3d ultrasounds

8/8/2019 3D Ultrasounds

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The emerging practice of

3D UltrasoundBenefits and Risks of 3D/4D ultrasounds

Beezer Moolji, MDFirst Peek Ultrasound

Owner, Medical Director


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Mission

To provide short-term and long-term benefitto families by reducing the barrier

between the mother and childbefore birth.


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Customer Wishes

Bonding begins at the first positive pregnancy test

Pregnant women seek to know their baby, bond

with their baby, and be close to their baby in manyways

Curiosity and shift in focus occurs

What will my baby look like?

Is it a boy or a girl?

Is my baby healthy and normal?


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What are ultrasounds?

Sound waves at a higher pitch than one can hear

Above 20kHz (3-15 MHz used)

Produces an image based on echoes, similar tothe image a bat may have by using sound waves

Ultrasounds occur in nature

natural warnings to earthquakes

Used by bats, dolphins, whales, andelephants

May be felt by humans


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History of ultrasounds

Began to be used as a saferalternative to x-rays in pregnant women

Over 30 years of use, with no knownassociated medical harms

Suspicion and hesitancy when first used

Still discouraged by some


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What are 3D ultrasounds?

An ultrasound with the transducer pointingat different angles, with the resultingimages put together and interpreted into a3D image by the ultrasound machine

Analogous to CT scans in relation to x-rays

Uses the same intensity and same

ultrasounds as 2D ultrasounds

Exposure is not multiplied, as with CTscans, but is related to duration of session


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2D vs. 3D ultrasounds

Clearer to theuntrained eye

Mothers are betterable to recognizetheir baby

Visual image:

Stronger emotionalconnection


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3D vs. 4D ultrasounds

4D is simply a 3D ultrasound moving in timetime is the 4th dimension

4D ultrasound technology only recentlyavailable due to faster 3D ultrasoundtechnology

4D recorded as a video clip on CD or seen on

DVD

4d ultrasound video


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Who gets the 3D ultrasound

Traditionally...

Upper middle class

First baby Caucasian


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Reaching out to others...

Lower middle class

African-Americans, other minorities

Other cultures and languages

Blind, Deaf, disabilites

Students

Military


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Best time to get a 3D ultrasound

Gender check - at least 17 weeks

Offered between 17 - 32 weeks

Ideal time 24 - 30 weeks


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Way to get a good image

No need for a full bladder

Drink plenty ofwater (32 oz/day) for 1-2 weeks

beforeWithout water With water


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Other benefits to mom

Better able to visualize the baby

Bonding between mother and child

Bonding, involvement of father

Find out the gender

Planning purposes

Increases bonding, through visualization

Able to share pics with family, friends

Makes motherhood more real


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Risks of 3D ultrasounds

Safety

Same/similar to 2D

May produce heat when focused in one spotfor hours to days

More safety issues regarding other aspects

Getting on and off bed

Aggressive manipulation of belly Drinking caffeine to stimulate baby for a good

photo shot


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Risks of 3D Ultrasounds

Medical harms

Slight increase in left-handedness inboys who receive 3D ultrasounds

Unknown reason

No associated mental defects or harms

Other unintended harms

False positives

Cysts, duplications, holes, artifacts

Seeing the fetus too early (under 17 wks)


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Risks of 3D Ultrasounds

False reassurance

May discourage prenatal care

Prolonged or repeated exposure may havesome unknown risk

Exposure to untrained staff may causeunintended harms


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Risk reduction

Medical director

Certified ultrasound technicians

Adequate training

Communication with ob/gyn

Safety inspections of the clinic, regular

inspections of the ultrasound machine Limit duration to 30 minutes

Must have prenatal care prior to session


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Future developments...

May soon be part of routine care

May soon be covered by health insurance

Illinois State Law may soon developoversight and restrictions on 3D ultrasoundstudios, i.e. requiring a medical director,requiring verification of prenatal care

Neurologic testing of the fetus forCP

5D ultrasound?


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Thank you for your interest

First Peek Ultrasound

1100 Lake Street, Suite 155

Oak Park, IL 60301

708-870-0808

www.OakParkUltrasound.com

3d ultrasounds

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