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sonograms - 11/19/2009 10:30:45 PM   
MissInnocent

 

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I hope it's okay to post this here. I'm just wondering for you ladies that are pregnant: What do you think of 3D ultrasounds. I was looking up some stuff on them and read this on webMD:

Newer ultrasounds are now available that show a three-dimensional view of the fetus. This is similar in clarity to a photograph and can be useful in detecting birth defects when performed in a medical center. Some facilities are providing this scan at the parents' request without a specific medical indication. A moving picture interpretation is referred to as a 4-D ultrasound. According to the March of Dimes, the FDA, as well as many other experts, the use of these non-medical ultrasounds is discouraged since untrained personnel may provide inaccurate or harmful information. That has me a tad confused cause I thought they were supposed to be great.
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RE: sonograms - 11/19/2009 10:41:53 PM   
peculiar_lady2


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What they are referring to are the facilities that just do the scans for non-medical purposes...sometimes with properly trained individuals watching the results. If done in a medical facility and by a technician or dr that is trained to properly run the machine, then it can be quite entertaining and a lot of information can be pulled from the scans for diagnosis.

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RE: sonograms - 11/19/2009 10:45:23 PM   
MissInnocent

 

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Got ya. But honestly I can't imagine wanting a sonogram without a trained pro doing it to gimme the results.
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RE: sonograms - 11/19/2009 11:04:16 PM   
Krislynx


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Sarah is talking about "boutique" sonograms. Ones you can go to a store in the mall and have done. Get lots of cute pics for Grandma and other souvenir items. Sometimes they even have a TV set up with couches or chairs so that lots of people can watch the baby moving etc. Not ones you would have done by tech/doc in an office. Those are always done with a trained person (usually at least 2 in my experience) and they tell you what they find right away. The place my doc sends me only does 3/4D ones if they find evidence of a problem on the regular one. My SIL's doc does 3D ones on everybody.

Kris
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RE: sonograms - 11/20/2009 6:17:17 AM   
SurpassingPeace


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quote:

According to the March of Dimes, the FDA, as well as many other experts, the use of these non-medical ultrasounds is discouraged since untrained personnel may provide inaccurate or harmful information. That has me a tad confused cause I thought they were supposed to be great.


The information from a sonogram can also be used to determine the probability of things like Down Syndrome. Untrained techs can give bad information leading to tragic results.

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RE: sonograms - 11/20/2009 9:17:53 AM   
Mrs.Wifey


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The techs at "boutique" type of places can basically show you gender and nothing else. They are quite clear about their purpose NOT being for medical diagnostics and won't typically say anything if something doesn't seem "right". Some also have requirements about having had prior u/s under the care of a doctor.

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RE: sonograms - 11/20/2009 9:19:04 AM   
3cappuccinosmom


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If I had a "boutique" u/s, I would never ask for medical information and I would be very upset if they tried to give me any. It would be *purely* to see the baby, get pictures, etc. It would not be for the purpose of getting "results" of any sort.

Even with medical professionals doing a sonogram, if devastating news came from the sono, I'd want a second opinion and confirmation.

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RE: sonograms - 11/20/2009 2:47:24 PM   
Krislynx


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quote:

ORIGINAL: 3cappuccinosmom

If I had a "boutique" u/s, I would never ask for medical information and I would be very upset if they tried to give me any. It would be *purely* to see the baby, get pictures, etc. It would not be for the purpose of getting "results" of any sort.

Even with medical professionals doing a sonogram, if devastating news came from the sono, I'd want a second opinion and confirmation.


Totally agree. Then again, my experiences with the sonogram professionals (not results) have not been good.

Kris
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RE: sonograms - 11/20/2009 3:55:01 PM   
SurpassingPeace


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That is why we don't do amnio. For us, it didn't really matter enough to have a big needle in my belly. I made one doctor irate because of that statement. He had alot to say about choice. So I smiled sweetly (or perhaps like a crocodile) and "I CHOOSE to leave in in God's hands. Nope, he wasn't my doctor but a specialist.

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RE: sonograms - 11/20/2009 4:15:05 PM   
laughinggirl


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I refused the amnio and the nuchal fold testing. My doc was very supportive. He said that since we wouldn't terminate for any reason, there's really no need. I told him if he saw something of concern on a routine sonogram, I'd definitely like to know, but I'm not going to endanger the pregnancy with an amnio solely for that reason. The nuchal fold testing isn't invasive, but he said it often gives false positives for defects and I just don't even want to get on that rollercoaster.

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RE: sonograms - 11/20/2009 10:13:27 PM   
SurpassingPeace


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My OB was very supportive as well. I have a feeling she is prolife although we have not discussed it.

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RE: sonograms - 11/20/2009 11:27:46 PM   
3cappuccinosmom


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We've never done testing either. I had sono's with all three of mine, some for dating (I was nursing), and then way late in the pregnancy it was bio-physical profiles (checking vitals, position, growth, etc).

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RE: sonograms - 11/20/2009 11:43:07 PM   
Sideways


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We had diagnostic ultrasounds with the full understanding that there could be false positives, but we were prepared for that. If follow up testing did confirm a problem, then we wanted to be prepared. It wasn't about abortion, just preparation. Friends of mine confirmed that their baby was Down's and had a bad heart, so they were able to consult with a pediatric cardiologist and line up what would need to be done after birth.

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RE: sonograms - 11/21/2009 10:07:38 AM   
Mrs.Wifey


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We don't do any prenatal screening other then a diagnostic u/s. I think if it did show that something was abnormal then we would do an amnio after the baby had reached viability(maybe 30 weeks?). I would want to be able to have the proper doctors ready and waiting to deal with whatever issues might present. And I also wouldn't want to spend 20 weeks waiting to find out of something really was wrong.

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RE: sonograms - 11/21/2009 9:41:50 PM   
Krislynx


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We do dating u/s, diagnostic u/s and biophysical profiles. We would consider an amnio if the diagnostic u/s showed a problem. We would want a second one with a different doc first. For us it would be about preparation, not termination. And like Ryanne I wouldn't want to wait that long to know for sure. We refuse any and all first trimester screening. That is actually what bugs me about the doc I had for my follow up u/s this time (and the first one with Josh) - they really had the attitude that if I wasn't interested in aborting if there was a problem then why were we even having the u/s done? Their attitudes are so bad that if I need MFM specialist my OB is going to have to find another group to refer me to or I'll find one myself. Not that I am anticipating needing one, but I won't put myself and child under their care.

Kris
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RE: sonograms - 11/25/2009 6:19:53 AM   
Brandy


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We had a 3D done. I can't tell you how many pages of "We do NOT provide medical information" we had to sign followed by "Yes we are under the care of a dr, here's his/her info".

AFTER the sonogram I asked the lady as she was printing umpteen pictures what they do if something is wrong. She said that's what the get your Dr's contact info for. If it's something severe that YOU didn't mention like "Oh, that's what the cleft lip looks like" they call the Dr. She said honestly, they call for anything they see.

They employed an ultrasound Tech who was in her 'residency' time where she had to acrue so many hours before getting her license. Her hours at the 3d place didn't count because they weren't diagnostic but they helped the students gain confidence and skill with the wand/machine.

Ours had a viewing room outside the main room, which could hold 6-8 people itself. There was a big tv and couch.

We had the nuchal fold screening done, UCLA was running a study and we authorized our info to be used for the stats of the study but really, for us it was an excuse to see her again.

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RE: sonograms - 11/30/2009 7:29:38 PM   
MissInnocent

 

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quote:

ORIGINAL: Krislynx

We do dating u/s, diagnostic u/s and biophysical profiles. We would consider an amnio if the diagnostic u/s showed a problem. We would want a second one with a different doc first. For us it would be about preparation, not termination. And like Ryanne I wouldn't want to wait that long to know for sure. We refuse any and all first trimester screening. That is actually what bugs me about the doc I had for my follow up u/s this time (and the first one with Josh) - they really had the attitude that if I wasn't interested in aborting if there was a problem then why were we even having the u/s done? Their attitudes are so bad that if I need MFM specialist my OB is going to have to find another group to refer me to or I'll find one myself. Not that I am anticipating needing one, but I won't put myself and child under their care.

Kris


That's ridiculous. Why have the u/s if you're not gonna terminate? Um maybe you wanna know if you're having a boy or a girl ahead of time. Maybe you are curious about the babie's size and position(which are needed to know for the birthing and mother's health). Perhaps you'd like to be prepared on how to deal with a defect after the baby's born if it God forbid does have a problem.
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RE: sonograms - 12/5/2009 9:15:47 AM   
W.O.F.


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I have kind of flipped back and forth on U/S.....I think they can be useful (after all....one diagnosed me as placenta previa with my fourth child....)...but they can be over done...even by doctors.

It really is NOT necessary to do more than one or two unless a medical concern is present (and even with my placenta previa...they kept it down to 4 for the whole pregnancy!)....and I have a friend who had the 3D done...and she was simply not impressed....and the doctors admitted that it doesn't give THEM any more information than the old 2D ones......it is actually computer generated imaging off of the 2D sono...and may or may not be an accurate depiction of what the baby really looks like.

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RE: sonograms - 12/5/2009 1:37:21 PM   
peculiar_lady2


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quote:

.....it is actually computer generated imaging off of the 2D sono...and may or may not be an accurate depiction of what the baby really looks like.

LOL...all my kids look the same...just like my hubby...so that to me doesn't matter so much.

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RE: sonograms - 12/5/2009 4:05:00 PM   
SurpassingPeace


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If a 3d is no more effective then I wonder why I have to have them because I am high risk? (over 35) My doctor only sends her high risk patients for the 3d/4d.

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RE: sonograms - 12/5/2009 5:54:56 PM   
Brandy


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How 3d and 2d differ.

Instead of going thru the baby they reflect off the surface enabling better visualization of facial deformities or limb/abdo issues. Seeing a cleft lip would be much clearer on 3d than 2d.

Karen, I would assume they can try to assess the facial structure to look for down's or other characteristics of problems that may lead to further testing.

With our 3d we were able to clearly seeing her cord and it's tract and position which was very cool.

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RE: sonograms - 12/6/2009 11:58:48 AM   
SurpassingPeace


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From my conversations with doctors, they are able to see alot more on the 3d. My doctor isn't the the one that does them. I am send to a perinatal center with specialists.They don't use 2d there at all. It is not a boutique setting, you have to be high risk to see them.

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RE: sonograms - 12/6/2009 12:06:53 PM   
Memaw.


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Here is a link to a thread I started regarding "Boutique" shops, 3D, and 4D sonograms.

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RE: sonograms - 12/6/2009 3:52:01 PM   
Krislynx


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Now see, this is what drives me nuts - with BOTH of my kids they have had trouble getting the views they wanted. With Josh this meant u/s every 4 weeks from 18-34 weeks. So I don't get why they didn't do a 3d with him. They pretty much got what they wanted out of Beth (I have a follow up tomorrow but that is do to fundal height being way off) eventually. The u/s are done at the Maternal-Fetal Medicine office (high risk OB) so I'd think they would have it available. My SIL gets a 3d, just because that's what her doc offers (something having to do with developing the 3d technology) for everyone. Will even eat the cost if you or the insurance can't cover it.

Kris
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RE: sonograms - 12/6/2009 6:24:40 PM   
SurpassingPeace


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Kris, the only thing I can think of is my insurance would not pay for the 3d/4d us unless it was for a high risk reason. I was over 35 so I qualified. Without insurance those bad boys were over $1200 a pop.

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