Name of the Procedure:

Ultrasound, Pregnant Uterus, Real-Time with Image Documentation, Fetal and Maternal Evaluation, First Trimester (< 14 weeks 0 days), Transabdominal Approach; Single or First Gestation.

Summary

This ultrasound procedure involves using sound waves to create images of a developing fetus and maternal structures within the first trimester of pregnancy. It is performed through the abdomen and includes real-time image documentation to assess both the mother and the fetus.

Purpose

The procedure is done to monitor the early stages of pregnancy, ensure the fetus is developing normally, and check for any potential complications. It helps in detecting the presence of a heartbeat, determining gestational age, and identifying any signs of abnormalities.

Indications

• Confirmation of intrauterine pregnancy
• Estimation of gestational age
• Evaluation of fetal heartbeat and development
• Investigation of suspected ectopic pregnancy
• Assessment of uterine or pelvic abnormalities

Preparation

• The patient is usually advised to have a full bladder for better imaging.
• No special fasting or medications adjustments are typically required.

Procedure Description

1. The patient lies on an examination table.
2. A water-based gel is applied to the abdomen to improve sound wave transmission.
3. A handheld device called a transducer is moved over the abdomen to capture images.
4. These images are displayed on a monitor in real time and documented for further analysis.
5. The procedure is non-invasive and typically does not require anesthesia or sedation.

Duration

The procedure usually takes about 20 to 30 minutes.

Setting

It is commonly performed in an outpatient clinic or hospital's radiology or obstetrics department.

Personnel

• Sonographer or ultrasound technician
• Radiologist or obstetrician for image evaluation and interpretation

Risks and Complications

• The procedure is generally considered safe with no known risks from the ultrasound waves.
• Rarely, minimal discomfort from the pressure of the transducer on the abdomen.

Benefits

• Provides critical information about fetal development and maternal health.
• Non-invasive with real-time results aiding in early pregnancy assessment and management.

Recovery

• No recovery time is needed; patients can resume their normal activities immediately.
• Follow-up appointments may be scheduled based on the findings.

Alternatives

• Transvaginal ultrasound: Another type of ultrasound that may provide clearer images in early pregnancy. However, it is more invasive.
• Waiting for a later gestational age where other diagnostic methods may be utilized.

Patient Experience

• The patient might feel slight pressure on the abdomen but no significant pain.
• The water-based gel can feel cold and might be slightly messy.
• Overall, the procedure is comfortable and stress-free for most patients. Pain management is generally not needed.