The routine anomaly scan (at 18 weeks 0 days to 20 weeks 6 days) should not be routinely used for Down's syndrome screening using soft markers. When routine ultrasound screening is performed to detect neural tube defects, alpha-fetoprotein testing is not required. Routine screening for cardiac anomalies using nuchal translucency is not recommended.
Routine antenatal pelvic examination does not accurately assess gestational age, nor does it accurately predict preterm birth or cephalopelvic disproportion. Routine breast examination during antenatal care is not recommended for the promotion of postnatal breastfeeding. The effectiveness and safety of oral treatments for vaginal candidiasis in pregnancy are uncertain and these treatments should not be offered. It does not benefit the mother's or the baby's health and may have unpleasant maternal side effects. Iron supplementation should not be offered routinely to all pregnant women. Paragraph number: 1.10.3 Page number: 32 View all NICE do not do from this Guidance Interventions: Routine Doppler ultrasound Source guidance details Guidance: Antenatal care for uncomplicated pregnancies (CG62) Published date: "Furthermore, the number of sessions or the length of a session in scanning a fetus is uncontrolled, and that increases the potential for harm to the fetus and eventually the mother.Routine Doppler ultrasound should not be used in low-risk pregnancies.ĭo Not Do Recommendation Details Recommendation: Also, there is little or no medical benefit expected from the exposure," Vaezy says.
#Doppler ultrasound pregnancy professional
"When the product is purchased over the counter and used without consultation with a health care professional taking care of the pregnant woman, there is no oversight of how the device is used. These devices, which are used for listening to the heartbeat of a fetus, are legally marketed as "prescription devices," and should only be used by, or under the supervision of, a health care professional. Similar concerns surround the OTC sale and use of Doppler ultrasound heartbeat monitors. By contrast, Veazy says, “Proper use of ultrasound equipment pursuant to a prescription ensures that a woman will receive professional care that contributes to her health and to the health of her fetus.” Doppler Ultrasound Heartbeat Monitors In creating fetal keepsake videos, there is no control on how long a single imaging session will last, how many sessions will take place, or whether the ultrasound systems will be operated properly. While FDA recognizes that fetal imaging can promote bonding between the parents and the developing fetus, such opportunities are routinely provided during prenatal care.
In some cases, the ultrasound machine may be used for as long as an hour to get a video of the fetus. that are commercializing ultrasonic imaging by making fetal keepsake videos.
FDA is aware of several enterprises in the U.S. Therefore, ultrasound scans should be done only when there is a medical need, based on a prescription, and performed by appropriately-trained operators.įetal keepsake videos are controversial because there is no medical benefit gained from exposing the fetus to ultrasound. The long-term effects of tissue heating and cavitation are not known. "Ultrasound can heat tissues slightly, and in some cases, it can also produce very small bubbles (cavitation) in some tissues." "Although there is a lack of evidence of any harm due to ultrasound imaging and heartbeat monitors, prudent use of these devices by trained health care providers is important," says Shahram Vaezy, Ph.D., an FDA biomedical engineer. They are not intended for over-the-counter (OTC) sale or use, and the FDA strongly discourages their use for creating fetal keepsake images and videos. Both are prescription devices designed to be used by trained health care professionals. Doppler fetal ultrasound heartbeat monitors are hand-held ultrasound devices that let you listen to the heartbeat of the fetus. Ultrasound imaging is the most widely used medical imaging method during pregnancy.įetal ultrasound imaging provides real-time images of the fetus. Ultrasound scans, like the one pictured above, should be reserved for times when there is a medical need and performed by appropriately-trained operators.
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