Name of the Procedure:

Performance of Trans-Abdominal or Trans-Vaginal Ultrasound and Pregnancy Location Documented (G8806)

• Common Names: Ultrasound Scan, Pelvic Ultrasound
• Medical Terms: Ultrasonography, Trans-abdominal Ultrasound, Trans-vaginal Ultrasound

Summary

A trans-abdominal or trans-vaginal ultrasound is a non-invasive test that uses sound waves to create images of the organs in the pelvis, including locating a pregnancy. The procedure is safe, painless, and helps in documenting the position of the pregnancy, ensuring it is within the uterus.

Purpose

• Medical Conditions: Suspected pregnancy, ectopic pregnancy, pelvic pain, abnormal bleeding.
• Goals: To confirm and document the location of the pregnancy, detect any abnormalities, and assess the health of the pelvic organs.

Indications

• Symptoms like missed periods, pelvic pain, or abnormal bleeding.
• Positive pregnancy test requiring confirmation and assessment.
• History of ectopic pregnancies or risk factors for pregnancy-related complications.
• Routine prenatal check-ups.

Preparation

• Trans-abdominal Ultrasound: Drink several glasses of water to fill the bladder.
• Trans-vaginal Ultrasound: Empty bladder is often preferred.
• Follow specific instructions from the healthcare provider.
• No special fasting or medication adjustments usually required.

Procedure Description

1. For Trans-abdominal: The patient lies on their back, and a gel is applied to the abdomen. A handheld device called a transducer is moved across the area to capture images.
2. For Trans-vaginal: The patient lies on their back with feet in stirrups. A covered and lubricated transducer is gently inserted into the vagina to get closer imaging of pelvic organs.
   • Both methods use sound wave technology to produce images.
   • No anesthesia or sedation is typically required.

Duration

• The procedure usually takes about 15-30 minutes.

Setting

• Performed in hospitals, outpatient clinics, or specialized imaging centers.

Personnel

• Conducted by trained ultrasound technicians or sonographers.
• Interpreted by radiologists or obstetricians/gynecologists.

Risks and Complications

• Generally considered very safe with minimal risks.
• Trans-vaginal: Mild discomfort or spotting post-procedure.

Benefits

• Accurate location and assessment of the pregnancy.
• Non-invasive and quick.
• Provides essential information for managing the pregnancy.

Recovery

• No significant recovery time needed.
• May resume normal activities immediately.
• Follow-up appointments based on findings.

Alternatives

• Blood tests (e.g., hCG levels).
• MRI or CT scan (less common due to higher costs and complexity).
• Pelvic exam (less specific for internal imaging).

Patient Experience

• During: Mild pressure and cold sensation from the gel (trans-abdominal); slight discomfort with transducer insertion (trans-vaginal).
• After: Minimal to no pain. Trans-vaginal might cause slight spotting.
• Pain management: Typically not required as the procedure is generally discomfort-free.