Rus Articles Journal

On an ultrasonic wave of

For the first time to see the kid on the screen of the device of ultrasonic diagnostics - impression unforgettable! Especially if you person emotional... However, to understand in it is black - the white image independently, no comments the expert, not so - that is simple.

the First shots from life of the kid

Exactly thanks to ultrasonic waves which are not heard to people can be watched growth and development of the kid for all nine months of his life in mother. Appeared in 70 - x years of the last century the obstetric ekhografiya gradually became for doctors the commonplace, however future parents still treat it with extraordinary awe and wait for the first ultrasonography with joyful impatience and nervousness. As far as our child grew up? Whether all at it as it should be? Boy it or girl? Interestingly, it has same long legs, how at the father? And to whom it is similar? Some couples even ask a picture or video of ultrasonography to show the kid to all family! However do not wait that on the screen of the diagnostic device the picture will appear, as in the TV. During ultrasonic research you will be able to see flat is black - the white image which to decipher in power only to experts. So try to treat procedure quietly, first of all this medical examination during which the doctor has to understand whether your kid correctly grows and develops. whether

to

First try, then trust

It is worth trusting ekhografiya for all 100%? No, even despite the fact that the ultrasonic equipment is constantly improved and the image becomes more and more accurate. Of course, by means of ultrasonography the doctor can confirm or disseminate the fears, but make the final diagnosis possibly only after serious inspection. For this reason before sounding alarm, it is necessary to carry out repeated ultrasonography, sometimes with an interval in several days, and to pass additional researches, for example, on genetic diseases or various infections.

And still the ekhografiya is excellent help in work of doctors. In 1998, summing up the results of development of an obstetric ekhografiya in Europe, experts came to a conclusion that ultrasonography helps to reveal deviations in development of the child in 60% of cases, and serious defects - in 80% of cases. It is the main reason for which you should not neglect three ultrasonic researches (on 10, 20 and 30 - y weeks of pregnancy), they need to be done to any pregnant woman irrespective of the fact how she feels. Certainly, if there are complications, the doctor will appoint so much ultrasonography how many he will consider it necessary.

As do to

ultrasonography?

  1. the Sensor is put on the woman`s stomach (a transabdominal way). If the term of pregnancy is less than 12 - 14 weeks, before inspection you should drink about 1 l of water that the bladder increased in sizes and “forced out“ a uterus from a small pelvis. On the eve of research of this kind you should not apply on a stomach creams from extensions.
  2. the Sensor is entered by
  3. into a vagina (a transvaginal way). Usually this examination is conducted on early terms of pregnancy (since 3 weeks when the germ already is in a uterus). Procedure is painless and allows to exclude extra-uterine pregnancy, to determine pregnancy term, to learn where future placenta - horion was attached and whether is not present at the child of malformations. Big plus of this procedure - lack of need to go for the first ultrasonography with a full bladder.
Two types of ultrasonography Ekhografiya`s

can be

two-dimensional (2 - D) and three-dimensional (3 - D). Most often doctors are limited to supervision over the kid in two-dimensional measurement, especially if the ultrasonic equipment allows to receive the qualitative image. The three-dimensional ekhografiya exists about 10 years, but is applied quite seldom. Most often it is used for specification of already made diagnosis. Usually by means of three-dimensional ultrasonography check whether there are no deviations in formation of the person, backbone, hands or feet of the kid.

Experience of the different countries

That everything passed

well...

, will How qualitatively conduct ultrasonic research, depends on experience of the doctor, the equipment on which inspection, and the chosen moment becomes. Therefore you should not trust results of ultrasonography which took place in a “casual“ first-aid post (for example, in the subway) on the cheap equipment. Most likely, quality of such inspection will be mediocre, and results will in vain encourage or will upset you.

be convinced by

before procedure that ultrasonography will be carried out by the professional. Track that the doctor found for you enough time: in the first trimester procedure lasts on average 10 minutes, in the second about half an hour can proceed. Do not ask too many questions to the doctor during survey, but be not afraid to ask it about what concerns you after the end of procedure. Think, it is better to ask several “silly“ questions, than to make the wrong idea of the events and to be nervous. But what to do if the doctor “did not see“ something? Most often it does not say that he is a nonprofessional. Can happen that the child settled down so that him it is badly visible (for example if it is too deeply, then heart is indistinctly looked through). Besides some personal features of the patient, for example type of a constitution or “inconveniently“ located placenta, complicate inspection, so, and influence its results.

the First trimester

the First ultrasonography (the term of pregnancy of 12 - 13 weeks)

That you see
Are all eyes because just now you can see the kid “entirely“! By 12 weeks of pregnancy it reaches 6 cm in length, but, despite so modest sizes, this small “krevetochka“ already moves the tiny handles and legs. Be not surprised if the doctor slightly presses the sensor to you on a stomach: the kid is not shown all at once, and it is necessary to disturb a little him that he began to move. You look, it opens a mouth and extends handles. It already has fingers? Yes! Its favourite pose? To curl up and to draw in knees to a chin. Good news: perhaps, already now the doctor will be able to distinguish a sex of the child! If he sees small “hillock“, then, most likely, your long-awaited kid - the boy. But if nothing is visible, it does not mean that you wait for the girl, even the most modern equipment does not allow us to solve all secrets at once!

what the doctor

  • pregnancy Term. Approximately in 3 weeks of pregnancy fetal egg falls from a uterine tube to a uterus cavity. In 4 - 5 weeks the embryo becomes similar to a strip 6 - 7 mm long. In 8 - 9 weeks at future child the head (its diameter of 10 - 11 mm) is already defined. To see how heart of the kid is reduced, it is possible on 4 - 5 - y for week, and to observe how he moves - on 7 - 8 - y to week.
  • Condition of occipital area of a head of the child. If there liquid accumulated, the image turns out less clear, and it can mean deviations at the chromosomal level. In that case in addition to an ekhografiya on the term of 15 - 19 weeks of pregnancy the doctor appoints a blood test to contents an alpha - a fetoproteina for detection of congenital malformations. Besides, if future mother already was 35 years old and she expects the first baby, she will be sent for research of amniotic waters - amniotsentez, the only research allowing to find a chromosome 21 (a symptom of a Down syndrome). The result of research is reliable for all 100%, but, unfortunately, this inspection is unsafe and in 1 case from 200 provokes pregnancy interruption.
  • Malformations of nervous system, abdominal organs or extremities. If they are found at the very beginning of pregnancy, it, as a rule, speaks about frailty of the child, and then doctors with the consent of parents are forced to resort to pregnancy interruption.

Attention! If you felt belly-ache or you began bleeding, do not wait for the “official“ term of carrying out ultrasonography. Ask your doctor to make an urgent ekhografiya.

the Second trimester

the Second ultrasonography (pregnancy term 22 - 24 weeks)

That you see
If the kid does not sleep, he freely swims in amniotic waters, easily turns and rotates handles and legs. At last you will see little “athlete“ who sends you blows a leg during a dream! “But why it all the time opens a mouth?“ - “It is absolutely normal, he swallows of amniotic waters“. - “The kid sucks the big finger? But suddenly this habit will remain at it after the birth? And floor, doctor?“ - “Yes, it can already be defined. If, of course, the child did not turn to us a back“.
do not worry if you do not manage to see heart, kidneys, intestines which are shown you by the doctor. Only his skilled eye can distinguish these mysterious “blackouts“.

what the doctor

  • the Structure of a body of the kid pays attention to. Term in 22 weeks - the most suitable time for detection of malformations. The doctor with a special accuracy checks everything according to “list“: extremities and oporno - the motive device (legs, fingers, a backbone), internals (kidneys, heart, a brain). The nose and a thumb of foot is attentively investigated (not to understand, your kid is how beautiful and to exclude possible deviations at the chromosomal level). Then the doctor examines an upper lip whether not “hare“ it, and checks, whether the child well moves - the active movements are the proof of its vital force.
  • Development and growth of the kid. As well as during the first ultrasonography, the doctor checks the child`s sizes (diameter of the head, thorax, stomach, hip length).
  • Quantity and quality of amniotic waters. Too large volume of amniotic liquid can arise from - for inflammations of amniotic covers or malformations of the child. Shortage is connected with various reasons, but the most disturbing of them - a malformation of kidneys of the kid.
  • Work of heart. In the second trimester of pregnancy by means of an ekhografiya it is possible to find violations which were not visible earlier, for example heart malformations. The doctor checks heartbeat, the sizes of thresholds and ventricles of heart, aorta and pulmonary artery.

the Third trimester

the Third ultrasonography (pregnancy term 32 - 34 weeks)

What you see
the Image became foggy? Do not worry, it is quite natural. In - the first, in the third trimester the amount of amniotic waters considerably decreases. In - the second, the kid grows up so that it is possible to watch him only “in parts“. But now you distinctly see how it opens a mouth, swallows, rolls eyes... And what the small moving partitions, heart are? You look for its second handle? Left leg? Sometimes from - for provisions of the child it is really difficult to find them. For this reason on 32 - y week of pregnancy can almost not notice deviations in development of extremities. But remember, they were already examined during the first ultrasonography so do not worry, everything is all right.

what the doctor

  • Development of the child pays attention to. In spite of the fact that bodies of the kid already work, their development did not end yet therefore the doctor has to check whether everything goes safely. If the doctor finds disturbing symptoms, he will appoint to future mother additional inspections to understand the reason of the events and to appoint treatment.
  • Weight and growth of the kid. If the weight and growth exceed average values, it can become a reason for concern. Of course, if parents of the kid were born large in due time, there are no special reasons for nervousness. And still, if the weight of the child exceeds admissible borders, the doctor can suspect at it diabetes.
  • Condition of a placenta. The doctor checks her arrangement and degree of a maturity. If the placenta is in the lower part of a uterus, there is a risk of bleeding in case of a premature otsloyka. The third, last degree of a maturity of a placenta indicates that time of childbirth came, the kid lacks nutrients any more.
  • Malformations of the child. Studying of amniotic waters and internals (heart, kidneys, a brain, a gastrointestinal tract) helps to find deviations in development of the kid which cause infections (for example, toxoplasmosis or a rubella).
    Thanks to ultrasonography in the third trimester of pregnancy doctors find 28% of all malformations warmly - vascular, central nervous system, urological and chromosomal anomalies. However precisely to define the reason of their emergence, it is necessary to conduct other examinations, for example kordotsentez (blood sampling from an umbilical cord).
  • Position of the child. During the last ultrasonography the doctor defines position of the child. If the kid settled down buttocks or legs down, future mother will be sent to maternity hospital on 37 - 38 - y to week: the kid, perhaps, will be born by Cesarean section.