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Obstetrician and Gynecologist
Specialist n Ultrasound and prenatal diagnosis
Prof. Perlman Sharon
Q&A
Yes, this is possible. We call it a “c(/שקיפות-עורפית-משולבת)ombined scan” (/שקיפות-עורפית-משולבת)– a scan performed at a stage when the pregnancy is far enough along, yet the fetus is still at a size that allows us to gain deep insights about the pregnancy at a relatively early stage.
About the Nuchal Translucency scan:(/שקיפות-עורפית)
The Nuchal Translucency (NT) scan is performed between weeks 11 and 13 of pregnancy. It measures the fluid-filled space at the back of the fetus’s neck, which can help assess the risk of chromosomal abnormalities such as Down syndrome. It also evaluates certain anatomical structures at this early stage, providing important information about the fetus’s development.
About the Early Anatomy Scan:(/סקירת-מערכות-מוקדמת)
The Early Anatomy Scan is performed between weeks 14 and 17 of pregnancy. It offers a more detailed evaluation of the fetus’s organs, skeletal structure, and overall anatomy, enabling the early detection of certain anomalies and structural conditions before the standard mid-pregnancy anatomy scan.
By combining these two examinations into a single appointment at the appropriate time, we can gather valuable diagnostic information while minimizing the need for multiple visits.
A third system review is an ultrasound examination performed between weeks 30-32 of pregnancy. The purpose of the test is to find malformations in the fetus that were not discovered in previous tests, such as a review of the first and second systems, as well as to identify other developmental problems that may appear at a later stage of pregnancy.
The reasons why it is desirable and recommended to perform a third review:
• Detection of late defects:
• Fetal growth assessment:
• Amniocentesis:
• Peace of mind:
It is important to note:
• A third system review is not funded by the health fund.
• Not all women need a third review. A gynecologist will be able to recommend whether a third examination is suitable for you based on various factors, such as your age, medical history and complications in previous pregnancies.
• Even a third review is only a screening test and does not determine with certainty whether the fetus is healthy or not.
Gynecological ultrasound is an important diagnostic tool that allows us doctors to get detailed pictures about the gynecological condition of the patients.
This test, which uses sound waves, helps identify and evaluate a wide variety of medical conditions, from common findings such as fibroids, cysts, pelvic infections to more complex problems.
On the other hand, a hydrosonography test is used to diagnose more complex problems in the female reproductive system, usually in women suffering from fertility problems or chronic pelvic pain.
In this test, visualization using ultrasound is better because a water-based material is used in order to better visualize the uterine region and semi-forms. Most of the time, this test will be performed in order to diagnose women who report fertility problems, chronic pelvic pain or to rule out a suspicion of a gynecological problem that was not detected by a regular ultrasound.
This test is intended for women who:
• Want to verify the integrity of the uterus and rule out medical problems such as a bicornuate uterus or partitions in the uterine cavity.
• Assess the fallopian tubes and blood flow to them.
• Assist in the in vitro fertilization (IVF) procedure.
Towards the end of pregnancy, between weeks 36 and 38, you will be asked to undergo another pelvic assessment, also known as an "internal vaginal examination". The purpose of the test is to assess your readiness to give birth and identify abnormal findings that may affect the birth process.
What does a pelvic assessment before birth include?
The test is similar to a normal pelvic assessment, but with a focus on several main factors:
• Cervical maturity:
• Pelvic size:
• The position of the fetus:
• Vital signs of the fetus:
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