Posted on July 6th, 2017 by wombwithaviewblog.com

Gender Determination in an
Ultrasound Report?

I’ve received questions lately regarding where to find fetal sex or gender determination in an ultrasound report. Can you always find this information in a report?
The short answer? No, not always.
Actually, we mostly do not record fetal sex, and it’s mostly not important to your doc. Typically, fetal sex is not pertinent information to the examination. Though parents may desire it, physicians don’t need the gender determination to manage your care and that of your baby if both are healthy. The above is true for most general OB practitioners in the US. However, every physician practices a little differently, and one can certainly dictate if he or she wants this info on all patient reports (if possible to determine). The case may be different if you are seeing a high-risk OB doc, aka a perinatologist. Their reports consist of much greater detail and may possibly include a fetal sex/gender guess.

Example of a Blank Report

gender determination
In the images of a sample report taken from a monitor, you’ll notice there is a whole host of blanks to fill, but fetal sex is not one of them. On the first page where you see Sex: Other, this refers to the patient. Patient demographics were not entered here, so the Sex option defaulted to Other. We always include your LMP or EDC/EDD – aka baby due date. The larger blue space would be filled with fetal measurements, estimates of gestational age, and fetal weight as they are obtained.

OB ultrasound report

OB ultrasound report
In the pages above, you’ll note the list of fetal organs and structures we attempt to document on a mid-pregnancy anatomy screen. We only fill out the section called BPP in the third trimester when your doc orders this particular examination. And the CVP is usually only filled out when performing a Fetal Echo or detailed heart examination.

Exception to the Gender Determination Rule

There always seems to be at least one exception to every rule. Because the responsibility of a sonographer is to search out structural malformations, we also have to report suspicions of abnormal external genitalia. In other circumstances, we may see particular abnormalities that we might group together, as in the case of certain syndromes. Sometimes, knowing fetal sex helps physicians either support or rule out a particular chromosomal or structural problem. Some of these are gender specific. In the pic below, we have a designated space on a Comments page to expound on our findings. We can add fetal sex here if we feel it is pertinent information to the findings.
OB ultrasound report
In some countries, fetal sex is neither reported nor discussed with parents due to the cultural preference of one sex over another. And some facilities are beginning to incorporate policies against providing parents with this news due to litigious reasons. Unfortunately, such is life in the good ol’ US. Facilities want to limit their liability for guessing incorrectly by simply not allowing their sonographers to guess at all.
So, if you don’t want to know your baby’s sex (or even if you do!), don’t expect your ultrasound report to disclose that information. Your sonographer creates the images and report. We only include what we need and leave out anything we don’t!
Best wishes for happy and healthy!

As always, you can email me with your comments and questions
at wombviewerblog@gmail.com.

 

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Posted on July 5th, 2017 by wombwithaviewblog.com

Baby Gender ~
How Do We Know?

 

Determining baby gender by ultrasound is not as easy a task as most think. Actually, gender misconceptions pertaining to ultrasound are so common that I thought it worthy of yet another post.

Making a male vs female determination requires far more expertise than just sticking probe to belly. And babies do not just automatically cooperate! Baby’s legs need to be wide open and other parts cannot be covering over external genitalia. If so, the chances of holding that “reveal” party are slim to none.

Another common misconception is that we can force Baby to move. I promise you that every sonographer on earth would use a magical “make Baby flip” button. A girl can a dream, but I think this technology lies in our distant future. Unfortunately, babies get comfy and only move into another position if they get the urge. And not a moment sooner!

Determining sex accurately is all about angles. Being far enough along with Baby in the right position is only part of the task…when I’m the one scanning, that is! Most of my emails come from people who want a second opinion. However, most of the time, it’s one I cannot give! Either Baby is too early or the image it’s just plain, well…terrible. In these scenarios, the truth is I just can’t comment on what I can’t see.

Most sonographers don’t mind telling you your baby’s sex, by the way! The problem for us comes when we can’t see what our patients want to know. Even if we explain all the reasons, patients sometimes become upset or angry. I have scanned tens of thousands of babies. Anyone who has scanned as much can recognize when gender is obtainable and when it isn’t.

Tips For Your Baby Gender Ultrasound

So, here are a few recommendations for you to follow before your next ultrasound. No guarantees! But if you are busting at the seams to find out what you’re having, these tips just might work!

  • Try eating or drinking something about 30 minutes prior to the exam. Baby typically becomes more active after eating. Now, I’m not condoning a double espresso and Snickers combo (yummy, yes; smart, no). We don’t want your fetus launching into orbit. Instead, try enjoying a hearty and healthy lunch or breakfast prior to your scan.
  • Keep an open mind! Understand that not seeing the sex is definitely a real possibility. Whatever you do, not planning a gender reveal party for the same day is a smart idea.
  • Don’t shoot the messenger! In other words, your sonographer can only tell you what she sees. If that is an uncooperative fetus or if visualization is poor, she may not want to risk a guess. Remember, that you want an accurate guess, not just any guess. Most importantly, an experienced sonographer knows when not to guess. I so hate it for parents when they get excited about one sex, only to discover differently on a future scan!

Believe me! We would love to do our part to help you plan your party, shop for baby clothes, or decorate a nursery. It’s the most fun when we can! And when we cannot, it’s a real bummer – for you, because you leave disappointed and for us, because we’re (sometimes) blamed as the party poopers.

Textbook Baby Gender Images

I’ve posted these before, but below are a couple of really great images of external genitalia, first boy then girl.

male baby gender determination ultrasound

male fetal sex, around 28 Weeks

female baby gender determination ultrasound

female fetal sex, mid-second trimester

Also, if you send an email asking for a second opinion earlier than 18 Weeks, you may receive the links below to other posts containing very easy, no-mistake pics of boys and girls!

Female Gender Scan

16 Week Ultrasound

Boy vs Girl Ultrasound

Twin Gender Ultrasound

3rd Trimester Ultrasound – Male

Thanks for reading!

You can email me with your comments at wombviewerblog@gmail.com!

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ultrasound info!

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Posted on June 23rd, 2017 by wombwithaviewblog.com

Ultrasound Gender Determination ~
Pink or Blue?

 

Ultrasound gender determination can be tricky! Especially too early in pregnancy. Or any time they just won’t cooperate!

gender determination

Female Gender 16 Weeks

male gender, 16 Weeks pregnant

Male Gender 16 Weeks

 

How many times have all you moms out there, young and old, heard the story that goes, “They told her it was a ‘this,’ and they decorated an entire nursery, and it came out a ‘that’! Those ultrasounds are wrong sometimes, ya know!”

A dollar for every one of those comments would buy me my dream cottage on the Amalfi coast! However, I understand why this happens, and sonographers everywhere need to apply more discretion. First of all, you may already know that it’s not the machine that’s wrong. The sonographer or observer scanning you evaluates what she (or he) sees and determines Baby’s sex. The whole process is entirely subjective! And inexperience sometimes causes sonographers to excitedly guess or, otherwise, cave to the pressure from anxious parents. Unfortunately, sometimes guess incorrectly.

Advice Regarding Gender Determination for the New Sonographer

First rule of thumb for any newbie sonographer out there…don’t guess! Don’t put a percentage on your guess, and don’t say “I think.” Also, don’t say “It kinda looks like ‘this,’ but let’s wait until next time.” Parents may want you to guess, but they also want you to be right! Just a word of caution here – some patients may become upset with you if you don’t guess. But if you’ve exhausted your bag of tricks and you still are not sure of what you are seeing, you owe it to the patient to explain this. It’s something you have no control to change, and you would rather they not become attached to the wrong sex. Hopefully, they will understand!

Psychologically and emotionally speaking, most parents start to really become attached to one sex or the other. They begin to envision the first dance recital or baseball game by the time the next ultrasound exam rolls around. On more than a few occasions in my career, someone else guessed incorrectly (usually, too early!), and I had to be the bearer of bad news. After witnessing the affects of “mistaken identity” (shock, anger, tears, sadness, guilt), I adopted a personal policy long ago to only offer a guess when parts were obvious. In other words, Baby had to be in a great position to easily see a penis and scrotum or labia/clitoris. Even though my policy upset a number of my patients in the past, I truly believe refraining from tossing out any old guess is in their best interest and can save them some heartache later.

True Story!

One grandmother, so excited by the doctor’s early guess, flew right out and bought thirty-two dresses! Yep, 32. She did so despite the doc’s warning about his level of confidence and told her to wait for the sonogram with me. Fortunately, he got lucky with his baby girl guess, and grandma was a very happy woman (and a little less rich)! However, you can imagine the disappointment in returning all those frilly frocks if doc was wrong. I always hated giving such news!

Please, all you excited moms-to-be, remember your sonographer doesn’t withhold information about fetal sex just because! We’d actually really rather all our babies cooperate quickly and easily! It’s such a bummer for us both when they won’t. You can’t plan all the fun things you imagined you could. Shopping, party planning… And believe me, I always preferred when my patients left my room hugging me instead of cursing my existence. A magic trick to make Baby flip on command? It’s too bad we aren’t bestowed with super powers upon certification!

 

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Posted on March 13th, 2017 by wombwithaviewblog.com

Fetal Sex Determination

Deciphering fetal sex can be a very difficult job, especially when trying to read an image taken by someone else.  Sometimes, it’s a piece of cake!

So often, when readers send me their images for a second opinion on fetal sex, I just cannot provide a confirmatory guess. This is either due to too early gestational age, too poor an angle, or too poor an image. Sometimes, it is a combo of all three!

Ultrasound is such a different animal because it is nothing like a photograph. In a photo, you can see what’s in the distance or up close to the camera. With ultrasound, we cannot. We can only see exactly what is directly under the probe. It is a 2D (two-dimensional) image only, and we have to move the probe around to obtain different angles to create that “photograph” in our minds. And there are so many variables that go into creating a good ultrasound image.

Since ultrasound is completely subjective and observer-dependent, some sonographers take great images and some…well…don’t. It’s much like comparing a professional photograph to an out-of-focus, too dark, cell phone group portrait where everyone has red or white eyes. You know, the ones you always see posted on social media?

I am too much of a perfectionist. This wasn’t always a good thing when trying to take keepsake photos for patients because it caused me to run late on more than one occasion! And everyone knows people don’t like to wait in a medical office! Factors to take into consideration are maternal and fetal position, angle, magnification, depth, as well as brightness and contrast of the image. It’s a learned skill and some are simply better at it than others. Some just don’t tweak all the knobs as much as they should. Maybe they were never really taught how to do so very well.

A Poor Image Can Limit a Fetal Sex Guess

Some factors that cause a poor image are just beyond a sonographer’s control…like an uncooperative fetus, extra weight around a patient’s abdomen, or a gassy patient. The laws of ultrasound physics dictate that the further sound waves have to travel, the poorer the image. Also, sound does not travel well through air or gas. I’ve scanned heavier patients where I could see pretty well and thinner, gassy patients where I struggled to see at all!

That said, I can tell when someone else’s image is not great or when she didn’t work with all the knobs. This can make reading an image snapped by someone else extraordinarily difficult. One image represents only one angle. Scanning real-time allows me to look from all angles possible, where I can subjectively determine my confidence in fetal sex – or whether a guess is too risky at all.

ALL that said, sometimes taking a second guess is easy-peasy! Check out the email I received from a reader about whether her baby is a male. Her images didn’t leave much of a question in my mind:) She was just over 20 Weeks along. Can you tell what she’s having?

mama: Hello, I’ve been following your blog, and I was wondering if you could take a look at my baby’s scans and give me your opinion on gender. We were told it’s a boy, but I’ve read that girls can have parts that look similar to boys? I agree that it looks like a boy, but wanted a second opinion. Thanks!

male fetal sex

male fetal sex

wwavblogger: LOL No ma’am! Little girls don’t normally look like that at 20 Weeks! I will wager my bet on a baby boy:) Congrats!

mama: Lol! I wasn’t quite sure but I’ve had a feeling it’s a boy from the beginning of the pregnancy!

Reader mom: I forgot to mention in my reply to you that, yes, girls and boys can indeed look similar, but that is truer between the 12-16 Week range when parts are small, just developing, and when combined with other factors that come into play which result in limited visualization!

Did you guess boy? If so, I agree! Compare the images I’ve edited below.

fetal sex, male gender, ultrasound, second trimester, 2nd trimester

 

fetal sex

Even though it would be quite unusual for this to be a baby girl, I’m still always a bit cautious about guessing fetal sex based on someone else’s image. When I’m casting a vote for Team Blue, I like to ensure I see a scrotal sac which requires a slightly lower angle. Sometimes, you can obtain both scrotal sac and penis in the same image, sometimes not. I get a slight impression of a scrotal sac here where I placed the circle. The sac at this age can appear quite small, and testicles are not expected to descend until about 26-28 Weeks. This is why scanning real-time helps; it allows me to see Baby at all angles possible while moving and stretching and opening his legs more.

Stay tuned! My next post will be one where a questionable and poorly technical image comes into play. Mom wrote back saying she delivered the opposite sex. Oops!

Email me at wombviewerblog@gmail.com!

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Posted on May 12th, 2016 by wombwithaviewblog.com

Anatomy Screen Ultrasound Exam: The Breech Fetus

What’s the worst position a fetus can be in if you want to determine fetal sex? You guessed it! Look no further than the image below to answer this question. The breech fetus compromises most of what both you and I want to see.

What You Don’t Want to See

breech fetus

This image is really an example of just how much position plays a part in how well we see. This baby (above) is not only lying in a breech position, or butt-down, but baby is also facing Mom’s back (prone).

The wait for your 20 Week ultrasound exam and whether you’ll be shopping for pink or blue may have you losing sleep! The LAST thing you’ll want to see is your baby looking like the image above. It spells one word…disappointment. If baby stays in this position throughout the examination, the possibility of seeing anything cute is essentially nada.

20wk facial profile

 

Above is an example of baby flipped over and looking up. How much better do you see baby’s face?

Here’s hoping you have more luck than this patient did for her anatomy screen ultrasound exam!

Email me with your questions and comments at wombviewerblog@gmail.com!

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Posted on October 20th, 2015 by wombwithaviewblog.com

The Gender Scan – Determining Fetal Sex

I think most of you reading probably would believe that most of the emails I receive have to do with parents wanting me to confirm fetal sex…sometimes desperately so. And sometimes determining fetal sex is an impossible task during the gender scan.

I try to explain in my replies that my guess is only as good as the images they send me. I don’t believe it is quite understood what I mean when I say that ultrasound is entirely subjective, but the person performing the gender scan has total control over the images obtained. The sonographer creates these images utilizing a number of controls to optimize the image. She also uses her own discretion to determine a good angle with the probe she is holding.

Yes, there is a standard here but I have to brutally honest. Just as people excel in some areas of life and/or profession, some are also bad. There are good docs and bad, good nurses and bad, good cashiers and bad. This is a painfully obvious fact when I open these image attachments! It’s also possible these operators are not formally-educated sonographers at all! Read more here on some elective 3D businesses.

In addition, just one angle is not enough to see well. However, only one angle can be depicted in one image at one time. I wasn’t there during your gender scan, so I don’t know anything about the variables that could have made imaging difficult.

I just know a technically bad image when I see one. Sometimes, I can tell an operator did not take measures to improve the image. In those cases, I can only assume that someone did not know how to use them correctly. If the person scanning you is new to ultrasound or not a real sonographer, the image may not appear optimal to someone who is experienced in sonography.

Great Images for Determining Fetal Sex!

Below are some great images of fetal sex that I’ve taken myself.

female fetal sex, 18 Weeks

The above depicts an underside view of typical-appearing female parts from about 16 – 22 Weeks pregnant. The side arrows point to labia, the middle to the clitoris.

 

gender scan

Female labia in the 3rd Trimester

 

male fetal sex, 28 Weeks

Male genitalia, late 2nd Trimester

 

male fetal sex, 3rd Trimester

The above demonstrates a side view of typical-appearing male parts from about 27 Weeks on.

 

So, all that said, if the image you send is not an optimal one, I may not be able to take a guess on fetal sex. Even if your sonographer felt sure of her guess during the gender scan, I may not feel I can agree based on limitations of the image. That doesn’t mean your sonographer got it wrong, just that I cannot concur with the former guess because the image quality is not there. If I didn’t observe the scan myself, I am unable to see your baby’s parts from many different angles!

Below are the links I typically email on my posts regarding fetal sex:

Early Gender Pictures
Boy Vs Girl
Twin Gender Reveal

Until next time, feel free to reply, comment or email with your questions at wombviewerblog@gmail.com! You can also subscribe to the right:)

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Posted on February 25th, 2015 by wombwithaviewblog.com

I can scan them all day long but, I can promise you, no woman in this world would want me at home plate wearing the catcher’s mitt. That being said, MOST docs (granted, not all) do not make the best sonographers.

Some docs try to scan a little more than others and feel comfortable in some aspects of the modality.  At the end of the day, however, most call on their sonographers for reliable ultrasound information. Unless they are perinatologists (high-risk OB docs), most obstetricians are not vastly trained on the equipment to the extent of an experienced sonographer nor do they know how to obtain particular images. We have an aviator’s panel of knobs and buttons that help us in obtaining quality ultrasound images.

Read an email below from a reader who was scanned by her doctor as he attempted to determine gender:

mama-to-be: First of all, I love your blog. It took me forever to find it! I am a mother of three and expecting. I have two boys and one girl. I went in for my 17 week u/s scan just to make sure I was not further along. My doctor said that by how the baby was positioned, he could “guess” 80% that it was a BOY. But it could also be the umbilical cord that’s in the way. Baby was giving us his back at all times and my question to you is, based on these u/s pictures, can you tell gender?????!!!

one doc's images one doc's images

wwavb:  Thanks for reading and I’m so happy you are enjoying my blog! I hope you’ll subscribe for future posts. First, if you do a search for gender determination on my site, you’ll find several topics on the subject…especially ones that say if the image isn’t a good one, I can’t tell a thing. I am sorry to say these images for gender certainly fall into that category! Physicians are not always the best sonographers, so don’t go painting blue yet. And I can provide that advice with 100% confidence!

Please feel free to send me images again later in the pregnancy if they are able to get a great potty shot.  I’m sorry I couldn’t help you more!

Best wishes,
wwavblogger, RDMS

***

I really hate it when I can’t help someone who has taken the time to write me for my opinion but, holy cow, let me count the ways in which these images stink. Any seasoned OB sonographer reading this is laughing hysterically. Oh, well, we’ll give her doc a C for effort, but I am 100% confident that he should never be 80% confident about his scanning abilities and 100% confident that she should not paint her nursery in blue whales and sailboats just yet. I’m also 100% confident that he has a good 50% shot at being correct:)

I always joke with my doctors and tell them not to get too good at ultrasound because I need my job. Make no mistake about it, I sure can’t do theirs. And with images like the ones above, we’re talking serious job security for good sonographers everywhere!

 

Comments: 2 Comments »

Posted on January 24th, 2015 by wombwithaviewblog.com

I’ve written it a hundred times..or seems like it! Someone sends me an image and wants to know if I can confirm gender. Sometimes I can tell, sometimes it’s clear as mud. I usually have to write back and give my spiel about unclear gender on ultrasound and how, because I wasn’t the one who scanned, I can’t see the whole uterus. Some images are just bad!

In ultrasound, we have either images that are beautiful which belong in a textbook and anyone with an eye for the modality can tell you what is pictured. Then there are terrible images where we just shrug our shoulders and wonder what someone was thinking when she snapped the image.

I’ll share this email from a reader and her image and attempt to give you an example here of clear vs not.

unsure mama:  Hello! I’m on my 4th pregnancy and my first 3 were clear as day regarding genders, all done after 20 weeks. But this one, however, my sonographer seemed like she was struggling to get a potty shot. I’m not sure of real fetal age due to bleeding the entire time until 14 weeks. My sonographer said the baby was breech and sunny side up? Baby was also measuring at 17weeks 4days. She hesitated but then said girl. I didn’t ask questions but I didn’t see lines or a turtle. Here’s the pic she gave me. What would you say? Any information will be greatly appreciated. I have one girl who is oldest and two sons.

image

wwavblogger:  Thanks for reading and I hope you’ll subscribe! So, like I typically say, if it’s not a perfect picture, I just can’t sign off on gender. That being said, it could very well be a girl and this just isn’t a great image. It looks like the view is one of baby crawling away from you, if you can put your imagination to work. Right above the arrow is where you would see the 3 dots, however, the dots can blur together if the image is not entirely clear.

I’ll include a link below where I show a baby girl in a similar position, just a little more to the side. Idea is the same. This one is clear and you can clearly see 3 dots here. You can also compare it to the twin brother shot in the same post, too!

http://wombwithaviewblog.com/twin-gender-update/

I don’t see obvious boy stuff hanging down like I would expect to see here!

Good Luck!
wwavblogger

***

So, girl? Maybe! Boy? Sure can’t say it’s not!

My image in the link above that I sent her of girly parts you’ll find below. Which can you see better?

female gender

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Posted on August 12th, 2014 by wombwithaviewblog.com

On July 25 I posted images of twin gender at 16+wks, one a boy and one a girl! A confident guess. Babies are 18+ Weeks now…and still looking the same. Enjoy!

 

SONY DSC

This, of course, is a side-by-side of each baby with Baby Boy on the left and Baby Girl on the right.  It’s an underneath view so all we are seeing are babies’ butts and legs to the knees essentially.  All parts labeled for better understanding.  The “three white lines” for the baby girl are a little harder to see in this image but you’ll see it more clearly in the one of her below.

 

SONY DSC

This is the same view and very obviously a proud baby boy!

 

SONY DSC

You can see how much different this baby girl looks compared to her brother.  No wee wee here!

 

These are GREAT images of gender, people!  Clear potty shot and no question..just how I like to scan them! Below is the link for the first images at 16+wks.

http://www.wombwithaviewblog.com/boy-girl/

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Posted on July 30th, 2014 by wombwithaviewblog.com

Male Gender on Ultrasound

What should you expect to see?

You’ll need to look no further than the photos I have for you below — two great images of male gender! This baby was about 19 Weeks and (no pun intended), boy, was he proud! See below:

male gender, 19 Weeks pregnant

 

The image above represents a bottom view if you imagine Baby sitting on a glass table as you look up from underneath. I have all the parts labeled for you. The arrows, of course, point to the wee-wee (my technical term). This pic is about as straightforward a potty shot as you will find.  No guesswork, all boy!

male gender, 19 Weeks pregnant

 

Now this is a side view of Baby. You can’t see his head in this picture which would be off to the left-hand side. Again, I’ve  labeled all the parts so you, hopefully, understand what you are seeing. This time it’s the legs which do not make an appearance here. Not to be graphic but for demonstrative purposes, imagine slicing the body in half lengthwise; this is the view we have right down the middle of the torso.

male gender, 19 Weeks pregnant

 

The penis and scrotal sac from the side resemble a turtle sticking out of his shell.  If you can appreciate the tiny dotted line, you will see it is drawn around the “turtle.”

You can see how parts look different from different angles.  These depict super great images of baby boy stuff…no question, no nonsense, no guessing. Just all boy! Now this is  what I like to see when making a guess!

Compare to the pics in the links below for other great fetal sex images!

http://wombwithaviewblog.com/female-gender-on-ultrasound-2/

http://wombwithaviewblog.com/boy-girl/

http://wombwithaviewblog.com/boy-vs-girl/

http://wombwithaviewblog.com/twin-gender-update/

http://wombwithaviewblog.com/third-trimester-male-gender/

Best wishes for a healthy baby on your next scan!

Also, you can email me at wombviewerblog@gmail.com!

 

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Posted on July 25th, 2014 by wombwithaviewblog.com

Male and Female Gender Ultrasound Pics!

Okay now, readers, this is a perfect example of how we can sometimes determine gender at less than 17 Weeks! The images below represent twins and their perfect images of male and female gender! It just doesn’t get better than this.

These babies dated at 16w4d and depict textbook images for boy and girl fetal sex. They make a perfect side-by-side comparison!

These were very easy potty shots. We’ve just gotta love it when not just one baby cooperates but two in the same belly. These babies hardly made me break a sweat. I’ve even labeled their parts for you. So, hopefully, they make for easy reading for you. Check them out below.

Baby girl, on the left, is showing off only her bottom. Imagine her feet pulled up over her head. Flexible little things, aren’t they?

male and female gender ultrasound, 16 Weeks pregnant

Female, left and Male, right – Twins, 16 Weeks

male and female gender ultrasound, 16 Weeks pregnant

Baby boy, on the right, is showing off his thighs and bottom.

Unfortunately, not all babies cooperate like these. Some babies don’t want to show off the goods, and there’s little we can do to make them move. I know we sure would have many more happy mamas out there if we could!

More Links for Male and Female Gender
Ultrasound Pics

http://wombwithaviewblog.com/female-gender-on-ultrasound-2/

http://wombwithaviewblog.com/boy-girl/

http://wombwithaviewblog.com/boy-vs-girl/

http://wombwithaviewblog.com/twin-gender-update/

http://wombwithaviewblog.com/third-trimester-male-gender/

Happy fun comparing these images to your own!

Email me at wombviewerblog@gmail.com with any questions. 🙂

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subscribe here!

 

 

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Posted on July 11th, 2014 by wombwithaviewblog.com

Is Unknown Gender Still a Secret…

If your mother-in-law thinks she can read your images?

We all know that our family and friends can be quite nosy, opinionated, and even rude when it comes to all things pregnancy-related. After all, they’ve been there and done that, and they know better than you. This is your first rodeo, and you know absolutely nothing. Sound familiar?

In the course of conversation during a scan, especially with my weekly patients, we glide from the political correctness and appropriate medical office pleasantries to cutting up about life happenings. My patients take this opportunity sometimes to vent about just such personal offenses. One of my readers recently did the same! Read on about her dilemma…

irritated mama:  Hello! Firstly, I would like to say what a great blog you have, and I’ve really enjoyed reading it. Secondly, I’m wondering if you can take a look at my scan pic from my 20 Week scan. I’m now 25 Weeks. We didn’t find out the gender as my husband didn’t want to, but his family is convinced it’s a boy from the scan pic. They are even calling it a “he” which is quite annoying. I’m just wondering if there is anything on this scan pic that confirms the gender? Obviously, we didn’t get a potty shot. I hope you can help. Thanks!

unknown gender, 20 Weeks pregnant

 

wwavb:  This email cracks me up! You are not the first to be annoyed by in-laws who think they are ultrasound aficionados! Everyone is suddenly an expert. You’ll be happy to know gender is nowhere to be found on this image! It’s a great side shot of Baby, but when you get down to baby’s bottom, part of the hip/leg is pictured. So, it’s not a side shot between the legs. Now you can tell your in-laws to mind their own biz!

Best Wishes!
wwavblogger, RDMS

irritated mama:  Brilliant, thank you. That settles it, and I will tell them just that. Haha!

***

So just know, all you pregnant moms out there with in-laws who are driving you to drink…first, I can’t condone escaping your in-laws with wine in your delicate condition. Second, you have to stick up for yourself! There are nice ways to say anything. So, next time your mother-in-law (who doesn’t know what a femur is) attempts to read into your ultrasound image, kindly thank her for her oh-so-professional interpretation, and ask her if she’d like to deliver her grandchild while she’s at it.🤣

Yes, I am a smartass at times, but I blame my brother — the ultimate King of Smartassness, one-liners, and wisecracks. It’s a crown he wears proudly.

You can email me at wombviewerblog@gmail.com with any ultrasound questions you have!

Interested in subscribing? You can do that here🙂

Thanks for reading!

 

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Posted on July 4th, 2014 by wombwithaviewblog.com

Early gender pics can be deceiving. Many of you who want to know your Baby’s sex as early as possible with ultrasound may be tempted to believe the tempting promises of your street corner 3D ultrasound business. Before you pay your money to one of these places, I encourage you to first read the above link!

The early fetal parts of external genitalia look nothing like they do later on, just as an embryo doesn’t look like a baby or an embryonic chick look like a chicken! It’s also the  reason we do not perform the screening of anatomy until 18 Weeks. Structures like the brain are ever-changing until about that time. Even at 17 Weeks, the brain looks a little different. The same applies to external genitalia – later is most always better.

Because these parts are just starting to develop at 12 Weeks, boys and girls can look alike. Over the next month, your baby’s external genitalia are still developing and changing in appearance. That is to say, boy tissue starts to get bigger and girl parts shrink. Eventually, the scrotal sac and penis take a more recognizable shape, and the labia and clitoris take on the appearance of three tiny white dots or lines. Fetal boy parts can appear different from other boys, just as girls can appear different from other girls. We’re all different!

Please take my word for it. Any guess at 12 – 14 Weeks is simply a guess. You may as well flip a coin. At 15 – 16 Weeks, it’s still a guess. Now, have I guessed gender at 16 Weeks? Definitely! But it had to be someone I was scanning personally, baby had to be lying butt-up in a perfect position with legs wide open, and I had to have a clear image otherwise. There are many factors that play into how well we can see at any point in a pregnancy. It just all has to be textbook perfect and not every patient/fetus is a textbook scan. I might feel confident enough to provide a second opinion of your baby’s gender if you are 17 Weeks with a perfect potty shot!

Links for Great Images of Fetal Sex/Gender

http://wombwithaviewblog.com/female-gender-on-ultrasound-2/
http://wombwithaviewblog.com/boy-girl/
http://wombwithaviewblog.com/boy-vs-girl/
http://wombwithaviewblog.com/twin-gender-update/
http://wombwithaviewblog.com/third-trimester-male-gender/

The Nub Theory and Genetic Testing

Even if the parts appear very straight-forward based on the nub theory, it’s only a theory and only about 73% accurate. That’s a lot of room for error. So, just because a girl might look like a girl based on the nub, don’t be surprised to find a penis at your anatomy screen! Only genetic tests like first-trimester blood tests for DNA or amniocentesis are 99+% accurate for fetal sex.

***

All that said, you are welcome to email me with questions at any time in your pregnancy. However, sending me pics with a request for gender confirmation earlier than 17 Weeks will probably get an “it’s just too early” response. As much as I would love to, I just can’t provide you with helpful information in most of those cases. I can never be more confident than the person who scanned you! Especially if your sonographer said she couldn’t get a great shot, I likely won’t be able to tell, either.

If you’re greater than 17 Weeks and your sonographer has given you a potty shot where she’s annotated boy or girl, subscribe and email me your pic. I’ll be happy to try and provide a second opinion!

Good luck at your next scan!

Comments: No Comments »

Posted on June 15th, 2014 by wombwithaviewblog.com

First, I’d like to extend a huge congratulations to a reader who recently delivered!👶 I love answering your ultrasound questions. I love it more when I actually help a reader. This is what she had to say…

Hi! I hope you had a lovely time on your holidays. Just had to say I had a little boy at 38+5, and he was a MASSIVE 8lb 7oz :)  Not half as bad as I imagined. Many thanks for your help to me!

Feedback and Your Ultrasound Questions…

I’m always excited to get your feedback! The whole point of my blog is to answer questions you have about ultrasound accurately. Considering the vast forums on pregnancy where everyone chimes in on their personal experiences, taking to heart unreliable information has the potential to do harm to you or your baby. Everyone is an expert; everyone has an opinion. Though I believe most genuinely care and try to help, I have found much about ultrasound to be misleading or incorrect in some way.

I have loved breaking the news to expectant parents about whether they would be shopping for pink or blue! And I’ll still be happy to try to decipher someone else’s images for my readers. In my effort to bring to you factual and truthful information about your ultrasound examinations, part of that truth is doing my best to help you understand your exam. Ultrasound will always be, first and foremost, a medical examination of mother and child. Your sonographer needs enough quiet and concentration to ensure your baby appears healthy! Afterwards, break out the party hats, and let’s have some fun!🎉 Of course, the level of fun completely depends on how photogenic your new addition is feeling that day. Poo, sometimes, it just isn’t what you expected, even when you lost sleep in anticipation😫

That said, the highlight of many workdays revolved around very happy couples who were mindful of why they were there, so happy to be expecting, and loaded with ultrasound questions! I love to impart  ultrasound knowledge to anyone willing to learn it. If I could also deliver a few awesome keepsake images of their future addition and enjoy a few laughs in the process, all the better. I still feel honored to have been a third objective party who was privileged to orchestrate it all!

Best wishes for a beautiful experience!

Email wombviewerblog@gmail.com with your comments, questions, pics and suggestions!

I’ll do my best to answer them for you!

 

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Posted on May 10th, 2014 by wombwithaviewblog.com

Another Male Fetal Gender Pic

It’s a Boy! Male fetal gender on ultrasound is pretty obvious here, wouldn’t you say? Little boys are an easy guess when they pose like this! Not much question here. I love it when your babies cooperate!

male fetal gender, 20 Weeks pregnant

 

This baby was about 20 Weeks. He was positioned perfectly to obtain a great underside view with part of his thighs in the pic. We’re not really seeing Baby’s butt here. Can you guess what the small black oval is just behind the scrotal sac? If you guessed his bladder, you’d be perfectly correct:)

How about more great images of fetal sex? Check out the links below for male and female images:

http://wombwithaviewblog.com/female-gender-on-ultrasound-2/

http://wombwithaviewblog.com/boy-girl/

http://wombwithaviewblog.com/boy-vs-girl/

http://wombwithaviewblog.com/twin-gender-update/

http://wombwithaviewblog.com/third-trimester-male-gender/

You can email wombviewerblog@gmail.com any time!

Comments: No Comments »

Posted on May 8th, 2014 by wombwithaviewblog.com

I LOVE IT!  What a breath of fresh air I received from a reader – someone who actually wants to avoid fetal sex determination! Now, don’t get me wrong. Though I held off on the potty shot for my first, I was a full-time certified sonographer working several years by the time the second came along. I personally couldn’t wait to see for myself. I even scanned myself in the process (we all do this, by the way)!

This post comes from someone who definitely fits into Club Minority. She wanted to wait for The Stork, but that was just not good enough for everyone else in her family!

distressed mama:  Hello, I’ve really enjoyed reading your blog. From everyone’s posts, I can see that I am in the minority — my husband and I want to be surprised with the sex of the baby on the day I deliver.
We got the anatomy scan a few weeks ago, and the tech was very respectful of our wishes. She didn’t reveal the sex to us, and we left with the attached pictures.
We sent my sister the top picture in a text message. Upon seeing it, she immediately said, “I think I know what it is…,” and blurted out her guess. That really bothers me because it seems that the rest of my family believes her and is taking her opinion as fact. I still don’t want to find out, but I don’t want anyone else to be so certain that they know, either!
Based upon the first picture in the set of 3 I’m sending, is the sex of the baby obvious to you? I figure that if you can’t tell, then my sister who is NOT a trained ultrasound tech can’t tell, either!
Thanks for your blog, it’s always fun to hear what you think about these ultrasounds from “the other side” of the wand!
fetal sex determination

wwavblogger:  I LOVE IT!!  First things first. Absolutely, positively NO genitalia in that shot whatsoever! The black oval in the pelvis is baby’s bladder and I’m guessing she thinks she sees something just above that which is a very small section of umbilical cord at abdominal insertion. Either way, you are totally correct in that if I can’t see parts, neither can anyone else! Tell your fam they have a 50/50 shot at guessing;)

***

Everyone the expert, right? And, yes, the desire is overwhelming for patients to know gender as soon as the pee stick shows +. However, sometimes the desire comes more from the family than the patient!

From the other side of the wand, I can tell you people often believe what they want to see, not what’s really there. Distressed Mom, be sure to let us know what The Stork drops at your door!
Thanks for reading!
Have a similar story? Do you desperately want a surprise?
Is your family driving you nuts with constant harrassment to find out?
If so, email me with your experience at wombviewerblog@gmail.com!

For your most reliable ultrasound information, subscribe here.

 

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Posted on April 26th, 2014 by wombwithaviewblog.com

14 Weeks Gender & the Too-Early Guess

Read below for some props (thanks!) and a question about 14 Weeks gender from a new reader and subscriber:

First Email

reader:  Hi! I’m expecting my third little one in October. Before I ask my question, I just wanted to say that I’ve been reading your blog for the past 3 hours while my kids are down for a nap. I love it! I went for a private 3D ultrasound on Monday, and he said it was a girl! We are so excited because we have two little boys already. I’ve heard so many horror stories since I had it done, and I’m terrified he was wrong. I clearly see ‘three lines’, but I’m no ultrasound technologist. What do you think? Thanks in advance! I’ve already subscribed, and I’m excited for more!

14 Weeks pregnant, 14 Weeks gender, too-early gender guess

14 Weeks gender, 14 Weeks pregnant, too-early gender guess

wwavb:  Hi! First, let me say thanks so much for reading and subscribing. I’m so happy you are enjoying my (sometimes) sense of humor. I really am very honored that you spent three hours of your own personal quality time reading my stuff! Very cool.

So, I am going to guess that you are maybe 14 Weeks? 15? Please write back and let me know. Maybe you have already come across some of my posts. You may already be familiar with my opinion of these ultrasound drive-thrus! Baby looks a bit small in these images, like you may be a little early to determine gender.

If you are less than 18-20 Weeks, wait to paint! This is really the best time (and later) to determine gender, and those images are not proof enough to me to paint pink just yet. Please know I am not telling you he’s wrong, I just cannot concur based on these images.

Second Email

reader:  You’ve guessed correctly! I was 14 Weeks in this ultrasound and did, in fact, read your posts about the drive-thrus. I must say, if I’d had know your opinion before, I probably would’ve waited. He told me he was 75% sure it was a girl and to come back in two weeks for another look for free. I’m definitely not convinced that it is a girl, nor have I bought anything pink. I do hope that it is, though! Thanks for your input!

wwavb:  I hope so, too! Pink is so much fun to buy, and you could use some estrogen in your family! Feel free to email me again when you go back and then again when you go for your diagnostic anatomy screen at 18-20 Weeks. 😉 I’d love to tell you pink, too. Thanks again for reading.

***
To anyone who is reading now or in the future, don’t let anyone take your money to guess gender at 14 Weeks. It truly is a guess, and anyone has a 50/50 shot without looking at all, right?! Please be sure to read my post above on non-medical, elective ultrasound businesses. It’s so important all moms are educated on the safety issues regarding some of them.
My best advice is to wait to buy pink or blue and wait to paint. Also, (by all means) ensure you have a real ultrasound professional scanning you.
Have a great day!
Be sure to email your questions, stories, or pics to wombviewerblog@gmail.com!

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Posted on April 22nd, 2014 by wombwithaviewblog.com

Mistaken Fetal Gender Guesses

It’s possible. We’ve all heard a story or two, right? Being too early in gestational age is one way to ensure mistaken fetal gender guesses. Baby insisting on keeping still in a difficult position doesn’t help, either. There’s more at stake here than just being “wrong.” Parents start to identify with being a mom or dad to a new baby girl as soon as you speak the words. Thoughts jumpstart to dance recitals and her wedding day. Dads immediately daydream of the fishing partner they always wanted, or they run out to buy his first tiny baseball glove.

These are strong emotional ties that often get broken when someone casually throws out the gender card on ultrasound. Beyond the need to return some beloved items, comes the sometimes feelings of guilt or loss when the true gender is identified.

How “Mistaken Identity” Affected One Mom:

reader:   This is my second pregnancy and I am 18 Weeks. At my 20 Week ultrasound of my first pregnancy, I was told by the head ultrasound doctor (radiologist?) that it was definitely a girl, and I picked out a girl’s name. I ended up going into labor early at 30 weeks.

At the hospital while an ultrasound was being done, I kept asking if she was ok. The poor tech said, “Why do you keep saying she? Were you told it was a girl?” We said yes. She said, “Well, I see a scrotum. I’m going to get the Dr.” So, it turns out we were the first time this head doctor ever got it wrong, and now we are legend at his hospital.

We were already calling the baby by the girl’s name we picked, and I had a really hard time with the news. The only way I can describe it is like I had to grieve this little girl I had in my head that was suddenly gone. I wouldn’t change a thing about the amazing toddler boy I have now. But at the time, I was a wreck. Needless to say, I don’t want to go through that again. I was told today that the baby is a girl (again), and it is hard for me to believe. So, I just want to see what you think!

18 Weeks pregnant, female gender, mistaken fetal gender

 

wwavblogger:  Wow! Your story is EXACTLY the reason I implore sonographers to give careful and cautious consideration when determining gender!

I learned many years ago that even if I say I am not sure but give a “possibly,” parents are already thinking ballet slippers and pink tutus or sailboats and whales! It’s so true.  It’s just an emotional attachment you begin to develop as soon as an inkling of pink or blue is mentioned.

 Now, not having scanned you real-time myself, looking at one single image can be tricky. By this image only, it looks like dance recitals may be in your future! It does appear like the typical three lines we see in a baby girl. Just know that I can’t guarantee it, though! PLEASE, send me another image of gender every time you have another scan in this pregnancy, especially since she already has the perfect name!
***
Did you or someone you know experience a case of mistaken identity by ultrasound?
If so, feel free to email all about it at wombviewerblog@gmail.com!

Comments: 5 Comments »

Posted on April 11th, 2014 by wombwithaviewblog.com

Wanna See Perfect Male and Female
Ultrasound Images?

 

Look no further!

Here I’ll clarify what constitutes GOOD male and female ultrasound images. If you guys read my blog on a regular basis, you already know how many emails I receive from parents wanting a second opinion on gender images only to get a “huh?” out of me.

Most of the time, their sonographer gave the nod for male or female only to follow that up with an ultrasound image which looks like a snowstorm with a ? in the middle. I’m afraid it’s just not quite the validation I can support!

I’ve posted other great male and female ultrasound images and gender shots throughout the site, but let me add a couple more.

A Beyond-Perfect Male Gender Pic

male and female ultrasound images, male gender, 20 Weeks pregnant

Hello! Any guesses? I’ll give you only one, but I think you won’t need more than that. 🙂 THIS is the boy shot patient’s want to see. This is the holy-cow-look-at-that-wee-wee or he-is-so-proud shot we always try to obtain.

I’ve labeled the parts, but I you probably don’t need that assistance, either. Is there REALLY any question in anyone’s mind here? I didn’t think so. This baby boy is about 2o Weeks in the photo you see here.

 

Perfect Female Gender Pics

Second Trimester

22 Weeks female gender, male and female gender ultrasound images

Anybody not see three lines here? There’s a little dotted circle around the labia and clitoris in the middle depicting the three lines you hear most about. So. Girly. Enough said.

This little Sweet Pea is 22 Weeks here. She really didn’t want to move her legs for us initially, but I could still see well enough to reconfirm Team Pink for this couple!

Third Trimester

And this one I’ve posted before! The female labia are much more plump closer to that due date! This baby girl was about 38 Weeks here and probably THE most clear female gender image I’ve ever obtained.

38 Weeks female gender, male and female gender ultrasound images

 

See the difference?! I never like to guess gender, and these images leave no room for guessing. I love it!

Even the most ultrasound-challenged won’t argue with these textbook images of fetal genitalia.  In my room, it has to be unequivocally wee wee or three lines/labia or you get the dreaded “I’m sorry but I just can’t tell today!”

Do you have great images of male and female gender you’d like to share?
Perfect!

Email them to me at wombviewerblog@gmail.com!

 

Comments: 3 Comments »

Posted on April 8th, 2014 by wombwithaviewblog.com

Terrible images of fetal sex like these kill me. First, I know they could be as easily wrong as right. In other words, the best rate for accuracy for this particular guess is 50% – as good as a coin flip but cheaper! Second, these moms get so excited for what they’re told. It’s just not right!

I still can’t believe some of the emails I receive from expectant parents who’ve been promised the gender-equivalent of the moon and stars based on crappy images…and I don’t mean a little crappy. Who taught these people to scan? Hmm, maybe they weren’t taught? Read more on elective ultrasound businesses here; they’re not required to hire real sonographers. Moreover, most moms are WAY too early in their pregnancies to make such big commitments regarding Baby’s sex.

Read below an email from a reader who has experienced this very situation:

reader:  Hi! I just found your site, and I love it! I was hoping that you could just reassure me that what we are having is a little girl? My ultrasound tech said that he was 100% sure it’s a girl because there were definitely no boy parts. But I just wanted a second opinion! Thank you so much!

15 Week gender 15 week gender

 

All the Reasons Why This 15 Week Gender Guess is Just Bad

No sonographer with any level of adequate experience, especially those who specialize in OB, would ever dare to label this a girl OR a boy, much less to seal it with a “100%.” We all know that a lack of seeing anything that looks like a penis can hardly be declared a girl. Furthermore, with a bit of a projection between the legs here, wouldn’t you think he would err on the side of male? Regardless, of all the images I would dare tack a label of 100% to, these fall super short.

All I could advise is that she not paint a nursery based on these images! And I would be leery of any sonographer who calls anything 100%. The first cardinal rule of ultrasound is that nothing in medicine is ever 100%. It makes me crazy when patients are given images like this and told it’s a definite. This is precisely how mistakes with gender determination are made.

 I didn’t want to burst her bubble, and I couldn’t guarantee that her baby wasn’t a girl. Simply put, I wanted her to know that determining girl by those images alone was impossible. I did not see  her scan live, however, these images are not textbook images for girly parts at any age.
I can’t teach the world to scan. But maybe I can nip some mistakes in the bud…one crappy disheartening image at a time. Once again, my goal is to educate and inform!
You can email me with your stories here!

Comments: No Comments »

Posted on April 2nd, 2014 by wombwithaviewblog.com

..This is how you know you should NOT begin decorating Baby’s room after your ultrasound.. If your sonographer can’t decide whether you are having a boy or a girl like your 3-year-old can’t choose between strawberry jam or grape jelly for a pb&j, DON’T PAINT YOUR NURSERY! (No contest..grape, definitely, grape.)

Read on from a patient who experienced just this scenario:

reader:  Here is my 17 week ultrasound. The tech went back and forth between boy and girl and finally decided on boy after 10 minutes. She was also still in training. What do you think? Oh and the cord was between the legs. I’m so confused by this image. I go back tomorrow to look again. I love ur blog by the way!

unnamed

wwavb:  Oh, wow.  I see why you have to go back! lol There truly is no way to tell from that image what you are having…I can see legs. And I’m doubting tomorrow is going to be any better – because you’re still early and the student in training is still learning. She shouldn’t guess but, instead, have someone with more experience come in for a peek.

Tidbit of advice…even if she guesses, hold off on that favorite paint color! Feel free to send me another image tomorrow, but, hopefully, you’ll have someone more experienced?? If she is training, there should be someone with more experience there supervising her! Ask for that person.

Thank you so much for reading and subscribing to my blog! I hope you find it fun and informative and thanks for emailing me:) Please pass it along to all your expectant friends and fam!

Wishing you a healthy fetus,
wwavblogger

***

Comments: No Comments »

Posted on January 21st, 2014 by wombwithaviewblog.com

Ah, the anatomy screen ultrasound.

Better known to many as “the scan where I can tell the gender!” Many of you moms out there may already know determining boy or girl is not the purpose of the scan but rather a sometimes side-perk. This post is dedicated to the routine or Level 1 anatomy screen and what we look to document on it.

When Is It Performed?

The anatomy scan is routinely ordered by your doctor to be performed between approximately 18 – 20 Weeks of pregnancy. We can perform this scan a little later as long as your doc gives the okay but, typically, not earlier. Those who are antsy to find out their baby’s gender will usually ask to have the anatomy screen earlier, but your doc will likely not sign off on that one. The reason for waiting is that Baby and his/her organs need to be large enough to be able to evaluate them well. We already prepare ourselves to battle Baby’s position. Along with the other limitations of ultrasound, scanning too early just adds another and defeats the purpose. And if Mom has extra weight around the middle, the screen will sometimes be pushed back a little further. We can see a little better with a little bigger baby.

What’s the Purpose?

This exam is ordered to rule out structural malformations on Baby. We want to ensure that all Baby’s parts exist where we expect them and are functioning properly. Diagnosing serious problems in advance is the real purpose of ultrasound. Physicians can then prepare a plan for management for mother and baby and assist in providing the parents and family all the education and counseling needed.

Even if you elected to have genetic testing early on, it can’t detect some abnormalities, like a heart problem, for example. Additionally, some chromosomal problems are not obvious on ultrasound. Unfortunately, no test can detect every problem which is why you are offered different types of testing.

If your pregnancy is high-risk to start or if a problem is detected, your doctor may elect to send you to MFM (Maternal Fetal Medicine) for a Level II anatomy screen. This just means the sonographer evaluates a few more structures and takes a few extra measurements. The perinatologist, or high-risk OB doc, reads the scan and forwards a report to your general OB doc.

It’s true that we may detect findings which require follow-up and end up resulting in no problem. Thank goodness! You may feel like you ended up worrying for nothing. However, if a serious problem was found, you’d probably be happy you knew about it in advance. Special circumstances require life-saving surgery for Baby immediately after birth or require special NICU accommodations that your local hospital may not offer.

True story!

My co-worker and partner in crime in ultrasound (of all people!) discovered her child had a heart condition, a very rare one at that. Instead of four chambers, he had two. She had innumerable tests prior to delivery by MFM and a perinatal cardiologist. They needed to make every effort to determine the extent of his problem before he was born. Even though one of our local hospitals had a NICU, it wasn’t equipped to manage his severe heart defect. Moreover, she could not deliver him vaginally because it put too much stress on his heart. She had to deliver him out of state, and he required surgery immediately after birth. He did great! Thanks to the incredible and extensive knowledge of some very dedicated neonatal cardiologists!

Do I Have to Have It?

Absolutely not. As a patient, you have the right to decline any test. I’ll advise, however, that you discuss this option with your healthcare provider first. You need to communicate with your physician the reasons for your decision so that she/he can counsel you on what declining means for you and Baby. Your doc will also want the opportunity to clear up any misconceptions you might have about the technology.

If one of your reasons is because you believe ultrasound is radiation, you’re in luck!

Ultrasound is not radiation!

You can click on the link above to read more details about this factual bit of ultrasound info. In fact, please do!

What Things Do You Document?

We have a long list of structures to document on your anatomy screen. Some of the things we look for on this scan are as follows:

Cervical length – we measure the length of your cervix.

Placenta – we evaluate its shape and features and tell your doctor where it is located.

Amniotic fluid – we tell your doctor if the general amount of your fluid is normal.

We measure your baby as shown below. However, please note the images were all taken at different gestational ages!

The head from side to side (BPD or biparietal diameter) and around (the HC or head circumference):

BPD, HC, anatomy screen

We measure around the belly (the AC or abdominal circumference):

AC, anatomy screen

Another image of the fetal abdomen is seen below without the measurement:

fetal abdomen, anatomy screen

 

And the femur length (FL):

FL, anatomy screen

 

These measurements estimate a weight which is usually about 8 ozs. at about 18 Weeks.

We document internal organs and other structures:

Parts of the brain, orbital lenses, facial structures like a nasal bone, upper and lower extremities, heart (very basic views), spine, stomach, kidneys, bladder, umbilical cord insertion, and umbilical vessels.

After we take all these images, we formulate a report for your doctor in great detail regarding the above parts. We also document what structures could not be well seen. Usually, if your baby doesn’t cooperate to allow us to see everything we’d like, your doctor may or may not send you back for a follow-up scan at some point to attempt a recheck.

How Do I Get Results?

Only your doctor (or MFM doc) can give you results! Never, never, never the sonographer. For those of you who have had the terrible experience of a problem on your anatomy screen, you have a hundred questions and your doctor is the only one who can answer them for you properly. Your doctor is the one with whom you have the important relationship. He/she manages your pregnancy, not your sonographer.

So, What About Gender?

Most facilities, as a side perk, will allow your sonographer to give you this information if she determines that it’s possible. Unless we see a problem where gender plays a role, boy or girl is not important to the health of your fetus, and your doctor doesn’t really need this information. We know, however, that it is important to those of you who want to know. And there is nothing wrong with wanting to know! There is also nothing wrong with waiting to find out, and that decision is as personal as picking out a name.  Believe me, I couldn’t wait to find out myself. Yes! I scanned myself! A perk of the career;)

A little side note here…many facilities are beginning to put restrictions on gender determination. As more and more legal cases pop up over wrong gender guesses, facilities will take more precautions to limit their liability. And if you decide to visit a non-medical ultrasound facility for a fun scan, please read more about them in the link provided and ensure your sonographer is properly educated! (No, they don’t have to hire real sonographer!)

***

We love a fun family! And we can’t deliver your little sweat pea, but this is one priceless piece of info we SO enjoy delivering when we can! It’s a big job which requires time, focus, and concentration! For some guidelines on how many to include in your entourage for this exam, click this link for a little insight into a sonographer’s recommendations!

It’s okay to know, to keep it a mystery, or to even have a preference. It’s just not okay when that’s all that matters.

Questions? Great! Email me, and I’ll answer what I can!

 

Comments: No Comments »

Posted on January 19th, 2014 by wombwithaviewblog.com

Is a Male Sonogram Easier to Read?

Not for some moms who have always dreamed of buying pink! Here’s an email from a reader who was really hoping for some estrogen in the family after two boys! Sometimes, wishful thinking prevents us from seeing what is really there…

Email from Mom KB:

kb:  At my 17-Week ultrasound, the tech took a photo saying the baby was a boy pointing to what is clearly the foot between the legs. She also said the umbilical cord was between the legs.

male sonogram, 17 Weeks pregnant

kb’s 1st pic at 17 Weeks

At my 21-Week ultrasound, the baby was breech with cord between the legs. When asked what we thought, we saw two lines and nothing else…so, we guessed girl. In the next view, she said boy.

male sonogram, 21 Weeks pregnant

kb’s pic at 21 Weeks

Where the tech pointed as a pee looks like a foot to me. I have two boys already and you could see the scotum and tip clearly. I feel different and not even pregnant. The heart rate was 170, 171, 157. I can’t shake that it’s a girl. Am I wrong and just hoping? What do you think?

wwavb:  Thanks for reading my blog and sending your question! Hmm, what do I think…

Well, as far as “feeling” different goes, each pregnancy is a different universe in and of itself. The way you feel with one pregnancy has nothing to do with how you “feel” in another. People historically want to contribute that difference to gender, but there just is no relevance there. And Baby’s heart rate can vary quite a bit, just as ours does with respect to fetal activity. So, you can’t go by that, either.

It’s entirely possible that your sonographer could tell it was a boy, but it wasn’t clear to you because the cord was in the way. It’s also possible that you just want a girl so much that it’s hard for you to really “see” boy parts in the image.

***

I labeled the images she sent, and wrote her back.

wwavb:  The first image isn’t very clear. But see the labels for the second image. No foot here! Where I have the arrows of the legs, you are only seeing part of the thighs. The rest of the legs and feet are not in the image.

male sonogram, 21 Weeks pregnant


male sonogram, 21 Weeks pregnant

kb:  I don’t see the scotum because she said the cord was between the legs.
unnamed

wwavb:  Holy cow, this is totally a boy! All boy! See my edited image attached below…

unnamed

Congrats! 😉 I always say it takes a special woman to be a mom of all boys! Little boys love their mamas, and you have the perfect opportunity to teach them to be loving, respectful, and helpful to their future wives. Your daughters-in-law will thank you!

***

Patients have a really hard time believing their eyes in a male sonogram image if all they want to do is shop for frilly dresses! But I do stand by my advice to her…we women have a unique opportunity to instill great character in our little boys. Chivalry doesn’t have to be dead! You can teach them to hold open doors and show respect to the next generation of women. They’ll love you for it!!!

Not only can you teach him to respect all the future women in his life — his girlfriends, his wife, and potential daughters — but one more very important woman who is arguably the most important of all.

YOU!

Best wishes to all you moms out there of all boys!

If you want to tell your all-boys story, you can email me here!

 

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Posted on January 16th, 2014 by wombwithaviewblog.com

A Great 3rd Trimester Female Gender Pic!

Okay, readers, if you are searching for the perfect shot of 3rd Trimester female gender, check out this photo below. This image is shouting, “Am I a girl or what?” Poor thing. We don’t even give her half a chance for modesty!

3rd Trimester female gender

 

This is a great image of labia as seen later in pregnancy. Baby has more fat in her skin now and looks nothing like the “3 dots or lines” you saw at halftime. Now, granted, not every baby girl looks exactly like this one. We are not all built EXACTLY the same, right? Some babies have smaller labia than others. Still others have a larger clitoris.

However, I think no one can argue that the pic above looks nothing like any little boy I’ve ever seen. This mom and dad were so excited for their second precious baby girl. Lucky for you, they were also so happy to share! 🙂 Now, THIS, expectant parents, is a GREAT shot if I do have to say so myself!

❤️I just LOVE a great ultrasound image!❤️

Wow, I’m such a geek sometimes.

If you have great shots of your baby girl, feel free to email me!

 

 

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Posted on January 14th, 2014 by wombwithaviewblog.com

It’s a rare occasion that a patient angers me to the extent that I’m ready to hang up my probe. However, I guess we can all be pushed beyond a limit in our jobs and careers. Fortunately, my great patients always out-numbered the bad. She was about 21 Weeks, Baby’s legs were closed, and I simply could not provide a gender guess. She ranted to say the least…

“You’ve got to be kidding me. I HAVE to know today. I’ve been waiting all this time. I’ll just get up and run around or something, but I have to know today. Can’t you move the baby around? This is ridiculous!!” I think she spouted all this in one anxiety-ridden breath without pausing for air…one very looooooooooooong and absurd run-on sentence.

And now for my long-running sentence – my usual sermon in response clarifies how determining gender is never a guarantee, we can’t always tell at this age, we need total fetal cooperation, and we can push and roll you to your sides, but we can’t always make baby move. Most importantly, it’s not the purpose of the exam anyway.

Her response?

“WELL…(sigh), can you get somebody else??!”

Oh, yes, she said this. As if I didn’t know what I was doing, and anybody else would have been able to determine what I could not. Actually, her mother in attendance even gasped at her daughter’s comment with a, “That was rude!” I very verbally agreed with her. Unbelievable. I (as politely as possible) explained to her that no one in the country, right there in that moment, could have told her what she was having.

It doesn’t take years of experience to determine that the legs are closed, the feet are curled up under the butt, and the cord is in the way. She was very lucky I didn’t just set down my probe right then and there. But I didn’t. In my attempt to maintain professionalism, I scanned her for probably ten minutes more. Alas, I could never tell for sure.

She wasn’t done, however. Her gripe continued with her doctor and nurse because she still didn’t know her baby’s sex.

These are the kinds of people I have to deal with from time to time in my line of work. They simply are the ones that no one can make happy…ever, no matter what you do for them, unless you can give her what she wants. Welcome to a day in the life of a sonographer.

The biggest source of frustration with these patients is that these women never once ask about the health of their baby. Isn’t this the most important result? But they take health for granted and assume that’s part of the package. Parenthood – health is never a guarantee. Just ask the families with a terrible diagnosis and outcome.

Please, readers, don’t ever be this person!

Feel free to email me with your questions or similar stories to wombvieweblog@gmail.com!

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