Siles Health

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Obstetric Ultrasounds Obstetric ultrasound is the use of ultrasound during the pregnancy. Ultrasound is considered to be a safe, non-invasive, accurate examination of the baby, without the use of radiation. It has progressively become an indispensible obstetric tool and plays an important role in the care of every pregnant woman. The obstetric ultrasounds we offer are: • Early pregnancy assessment and dating ultrasound • Combined first trimester ultrasound (nuchal translucency) • Second Trimester ultrasound • Third Trimester ultrasound • Cervical length assessment • 3D/4D imaging • Fetal Monitoring - Cardiotocography (CTG) Diagnostic procedures The two diagnostic procedures we offer are: • CVS (chorionic villus sampling) • Amniocentesis • Fetal Blood Sampling All of these are invasive procedures, used to check for chromosomal abnormalities of the unborn baby. These tests are most commonly performed to test for Down syndrome, but they do also check for other chromosomal and genetic abnormalities. Fetal Monitoring – Cardiotocography (CTG) A CTG is a monitor that checks the baby and the mother’s heart rate; it is usually performed in the third trimester of pregnancy. Your baby’s heart rate and activity is a good indicator of how healthy your unborn baby is. It will also detect any contractions you may be having. The advantages of having a CTG are: • It provides precise and accurate FHR (fetal heart rate) and MHR (mother’s heart rate) throughout the pregnancy • MHR and FHR are extracted from the one signal rather than two, so there will be no confusion • Uterine activity from EHG • Non-invasive and passive • Small wearable Bluetooth monitor that gives the mother the freedom to change position or move around during monitoring sessions Egg Timer Test The egg timer test estimates the ovarian reserve – the number of good quality eggs left within the ovaries. This gives an indication of the likely fertility status of a woman. The test involves a single blood test and a trans-vaginal ultrasound between days 3 - 5 of the menstrual cycle. The blood test measures levels of several different hormones, and combined with the scan result gives an estimate of the ovarian reserve. Gynaecological ultrasounds We also offer a number of non-pregnancy related ultrasounds: • Gynaecological ultrasound (pelvic ultrasound) Gynaecological ultrasound is used to assess the female pelvic region focusing on the uterus and the ovaries. Most gynaecological ultrasounds are performed trans-vaginally as this almost always shows a clearer view of the pelvic organs. Therefore an empty bladder is required. If you are not sexually active or feel uncomfortable having a trans-vaginal scan, it is possible to have a trans-abdominal ultrasound which will require a full bladder. • Saline infusion Saline infusion is a test where a small volume of saline (salt solution) is inserted into the uterus. This allows the lining of the uterus (endometrium) to be clearly seen on an ultrasound scan therefore making it easier to assess the uterine cavity and endometrium accurately and detect certain pathology like polyps. • Tubal patency (Levovist) Tubal patency is a test where a small volume of Levovist is inserted into the fallopian tubes to check for any blockages. This procedure is usually recommended to some women who might be having difficulty conceiving.