Hostname: page-component-76fb5796d-wq484 Total loading time: 0 Render date: 2024-04-26T22:01:32.626Z Has data issue: false hasContentIssue false

Early Diagnosis and Follow Up of Twin-Pregnancy Using a Two-Dimensional Ultrasonic Scanner

Published online by Cambridge University Press:  01 August 2014

Usama Abdulla*
Affiliation:
Department of Obstetrics and Gynaecology, University of Liverpool, Great Britain

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

A two-dimensional ultrasonic B scanner is used to diagnose both single and multiple early pregnancy The contact scanning method is used. The patient is required to have a full bladder if she is under 14 weeks gestation. The uterus and the cervix are outlined. Then a search is made for the gestation sac or sacs within the uterine cavity if the cyesis is under 10 weeks. Serial longitudinal and transverse scans are carried out to outline the gestation sacs. The fetal echoes within the gestation sac are seen and the fetal heart rate can be detected using the time-position display (TP). The patients that are studied fall into the following groups: (1) patients who are clinically suspected to have multiple pregnancy; (2) patients who have been on ovulation induction therapy; (3) patients with family history of twins; (4) patients with threatened abortion. The diagnosis of multiple pregnancy during the 11th week is equivocal. After the 12th week gestation the diagnosis is made by visualising the fetal head and the maturity is then estimated by measuring the biparietal diameter. Thus fetal growth can be assessed by carrying out serial biparietal diameter estimations.

Type
9. Science For Twins/Twins For Science
Copyright
Copyright © The International Society for Twin Studies 1976

References

REFERENCES

Abdulla, U. 1971. Sonar in very early pregnancy. In Böck, J. and Ossoinig, K. (eds): Ultrasonogra-phia Medica [3, pp. 185192] Vienna: Wiener Medizinische Académie.Google Scholar
Abdulla, U., Campbell, S., Dewhurst, C.J., Talbert, D. Lucas, M., Mullarkey, M. 1971. Effect of diagnostic ultrasound on maternal and fetal chromosomes. Lancet, 2: 829831.Google Scholar
Campbell, S., Newman, G.B. 1971. Growth of the fetal biparietal diameter during normal pregnancy. J. Obstet. Gynaecol. Br. Commonw., 78: 513519.Google Scholar
Donald, I. 1969. Practical Obstetric Problems [4th edition]. London: Lloyd-Luke.Google Scholar
Donald, I., Abdulla, U. 1967. Ultrasonics in obstetrics and gynaecology. Br. J. Radiol., 40: 604611.Google Scholar
Powers, W.F. 1973. Twin pregnancy - Complications and treatment. Obstet. Gynaecol., 42: 795808.Google Scholar
Robertson, J.G. 1964. Twin pregnancy - Influence of early admission on fetal survival. Obstet. Gynaecol., 23: 854860.Google Scholar
Robinson, H.P. 1972. Detection of fetal heart movement in first trimester of pregnancy using pulsed ultrasound. Br. Med. J., 4: 466468.Google Scholar
Robinson, H.P., 1973. Sonar measurement of fetal crown-rump length as means of assessing maturity in first trimester of pregnancy. Br. Med. J., 4: 2831.Google Scholar
Wallace, H.M. 1970. Factors associated with perinatal mortality and morbidity. Clin. Obstet. Gynaecol., 13: 1343.CrossRefGoogle ScholarPubMed