavity to be sure that there is no ectopic pregnancy. We can see embryo on the 2nd – 3rd week of pregnancy. This term is called embryonic term. Sometimes if the menstrual delay is 14 days the conclusion of ultrasonic exam is 6 weeks of pregnancy. Such term is called obstetric term of pregnancy. To see embryo heartbreaking is possible from the 5th week of pregnancy. The next visit to the doctor should be done on the 6th-7th week of pregnancy (embryonic term). On this term the doctor can see embryo to be sure that there is an embryo in the fetal egg. The exact quantity of embryos in uterus cavity is seen during ultrasonic exam on the 6th-7th week of pregnancy.

It is very important to visit ultrasonic exam at the end of the first trimester of pregnancy. The aim of this ultrasonic screening is to control embryo development to check the presence of embryonic pathology. Such ultrasonic screening is a marker of embryo chromosomal pathology (Daun’s syndrome, Edward’s syndrome etc.). It is necessary to do also “biochemical screening” as a marker of embryonic chromosomal pathology. To do “biochemical screening” it is necessary to pass blood to exam level of specific peptide PAPP-A and human chorionic gonadotropine. This test gives more information then markers of 15th-22nd week of pregnancy.

The second ultrasonic screening should be done on the 19th-21st week of pregnancy to check embryo heart to predict some heart pathology. It is also necessary to check fetal central neural system. The most comfortable term of pregnancy to check heart pathology is 24-25 weeks. During this period it is possible to use Doppler ultrasonic method of examination. In our centre we use ultrasonic equipment MEDISON SonoAce-8000 Prime with three kinds of Doppler examination. It is also necessary to check placental fetal flow.

The next ultrasonic exam of fetal placental flow should be done at the term of 30th-32nd week. It allows checking the risk of heart kinds of placental pathology.

It is necessary to determine a fetal position before delivery, placenta state, character of fetal heartbreaking.