Beside talking and gynecological examination, ultrasound plays a major role in premature discovery of diseases and troubles in gynecology or for fetal malformations in obstetrics.
Ultrasound is not able to see „everything“. Having an ultrasound examination which is declared as normal, the probability of a healthy child is big. But a „normal“ ultrasound does not mean that the baby is healthy: different factors can limit the informative value and the significance of the examination: e.g. an unfavorable position of the fetus or a sound diminuition through thick or very dense abdominal walls. In gynecological ultrasound, age and weight play a role in the quality of the image.
Plays a major role in diagnostics for early detection specially in ovarian cancer or endometrium cancer of the uterus that cannot be found by palpation in an early stage. We think it’s important to have a look once a year. Our goal is to let you participate and understand our examination by showing it to you on a big screen and by explaining what we see. You might enjoy to see more of your body from inside and even to understand it.
Ultrasound in pregnancy:
We take our time to explain the ultrasound image since we find pleasure in showing you your child in a way you can recognise a lot more than you thought you would. Family members are welcome /children from the age of 3
We offer the following special examinations in pregnancy:
1. Ultrasound examinations
First trimester screening
It is the first detailed organ screening of the baby which takes place in week 13 or 14:
- evaluation of organs (brain structures, face, extremities, heart, stomach, urinary bladder, spine, umbilical chord, placenta position)
- of fetal movement patterns
- measurement of the nuchal translucency (an accumulation of liquid in the backside of the fetuses neck). This mesurement plus the blood level of 2 hormons of the mother allows us to calculate the individual risk for the most common trisomies: trisomy 21 (Down Syndrome), 18 and 13. This first trimester screening plus lab helps to discover about 89% of all trisomy 21 cases.
Second-trimester-screening (around week 20):
Since the fetus still grows very quickly, more organs can be submitted to a detailed check: specific structures of the brain can be judged (cerebellum, ventricles), the eyes, the lips, the
chambers of the heart and their in- and outlet, the stomach, the kidneys, the urinary bladder, the umbilical chord an the 3 vessels in it, the extremities, the fingers and toes.
Third-trimester-Screening (around week 30):
While the fetus goes on growing, some malformations could have developed that can only be seen in a later stage of pregnancy. Again, a detailed check of the fetal organs takes place and it's the best moment to have a look at the baby with the 3D/4D ultrasound.
Under favorable conditions (good position of the baby and enough amniotic liquid preconditioned), a close to life image of the baby can be realized (but it will never be as beautiful as the real one!)
A. Nuchal translucency measurement (week 12-14)
The measurement of a water accumulation in the backside of the fetuses neck at the first trimester screening can be used, in combination with two hormons in the mothers blood, to calculate the individual risk for trisomies 21, 18 and 13. We can find up to 89% of all trisomy 21 cases with this method.
B. Harmony®-Test (non invasive prenatal test NIPT). From week 11 on
This statistical test is even more accurate since it can detect over 99% of trisomy 21 cases and about 95 to 97 % of cases of trisomy 18 and 13 by a blood sample from the mother. It further allows to analyse the sexual chromosomes X and Y who can also be subject to numeric aberrations. The test also reveals the sex of the baby. However, this statistical risk calculation does not reveal non-chromosomal malformations so that the first trimester screening should complete the check.
Dr. med. Wilfried Teicher