PEMERIKSAAN USG PADA

TRIMESTER I
• KEHAMILAN INTRA UTERINE
KEHAMILAN 5 MINGGU : - TERLIHAT KANTONG GESTASI=5-10 MM
• - MUDIGAH BELUM DAPAT DIDETEKSI
KEHAMILAN 6 MINGGU : GS 15 MM :
• MUDIGAH KADANG-KADANG DAPAT DIDETEKSI (+5 MM), MUNGKIN TERLIHAT PULSASI DENYUT JANTUNG.
KEHAMILAN 7 MINGGU : GS 25 MM
• PANJANG MUDIGAH + 10 MM, KEPALA SUDAH DAPAT DIBEDAKAN DENGAN BADAN SECARA STRUKTURAL.
GERAKAN SUDAH DAPAT DIDETEKSI, MUNGKIN TERLIHAT SELAPUT AMNION, BERUPA SEKAN EKHOGENIK
DALAM GS.
KEHAMILAN 8 MINGGU : GS : 30 MM
 THE FEATURES OF NORMAL GESTATIONAL SAC
Before 5 weeks, a small, hypoechoic sac like structure
may be seen within the thickened, echogenic decidual
reaction of the endometrium (the “intradecidual sac” sign)

By 5 to 6 weeks, the gestational sac appears as a smooth,

round or ovoid, anechoic structure along the upper uterine body
surrounded by a 2-mm-thick hyperechoic rim of decidual
reaction (the “double decidual sac” sign).

The gestational sac grows at a rate of 1.1 mm/day

ISUOG Approved Class. Palembang, 15-17 November 2015
Woodward PJ. Diagnostic Imaging—Obstetrics. Salt Lake City: Amirsys; 2005.
 DOUBLE DECIDUAL SAC SIGN
VS
PSEUDOGESTATIONAL SAC

ISUOG Approved Class. Palembang, 15-17 November 2015

• THE MOST DEFINITIVE SONOGRAPHIC FINDING IS THE VISUALIZATION OF AN EXTRAUTERINE
GS WITH A YOLK SAC OR AN EMBRYO. NONVISUALIZATION OF AN INTRAUTERINE OR
EXTRAUTERINE GS IN A PATIENT WITH A POSITIVE PREGNANCY TEST MAY BE DUE TO AN EARLY
INTRAUTERINE GESTATION OR AN EARLY ECTOPIC GESTATION.
• AS DESCRIBED IN THE NORMAL GS, THE INTRADECIDUAL SIGN AND THE DOUBLE DECIDUAL
SIGN CAN BE USED TO IDENTIFY AN INTRAUTERINE PREGNANCY BEFORE VISUALIZATION OF
THE YOLK SAC OR THE EMBRYO; HOWEVER, IT IS TO BE DISTINGUISHED FROM THE DECIDUAL
CAST OR PSEUDOGESTATIONAL SAC OF ECTOPIC PREGNANCY
• TERIMA KASIH