ULTRASOUND

GYENAECOLOGY & OBSTETRICS

ULTRASOUND
• Sonography is is effective method of examining female pelvis. • Technique is essentially risk free. • Provides excellent visualization of pelvic viscera.. • Done either through distended bladder or transvaginal approach.

PELVIC ULTRASOUND
• Pelvic sonography should be viewed not as a diagnostic procedure but as a adjunct to physical examination. • It usually answers following questions: • Is the pelvis normal or abnormal. • What is the origin of mass detected by physical examination.

PELVIC ULTRASOUND
• What are the gross characteristics of pelvic lesion. • Does the sonographic appearance of a pelvic lesion matches the clinical impression. • Is a pelvic lesion regressing or enlarging. • What is the status of the female reproductive organs in patients with delayed menarche, precocious puberty, infertility or congenital anomalies.

PELVIC ANATOMY
• Ultrasound examination is performed through a full bladder. • The basic orientation structure is Uterus. • Uterus and each broad ligament divides the pelvic peritoneal space into anterior uterovesical pouch & posterior Pouch of Douglas/ Rectouterine pouch/ Cul-de-sac. • Cul-de-sac is good to see for pelvic collection/ pelvic peritoneal deposits.

PELVIC ANATOMY
• The size & appearance of normal uterus is dependent upon age. • The normal non pregnant uterus measures 610cm in length. • The prepubescent uterus is smaller e.g 4 cm. • In old age again it is atrophic and small in size. • The Post partal uterus is large in size and may take months to involute to kits regular size.

PELVIC ANATOMY
• Anatomically normal uterus is anteverted & anteflexed. • Retroverted uterus is by no means abnormal but it is sometimes difficult to find early pregnancy sac echographically in this type of uterus.

OBSTETRIC ULTRASOUND
• Common obstetric problems addressed with ultrasound. • No. of gestations. When uterus is large for dates or following fertility enhancement procedures like IVF. • Pregnancy location- intrauterine or ectopic. • Uncertain dates.

T0465.mov

OBSTETRIC ULTRASOUND
• Uterus small for dates. Incorrect LMP, growth retardation, olighydramnios, fetal urinary tract problems etc. • Uterus large for dates. Incrrect LMP, multiple gestations, hydatidiform mole, fibroid or other pelvic mass, polyhydramnios, Meternal diabetes etc.

OBSTETRIC ULTRASOUND

T1110 .mov

OBSTETRIC ULTRASOUND
• Possible fetal demise. • Presentation & lie.

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