ultrasound guidelines for midwives??

[southernmommie]

Is there a set guidelines for midwives to do an ultrasound if you are measuring a specific amount of days over the gestational age? Say a woman is 15w 4d. If she is measuring big, at what point do you do an early ultrasound to rule out twins? Is it midwife discretion or is there a set number of days that she needs to be measuring over?

[womenswisdom]

There is no universally accepted set of guidelines for anything in midwifery. Some states might have rules, but I don't think they typically get that specific. What you measure before 20 weeks usually doesn't mean anything in terms of multiples anyways, since there is so much variation depending on your body, what # baby, etc. I think most midwives would recommend an ultrasound if you were measuring 4+ weeks (4cm) ahead after 20 weeks.

[southernmommie]

Thank you for the clarification. :)

[phathui5]

If mom wanted an ultrasound to rule out twins, that would be reason enough.

[southernmommie]

her provider isn't letting her until 20 weeks.