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!)

Follow me on Twitter @wwavbloggerRDMS!

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Posted on February 25th, 2015 by wombwithaviewblog.com

..those babies, that is. 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

***

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!

 

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Posted on July 11th, 2014 by wombwithaviewblog.com

We all know that our family and friends can be quite nosy, opinionated and sometimes 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 because this is your first and you know absolutely “nothin’ ’bout raisin’ them babies!”  Hopefully, they don’t really speak like that.  I’m sorry if they do.  That is, sorry if I offend and sorry you have to listen to it.  (lol)

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 are convinced its a boy from the scan pic and are even calling it a he which is quite annoying.  I’m just wondering is there anything on this scan pic that confirms the gender? Obviously we didn’t get a potty shot.  I hope you can help.  Thanks

unnamed

wwavb:  This email cracks me up as 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 is in the pic so it’s not a side shot between the legs.  So, now you can tell your in-laws to mind their own biz! Ha ha.

Best Wishes!
wwavblogger

irritated mama:  Brilliant thank you – that settles it I will tell them haha!

***

So just know, all you pregnant moms out there with in-laws who are driving you to drink..firstly, wait until Baby is born and secondly, 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 opinion and say something like “Wow, you are so good at this. Maybe they should let you do my next scan.”

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

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Posted on May 22nd, 2014 by wombwithaviewblog.com

Here’s an email I received from a UK reader asking about determining Baby’s size/weight.  Read on for my response!

reader:  Hi, I was just wondering how accurate scans are at estimating weight ? I’m 36 weeks +1 and I had a growth and reassurance ultrasound today.  Baby was perfect 🙂 and they estimated 7lbs.  This is my 4th child and the only full-term baby I have had was my last and he was 7lb 10.  I am a little worried this baby is going to be a 9 pounder and that I’m going to have a difficult labour.  This is my last baby so I really don’t want to spend these last weeks worrying over nothing so any info would be gratefully appreciated.  Thanks in advance.  I love reading your blog!

wwavb:  I love my UK readers!  First, let me say I am happy you found my blog and are enjoying it. Thank you so much for saying so!  I truly hope you’ll spread the word and please subscribe for future automatic posts!

Now on to your question. I’m unsure what the discrepancy is in the UK for fetal weight. Our machines may be calibrated slightly differently here in the states. That being said, 1lb +/- is not unheard of and sometimes can be greater depending on the level of skill of your sonographer and fetal position which can make measuring baby more difficult and less accurate, which is precisely why it’s called “estimated”.

If your baby is at 50% or thereabouts, it means he is average in size and will gain on average 1/2lb /wk from here on out. If your baby is measuring bigger then average (which I wouldn’t know without seeing the individual % for each measurement), it’s feasible chunky monkey could gain a little more each week.

Just know that if this baby ends up being larger doesn’t mean you’ll have problems delivering!

Cheerio!

wwavblogger

***

I’ve definitely posted on weight before as it is a very often received question!  Everyone wants to mentally prepare for what they are going to have to push out of there.  Check out one of my prior posts on EFW!

http://www.wombwithaviewblog.com/how-much-will-my-baby-weigh/

Comments: 2 Comments »

Posted on April 29th, 2014 by wombwithaviewblog.com

Sometimes it’s just effortless, well with the exception of trying to get this baby girl to just turn over!  We asked, she listened.  What a good little baby!  The result was just great imaging.  She was 27w3d here which is an optimal time for a 3D scan.  Babies have begun to develop some fat in their skin so cheeks look a little more plump now.

What you’ll see here is a great 2D facial profile, which is ideal for great 3D images and then two really sweet 3D images.  Mom was happy to share:)  She’s a keeper!

2D facial profile

 

SONY DSC

 

SONY DSC

 

 

Comments: 2 Comments »

Posted on April 6th, 2014 by wombwithaviewblog.com

This is my first official delivery of a reader’s little bundle of joy!  So sweet of her to share with me and I feel honored 🙂

Here is a before and after of her precious little punkin’!  Congrats and best wishes to the whole family and thank you for letting wwavb be a little part of this most special time in your life.

unnamed

Comments: 1 Comment »

Posted on February 20th, 2014 by wombwithaviewblog.com

This is a first trimester screening test for chromosomal abnormalities which I have performed for a couple of years now.  We have to have special certification in order to perform this examination.  I will not get into any serious depth regarding the subject because I am not a doctor, I am not YOUR doctor, this testing is quite complicated, and only your doctor can give you the most pertinent, accurate, and up-to-date information, as well as, answer all your questions on the subject! I literally am only scratching the surface here from an ultrasound standpoint.

Read on for this question from a reader regarding NT scans:

reader:  I just read about NT scans and how they can be a way to detect Down syndrome. My doctor never mentioned anything about this to me. Do you think it was done during my 12 week dating ultrasound? Or is this something that you need to specifically request? I’m 29 and have no family history so I’m not sure if that’s why it wasn’t offered. After my 12 week ultrasound she did offer other tests but she said I wasn’t high risk and we opted not to do them.  Thank you for your time!

wwavb:  I can chime in on this because I do the NT scan so I know a bit about them.  You answered your own question.  The tests that your doctor talked to you about may have included the NT scan, but you opted not to do them, so that’s why you didn’t have it.

The NT scan is an attempt at a measurement of the nuchal area along with a finger stick.  The measurement cannot always be obtained.  It is probably one of the most tedious examinations I do and this measurement can only be taken one way. There are a number of variables which depend mostly on fetal position that dictate this. If we can’t get the measurement, the test cannot be performed. The lab takes the measurement from the scan and some numerical values from your blood and personal history and puts that all into a formula.  The result determines your RISK or CHANCES for having a baby with four different chromosomal abnormalities – Down Syndrome is one.  This result does NOT tell you whether your baby has these abnormalities or not, only your risk for having a baby with this problem.  If it comes back elevated, you have to decide whether you want to proceed with other tests like amniocentesis which WILL determine if your baby has a particular one of these abnormalities.
For your greatest clarity, you should ask your doctor at your next visit if the NT is something she would have offered.  If you have a concern and would like to look into genetic testing, certainly discuss with your doctor what options she would recommend for you.  She is your best educator!!  
Hope that helped!
Here’s to your happy and healthy pregnancies!

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Posted on February 16th, 2014 by wombwithaviewblog.com

Why do some people have great ultrasound images and some look like fuzz?

Most people know that ultrasound uses sound waves, basically sonar (like a fish finder!) to obtain images.  The sound waves leave the probe, travel through the gel, through skin, fat, muscle, through the uterus and fluid, through Baby and then back up again.  Voila’.  An image is seen on the monitor made up of all the things the waves hit along the way.

The sound waves travel great through water, in this case, amniotic fluid but they slow down as they travel through tissue and don’t travel at all through bone, air and gas.  This is why ultrasound has some limitations and can’t see everything. This is also why we use gel. It acts as water to help conduct the sound waves. Without it, a thin layer of air exists between the probe and skin producing no image…or very little.

Sound attenuates as it goes further into the body..that is, it loses power.  So the deeper the sound waves have to go to get to Baby, the less power they have by the time they get back and the poorer the quality of the image on the monitor.  When a thin person is scanned, the sound waves don’t have to travel very far which usually produces a phenomenal image.  When a heavy person is scanned, the sound has farther to travel and it loses much of it’s power on the way down so it then has very little to send back up to the monitor.  It is simply Ultrasound Physics 101, though we can absolutely not undermine the VAST complexity of this subject to call it simple.

Other things interfere, as well.  If Baby is facing your back, we see very little, especially in the way of cute images.  Maternal intestines or bowel loops contain air and gas and we can’t see past that, either.  For some patients, it is an unexplained body type issue.  I have scanned thin people that ended up a terrible scan and heavy people where I thought I’d see nothing but ended up getting great images.  It all just depends on how much and what kind of tissue lies between the probe and Baby.

It hasn’t happened very often in my career, but every once in a while I’ll get a patient who is not thin and snaps at me because I’m not getting great images for her.  She’ll say something like “My friend had an ultrasound done and HER pictures were great. These aren’t very good at all.  Can’t you get better ones?”  …Like it’s my fault and I am intentionally slacking off or just don’t know how to get these great images like her friend got to take home.  I can’t say what I’d like to here.  Some patients will ask “if their fat is getting in the way” and I’ll just explain the above and that it can interfere…I’d never want to hurt a patient’s feelings.

So, there ya go.  A little ultrasound education on a Sunday never hurt anyone 🙂

 

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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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