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Early Ultrasound?  

post #1 of 31
Thread Starter 
For my first two children, I had the first ultrasounds at 16 and 20 wks. I called to make my first appointment for this pregnancy this week (I'm 5 wks) and they wanted me to come in for an ultrasound next week-- at 6 weeks! They said that this was something new the office was doing. I told the nurse I was absolutley sure of my dates but they still want to go ahead with it. Since I miscarried in Sept, I'm thinking I want it for peace of mind. I guess I just don't see the medical purpose... Is this something that any of you are opting out of?
Thanks!
Erin.

P.S.-- I'm not anti-ultrasound at all, I had a whole bunch with my first pregnancy for medical reasons so I know they can be extremely helpful.
post #2 of 31
You would need a vaginal ultrasound most likely.
And you won't be able to see very much at this point anyway.
I honestly don't see the point, but I am not against it either.

They MAY give me one at 20 weeks, but that's because I am in the UK and they don't like spending money
post #3 of 31
Hi ladies,

I'm new to this forum.
I'm due July 4th, 2009. Today I'm 5w2d.
I had my first u/s today. They were to do an "external" u/s, however, I have hyperstimuation from fertility medication to get pg in the first place, (IVF), so they did a trans-vaginal u/s.

They saw the gestational sac and yolk sac to confirm it's a viable pregnancy and made sure it's in the right place in the uterus. They did see some bleeding below the sac which we're all hoping is implantation bleeding from before.
I go back for my 7w u/s to see the babies heart beat.
post #4 of 31
I think its good to do an early ultrasound, I think most offices are doing that now. I'm hoping I get one at my first appointment.
post #5 of 31

my thoughts...

I did a lot of research on this after my first pregnancy (same thing - they offered it at my first appointment and we had no clue so we went along. I miscarried at 12 weeks - who knows if it was related or not) and I came to the conclusion that ultrasounds are not needed unless they are medically necessary. I think developing fetal tissue is extremely sensitive and should not be disturbed. I think what really sold me was a statement I read from some association of ultrasound technicians who were against giving ultrasounds for no specific reason. Sorry - I no longer have the links to all of the articles I read. There's good info. out there though. So make sure you make an informed decision.

With Leila's pregnancy, I never got a vaginal ultrasound. With this one, I will get one at the very end of my pregnancy so that there are no surprises and we have everything we need when I deliver.
post #6 of 31
I had one today, but I was too early to see anything. I think they are good, I am not opposed to them. I have had several m/c so for me it is a piece of mind. For the doctor it is to make sure that everything is ok. I am high risk so that is why I had one, i will have another one on Tuesday. I was scared to do it at first, but I have a really good friend that works for an ob office and we talked about it for a while. I think that it just depends on how you feel about it.
post #7 of 31

link to an article

This may help in exploring your decision. Everyone is different, every pregnancy is unique. I just feel that it is important to make sure you're informed so you have no regrets. I wish I would have been accurately informed prior to that one I got back in 2005. Thanks for bringing up this important topic!


From Technology in Birth: First Do No Harm - by Marsden Wagner, an article on the Midwifery Today web site. http://www.midwiferytoday.com/articl...ogyinbirth.asp


Questions to Ask Before a Routine Prenatal Untrasound
It is likely that a routine ultrasound scan will be suggested fairly early in your pregnancy. This presents a perfect opportunity to ask a few questions: "What is the chance the scan will make things worse? Is such a scan safe?" If the answer is a flat "Yes, ultrasound scanning during pregnancy is safe," alarm bells should start going off in your head, because you are not getting the full information. You must then ask, "Show me the data on the safety of prenatal ultrasound," in order to check on what you may be told about the data on the safety of prenatal ultrasound. As a scientist I can assure you that the only correct answer to your question is, "We don't know because there is not sufficient scientific data to prove the safety of prenatal ultrasound." Some research has shown the possibility that ultrasound can cause slowed growth of the fetus while still in the uterus. Other research has shown the possibility that some children who have been scanned while still in the uterus may later have mild neurological deficits. We need more study of both these possibilities. But from a scientific viewpoint, it is impossible to say today that ultrasound scanning during pregnancy is perfectly safe.

The next question to ask when ultrasound scanning is proposed to you is, "What is the chance that a scan will make things better?" When you are told that one reason for the scan is to look for defects in the fetus, ask: "What is the chance a defect will be correctly identified (true positive screening test) and what is the chance a defect will be incorrectly identified (false positive screening test)?" If your provider cannot, or will not, answer this question, watch out!

Your next question when ultrasound is suggested should be, "Is there a better chance my baby will survive the pregnancy and birth if an ultrasound scan is done, and what are the data?" The correct answer is that a large study in the United States of more than 15,000 regnant women showed no improvement in the mortality rate of the babies if ultrasound is routinely used during pregnancy.
post #8 of 31
We avoid u/s and doppler the first trimester at the very least. I don't fault people for getting them but we feel they're risky.
post #9 of 31
Quote:
Originally Posted by SoPac View Post
I came to the conclusion that ultrasounds are not needed unless they are medically necessary. I think developing fetal tissue is extremely sensitive and should not be disturbed.
: Good Info SoPac

Dr offices do it so routinely now. It is an intervention and has side effects, I will be opting out unless there is a valid medical reason.
post #10 of 31
We avoid it as well (but we are also doing a HB with a MW so it isn't really an option). I really have to wonder though about it becoming routine. I can understand it being an option when it's medically necessary but as the PP said, it's known not to improve outcomes so then are they doing it so they can bill for it? Is it just another way to make money? I hate to be suspect like that but when doctors routinely do procedures which are known to be medically unnecessary, I just have to wonder.
post #11 of 31
I was under the impression that they do a vaginal ultrasound early in the pregnancy to ensure that the pregnancy is in the uterus and not a fallopian tube or other place it's not supposed to be in. They can see that at 6 weeks or so. To me, knowing the pregnancy is in the right place is important, so I don't see it as an unnecessary procedure. But is there actually a risk of miscarriage with ultrasound? Is there evidence of that? What I read above just states that there is not enough information on the safety of ultrasounds early in pregnancy, but I'm unclear as to whether that means that there are suspicions that ultrasounds are bad for you or the baby, and what those suspicions are based on if they exist.
post #12 of 31
Thread Starter 
Thanks for all the info ladies, especially the links. It's the routineness that makes me think twice about these early ultrasounds. If it was because I've miscarried and they wanted to check viability I think I'd feel better about it. I also tend to grow "larger than dates" and get other scheduled ultrasounds after 20 weeks to monitor growth. Those this time around I'm opting out of but I think I'll go ahead with the 7 week just cause the last miscarriage was so difficult and I'm super worried.

THANKS!
post #13 of 31
Quote:
Originally Posted by mangofandango View Post
I was under the impression that they do a vaginal ultrasound early in the pregnancy to ensure that the pregnancy is in the uterus and not a fallopian tube or other place it's not supposed to be in. They can see that at 6 weeks or so. To me, knowing the pregnancy is in the right place is important, so I don't see it as an unnecessary procedure. But is there actually a risk of miscarriage with ultrasound? Is there evidence of that? What I read above just states that there is not enough information on the safety of ultrasounds early in pregnancy, but I'm unclear as to whether that means that there are suspicions that ultrasounds are bad for you or the baby, and what those suspicions are based on if they exist.
I was given an early ultrasound to rule out ectopic pregnancy because I was having severe round ligament pain. Pregnancy itself is not an indication that the possibility of ectopic pregnancy needs to be investigated. That said, I'm sure some doctors do it anyway. I'm not a fan - I think it probably produces a ton of anxiety without meaningfully improving outcomes over the standard practice (which is to do an early US only if there's an indication that there might be a problem).
post #14 of 31
I know there is not enough research done about the safety of it, which is why I am opting out. For me, there is no point in an early ultrasound, because all it will tell you is if you are still pregnant, which you find out anyhow. I will probably consent to a quick doppler to hear the heartbeat.

Everyone is different, and we all need to do what will give us the most peace of mind. I feel better knowing that I am not tampering with our little embryo.

We didn't have any ultrasound with DD- we will see how I feel as the pregnancy progresses, if it does. I do see the point of having one much later, to see if anything is really wrong.
post #15 of 31
During my first pregnancy, I had an early ultrasound. The ultrasound made me realize my dates were off by a month. I had quite a bit of implantation bleeding and mistook it for a regular period. So with the u/s I found out I was a month further along than I realized.

This time around, I've had a little spotting (though not the major implantation bleeding I had last time). I will bring up the spotting and the possibility of an early ultrasound with my midwife at my first appointment next week.
post #16 of 31
Having had a miscarriage, it's hard for me to get really excited about it until I see the HB. I don't know why- but I just want to "make sure".

I had 2 very early ones with DS (5 in total) and it was a very healthy pregnancy and he was/is a healthy baby/toddler.
post #17 of 31
DH and I went through infertility and I had a resection of a septate uterus before getting pg with DD. When I was pregnant with her, every u/s (and I had several), the technician noted that the septum was still there. Even when my uterus was all stretched out and huge :P So, I will probably ask for an early u/s to see if the embryo is implanted on viable uterine tissue or on the septum (which apparently is still big enough for me to worry about). The peace of mind for me is worth it.
post #18 of 31
Thread Starter 
So here's an update. I went back and forth over whether to even go for this ultrasound so early. In the end I went because I thought maybe it would reassure me considering a miscarriage in Sept. As it turns out, it was too early to give any information. There was a yolk sack but no heartbeat. Meaning, so the doc tells me, it's either too early or the pregnancy isn't viable.

Why did they send me in there when I'm not going to get anything but more stress? Why are they doubting viability already? Even if it wasn't viable, what could I do about it? Then the OB (I normally would see midwives) tells me I "need" to come back next week to do another one. I told her I wouldn't. If it wasn't viable, I'd rather go through it at home rather than wait for the inevitable. She was shocked that I wouldn't want to find out if I'm pregnant. I AM PREGNANT! Who is she to cast doubt? I'm just furious.

I'm thinking of either venting to my midwife or leaving practice altogether. Thanks for "listening".
post #19 of 31
Quote:
Originally Posted by mamainmass View Post
So here's an update. I went back and forth over whether to even go for this ultrasound so early. In the end I went because I thought maybe it would reassure me considering a miscarriage in Sept. As it turns out, it was too early to give any information. There was a yolk sack but no heartbeat. Meaning, so the doc tells me, it's either too early or the pregnancy isn't viable.

Why did they send me in there when I'm not going to get anything but more stress? Why are they doubting viability already? Even if it wasn't viable, what could I do about it? Then the OB (I normally would see midwives) tells me I "need" to come back next week to do another one. I told her I wouldn't. If it wasn't viable, I'd rather go through it at home rather than wait for the inevitable. She was shocked that I wouldn't want to find out if I'm pregnant. I AM PREGNANT! Who is she to cast doubt? I'm just furious.

I'm thinking of either venting to my midwife or leaving practice altogether. Thanks for "listening".
I'm sorry that you went through this. With my old ob they wouldn't see you until after 8 weeks and they did a routine ultrasound to "date " hte pregnancy. Just another reason I am happily going with a midwife this time.
post #20 of 31
Quote:
Originally Posted by SoPac View Post
Your next question when ultrasound is suggested should be, "Is there a better chance my baby will survive the pregnancy and birth if an ultrasound scan is done, and what are the data?" The correct answer is that a large study in the United States of more than 15,000 regnant women showed no improvement in the mortality rate of the babies if ultrasound is routinely used during pregnancy.
This is a strange question. The u/s is a diagnostic imaging tool, not a therapeutic tool. I assure you, your provider will give you a funny look if you ask if your routine blood tests and urine tests alone will also improve the likelihood of your baby coming to term.
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