Posted on June 28th, 2017 by wombwithaviewblog.com

Email Your Ultrasound Images!

ultrasound images

3rd Trimester Feet!

Got Some Precious Ultrasound Images?

Okay, so what do all you moms-to-be out there do before Baby gets here? Show off your great ultrasound images, right?!

Well, I’d love to see them, too. Email me those shots near and dear to your heart to wombviewerblog@gmail.com, and show off your little punkin’ to the world at the same time. Baby’s face, profile, 2D, 3D, hands, feet, or even your 4D video clips would all be perfect to post. And if you also have great shots of male or female fetal sex, send those, too!

I’ve personally taken some really great pics over the years. Baby yawning, sticking out the tongue, puckering those lips, and even flipping the bird! Who doesn’t love a cute set of baby toes? How about a ton of hair? If you got it, flaunt it! We moms like to brag on our cute kids, so it may as well start before they even get here.

(Full disclosure! Uploading your images means you consent to my using them for promotion of my blog or future books. As always, I keep your privacy private omitting all identifying info. Can’t wait to see them!)

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Posted on February 8th, 2014 by wombwithaviewblog.com

Most sonographers will print images for you to take home.  How many you get really depends on the person doing your scan and how nice she wants to be (seriously!) and then after that, totally dictated by Baby’s position.  So if Baby doesn’t want to play, we can’t get an image of anything cute whatsoever no matter how nice we are or how hard we try.  Most of the time, if Baby is facing your back, you’re pretty much toast for cute images that day.  Unfortunately, we simply cannot change the properties of physics by which ultrasound works.

If you get lucky and are given lots of pics, you’re probably very familiar with the paper on which the images are printed.  It’s thermal paper, quite thin and easily creases.  I’m sure most patients have found that they do not photocopy very well.  With today’s technology, it’s very easy to share these images with everyone in God’s creation.  Most of you have already figured out that all you have to do is take a photo of the image with your phone in order to save a jpeg.

By the way, DO NOT try to laminate these images!!!

Any of you who have attempted this feat in the past can attest to the fact that this paper will basically disintegrate right before your very eyes!

Gotta love today’s camera-savvy technology 🙂

Happy editing!

 

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Posted on February 6th, 2014 by wombwithaviewblog.com

One of my readers sent me a few images of her baby boys!  Enjoy!  And please share yours, too!

 

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Cute profile!

 

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I love baby feet:)

 

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Thumbs up, dude.

 

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NO paparazzi!

 

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A great profile!  He’s contemplating what he’ll do first today.   Hmm..so many options.

 

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Oh, I think I’ll just nap..

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Posted on December 17th, 2013 by wombwithaviewblog.com

A limited fetal position will cause disappointment every scan when Baby is not in a good position.

We regularly will follow up an anatomy scan that is performed at 18-20wks.  We have a long checklist of fetal detail to document and whatever is not seen the first go ’round will usually warrant a second attempt about a month later.  It’s great if baby is on his/her back and looking up, not so much if he or she is curled up in a ball, facing mom’s back or practicing diving skills in the pike position.  In those cases, parents have a hard time recognizing anything on the monitor because all I’m observing is parts.  This is fine for me because I scan in 3D (mentally) so I know how baby is lying and know what the parts individually look like.  For parents, it’s a bit of a let down, especially if the face wasn’t well seen on the last scan and if they can’t make out the face, it looks like nothing to them.

Think about it – the face is pretty important.  Isn’t that how we greet one another?  We relate to each other by looking at each other’s faces and this is also true during an ultrasound.  When people meet their babies, they want to see his or her face and the profile is the best way to see it.  At this angle, you can see soft tissue features like the nose and lips.  So cute!  From the front, only bony features are seen so it looks a little more skeleton-like…a little scary for most!

Ya know, they all just have their own personalities in and out of the womb.  They are either posing for or hiding from the camera. NO paparazzi, please!

It really stinks to send someone home with only a pic of the foot :/

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Posted on November 26th, 2013 by wombwithaviewblog.com

So, if you all refer to the blog I posted with above said name on November 16, you’ll see a cute little sprout at 12 wks with mom, Jena, pondering my thoughts on a gender guess!  Let’s compare images..was I right?

Jena's Sweet PeaSweet Pea 20wks

Of course, I was!!  Well, okay, it was really less me and the fact that the criteria was correct for a girl guess.  I HAVE seen it wrong ONCE!  So it does have a fairly good rate of accuracy.  Read on for our conversation!
Jena:
Great news!! You were right – It’s a girl!!I was having such bad anxiety and excitement all at the same time that I decided to go get a 3D/4D ultrasound during my lunch break on Monday and it was very clear it was a girl.

Good thing I did it before the thanksgiving holiday because my second appointment got
Rescheduled now for the beginning of December.

We can tell our families at thanksgiving – yay!! I will email you the updated u/s photos as soon as I possibly can.

Go TEAM Pink!

Thank you,

me:
Congrats!! Yes, I’d love to see the images and upload them to the blog!  I hope you will enjoy all those dance recitals as much as I did:)
Jena:
I’m assuming by 20 weeks its very obvious if there’s a predominant penis or vagina, right? I’m just still in shock. It looked very obvious to me to be a vagina. So a very little swollen clitoris and the side lines were very thin.
me:
Sounds like what you are describing matches what we look for in girl parts.  By 20wks, external genitalia is very easily seen providing baby is in a great position!  And, yes, a small scrotal sac and a penis should be easily seen in boys and the labia and clitoris (we can’t see the vagina!) usually look like 3 white dots or lines at that gestational age.  Baby has very little fat in her skin right now so her labia will plump up and she will have much more recognizable girl stuff later!
Jena:
It’s been such a blessing to have crossed paths. I truly LOVE reading your blogs and I would have to agree you capture a readers attention just like Carrie Bradshaw. Lord knows, most girls / women love some good ol’ Sex and the City!
me:
So sweet of you to say and I’m SO happy to help!  And, yes, the image you sent could not look any more girly than it does!!  Congrats again!!!!!!!!

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Posted on November 23rd, 2013 by wombwithaviewblog.com

This one is for sonographers.  I thought initially the patient could read it, also, to understand what it is she should expect from her sonographer.  However, I quickly realized this isn’t something the patient needs to read to understand..it’s something she already expects.  Every patient that walks into your room, regardless of how she reacts to you, EXPECTS to be greeted kindly and with a smile; EXPECTS to be explained in a fully understandable way what kind of examination she can expect to have performed and how it will be performed and whether it will be painful.  She expects conversation..and she deserves it.

Sonographers, you have GOT to get out of the mindset that your only job is to look at that monitor and say nothing else to your patient.  She is human, she has feelings.  Sometimes, she is even scared and anxious about the examination she is going to undergo.  Sometimes, she’s not afraid of the examination but fearful of results.  Sometimes, she’ll even tell you so.  YOU are a provider.  YOU are the master and conductor of the environment in your room at that moment.  You have to remember that the exam you are performing requires “invading” the personal space of another individual and actual contact with that person.  It IS a very personal experience for that patient and, often, a very uncomfortable one.  Your patients are trusting that you will do a good job for them because you are there representing, an extension of, her physician.

You can ask her how she’s feeling today.  If she says ‘Terrible’, you can lend apologies and say you hope her day will be better as soon as this test is over!  Patients often laugh as I’m gelling up the middle finger of a vinyl glove as I slide it down over the vaginal probe.  I always say ‘Gotta have a little comedy in medicine somewhere, right??!’  They’ll ask about your family, pictures, your kids, your experience in your career.  Talking to them during the exam helps most people to just get through it a little more easily.

Don’t be afraid to open a conversation for fear of being asked the question we all cannot answer regarding results.  The best way to respond to this is to simply state ‘Well, my job is to take these measurements and images.  Your doctor will want to examine them along with your other clinical information and then decide how your ultrasound fits into that picture.  Only your doctor has all the pieces of that puzzle!”

For OBs, you just about can’t get through an exam without mom or dad asking ‘Does everything look ok?’  I’ll usually say ‘So far, so good but, you know, your doctor will go over this entire exam with you and you can ask her any questions you have.’  Point out their baby’s parts as you take your images.  Thank the heavens for postprocessing!  You can always go back and focus on things that need special attention after your patient leaves.

On occasion, they’ll say ‘Yeah, but you know what you’re looking at.’  I’ll say ‘Yes, I have to know what I’m seeing to know which measurements to take but it’s your doctor who has to decide what it all means for you.’  Or otherwise explain that her doctor will get a report from the radiologist.  And be knowledgeable regarding how long they’ll have to wait to receive results.  You can bet the farm you’ll get THIS question.

One thing I’ve realized over the years, and anyone who works with the general public would agree, that you can’t make everyone happy all the time.  It’s just impossible.  Some people can’t be made happy.  But when you go out of your way to make conversation with your patient, make her feel comfortable, answer her questions and show her how cute and fat her baby’s cheeks are, it (most of the time) makes for a happier patient.

It feels good to get a warm ‘Thank you’ as you walk your patient out.  If you can send her out with a good chuckle, even better:)

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Posted on March 4th, 2013 by wombwithaviewblog.com

Your’re 12 Weeks pregnant! And so is the uterus below:) Everyone has just worked so hard to get to this point..so much growing and developing! The twins are 12w1d now, fully formed and just have to keep growing from this point.  They really look like babies now and not so much the alien they used to resemble.  Tiny hands and feet are distinctly recognizable now as you can see in the photos below.  Awww!

Some organs can be seen at this point like the stomach as it fills due to baby’s swallowing of the amniotic fluid and the urinary bladder as it becomes more distended due to functioning kidneys.  The stomach and bladder appear as black because fluid shows up black on ultrasound.  The brain can be seen but is still developing at this point and the heart is a beating machine but still too small to see much detail.  All of these things and more will be evaluated around the 18-20wk timeframe or as your doctor orders.

Notice, in the image of the itsy-bitsy bottom of the foot, the scale in centimeters on the right-hand side. The foot measures about 1cm or less than 1/2 an inch right now!

Baby A is showing off today and waving to Mom.  Bye-bye ’til next visit!

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Posted on February 23rd, 2013 by wombwithaviewblog.com

At 11 Weeks pregnant, take a look at what you should expect to see by ultrasound!

 

11 Weeks pregnant

11 Weeks pregnant

So a little more time has passed and we are now about 11wks!  Babies are slightly bigger = about 4.3cm now or almost two inches!  The second trimester starts at 14 Weeks, so the first trimester, thought of as the most crucial one for growth and development, is nearly over.  Babies can be seen doing a lot of quick jerky movements at this point.  They can be quite active and actually mimic little jumping beans in there!  In the second image, you can see little legs quite distinctly.

Until next time!

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Posted on February 17th, 2013 by wombwithaviewblog.com

At 9 Weeks pregnant, these babies have grown a whole centimeter! That’s a little less than 1/2″ for all  you Americans out there reading this. Just a little bigger and still in that very gummy bear-looking stage.   Also, note in the second image that baby is beginning to demonstrate arm and leg buds! This is very exciting:) Roll over the images for a brief explanation of them!

9 Weeks pregnant

 

9 Weeks pregnant

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Posted on August 17th, 2012 by wombwithaviewblog.com

she asked with a condescending tone and a tinge of nasty. Hmm, can I? It’s certainly not required, but most sonographers try to obtain the best ultrasound pictures we can for a patient. When they ask in such a sweet tone (:/), they seem to assume I didn’t try my hardest. This is only slightly irritating.

I am more than capable of taking incredible ultrasound pictures of your baby…if all the stars align. Sometimes, however, the answer to that question is a huge no when all the factors that go into obtaining a good image do not exist. And those conditions are different for each and every scan, regardless of whether it’s the same patient or same pregnancy for a patient.

always tried to give a patient great ultrasound images and would usually give as many images as I could possibly snap. I’ve sent patients out with an au revoir and ten or twenty images when just the right circumstance presented itself. Fortunately for these expectant moms, Baby was showing off, the patient and/or her family were great to work with, and I had plenty of time to play (maybe the next patient cancelled)! I always loved those occasions. However, those three variables change swiftly and drastically like the wind from one patient to the next.

When Ultrasound Pictures Aren’t the Best

Sometimes, the images a patient wants either cannot be obtained at all or appear fuzzy. This can be due to a number of factors.

  • Fetal cooperation IS the name of the game. Without this, cute pics simply are not gonna happen. Especially when baby is facing mom’s back, it then becomes very difficult for me to see the specific organs and structures that I need to document, much less be able to get cute pics for the patient. The prone fetus might look something like this:

 

breech fetus, prone fetus, ultrasound pictures

 

  • Baby needs to be facing upward toward Mom’s belly in order to see the face well. But a few caveats exist. If a nice pocket of fluid is found in front of Baby’s face with no placenta, limbs, or the cord in the way, we can typically get some really great shots of the facial profile. After all, we meet someone’s face, right?! And this is what patients want to see most. Without this shot, the patient usually leaves feeling a little empty-handed. Poo. I hate when this happens. I usually apologize and just say their baby simply did not want to cooperate that day. With Baby looking, a great profile might look something like these:

 

fetal profile, ultrasound pictures

fetal profile, ultrasound, ultrasound pictures

 

If the placenta is anterior (front side of the uterus), Baby’s face is sometimes smushed into it, like a pillow (this usually depends on gestational age and amount of amniotic fluid). Additionally, if the operator is not educated in ultrasound (some 3D businesses) or if the profile is not perfectly optimal, a profile image might look a little freaky and something like this:

ultrasound pictures, fetal profile

Mom worried about this appearance but wrote me later to say her baby’s face looked entirely normal after birth. Yay!

  • Also, the one major thing that can hamper images…extra weight around Mom’s middle. The more tissue the sound waves have to penetrate, the more fuzzy the image will be on the monitor. Thank Ultrasound Physics, but it’s something we can’t change. So, unfortunately, the more a patient weighs, the less likely it will be that good images can be obtained no matter what position baby is in. Same for 3D. We would never advise a patient not to have a 3D scan, but we know (in some circumstances) it simply will not be a great one. All we can do is just try to optimize the images to the best of our ability.

 

I know that some sonographers can be just downright unfriendly in their jobs. Believe me, I’ve worked with some of them! I’ve also had a handful of patients say the same about me. Unfortunately, we won’t ever win over everyone. Sometimes, it’s the sonographer with the attitude…difficult patient load, difficult cases, difficult physicians, little time for play. All these things make it tough for a sonographer to maintain a cheerful disposition and give a patient everything she expects. Are those factors the fault of his/her patients? Absolutely not! Until the patient doesn’t get what she expects…

Sometimes, it’s the patient who brings the attitude. A mix of great expectations versus the impossible mission can create a very unhappy patient. But is this always the fault of the sonographer? Again, absolutely not. We have policies to enforce and limited time. And we just can’t always determine fetal sex – for all the reasons above.

So, at the end of the day, we can jiggle, we can belly-poke, we can roll mom from one side to the other and stand her on her head. Sometimes, those stubborn babies just won’t budge!

“Can’t you get me better pictures?” About twenty times a week, I would just smile, apologize, and regrettably pass to her images of a hand and a foot…and a penis, if she’s lucky!

 

Email me with your comments, questions, stories, and your favorite pics at wombviewerblog@gmail.com!

 

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