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Ultrasound During Pregnancy

Written and reviewed by
Dr. Sujata Agrawal 89% (142 ratings)
MBBS, MD - Obstetrtics & Gynaecology, Diploma In Ultrasound, Fellowship In Laproscopy
Gynaecologist, Delhi  •  32 years experience
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Hello, mera naam Dr Sujata Agarwal hai, mein MBBS MD Gyaene hoon, obtsetrology mein mera diploma kiya hua hai, main Sarita Vihar, Badarpur aur Apollo hospital mein practice karti hoon. Main aap logo ko pregnancy aur usse related ultrasound ke baare me batana chahungi, agar aap log mujhe dikha na chahte hain ya consult karana chahe toh aap mera number Lybrate se le sakte hain. Pregnancy aur ultrasound aajkal dono ek doosre ke saath bilkul mil rahe hain, main aim hamara pregnancy mein ultrasound karne ka ye hota hai, ki bache ki growth theek ho aur baccha us samay deliver karaya jaaye jab woh safe ho, koi complication ho toh hum usko pata karle, bache ke andar kisi bhi tarah ka defect ho to usko pata karle. Kuch logon ka iss tarah se myth hota hai ki ultrasound jo hai bahut jyada karana pregnancy mein safe nahi hai, lekin yeh bilkul galat hai dharna hai. Ultrasound ek tarah ka different mechanism hai jisme sound waves bache ke andar ja ke reflect hoke wapas machine mein aati hain, isme Koi x-ray ya koi aur tarike radiation nahi hai jo bacche ki growth pe ya uski kisi development pe problem kare. Isliye pregnancy me ultrasound bhale hi doh ho, dus ho, bees ho depending upon our requirement woh bilkul hi safe hote hain. Jo pehla ultrasound hum karte hain wo do se teen mahine ke beech mein karte hain yeh janane ke liye ki kaee baar twin pregnancy hoti hai, triplet pregnancy hoti hai, ke number of foetuses kitne hain. To know number of foetuses No.1, No. 2 bacche ko hum naap ke uski age pata laga sakte hain aur usse delivery ki date hum confirm karte hain aur teesra bacche ki heartbeat dekh ke hum bata sakte hain ki bacche ke andar koi missed abortion hai ya koi cruel problem nahi hai. Toh pehla ultrasound hota hai dating viability scan between 2 to 3 week preferably 8 weeks mein, second ultrasound humlog usko NT scan bolte hain 11 to 30 weeks me kiya jata hai. Iss ultrasound baccha pura bann chukka hota hai, uske charo haath pair bann chuke dekhte hain uske sar ki mainly, sar k i haddi bani hai ki nahi skull bone woh nazar aati hai kabhi kabhi kuch defects ho bacche ka skull nahi bana hota hai. Waise anal carefree baby ko hum early diagnose kar sakte hain. Teesra bache ke neck ki bone ko major karte hain jo main anteen hota hai aur uski thickness se hum bata sakte hain ki bacche mein koi development chromosomal defect hai ya nahi hai. Agar anteen normal se jyada hoga toh phir hame aage janch karne ki jarurat hogi kyunki usme bache ka defective hone ka risk badd jata hai. Uske alawa bache ka hame bacche ka stomach, urinary bladder, bacche ka heart care flow, ductors flow aur ek basic heart ka structure hame dikh jata hai aur hum ye bata sakte hain ki bacche mein basic koi defect nahi hai, yeah 11 to 13 weeks Mein NT scan hota hai. Iske baad mein jo sabse important ultrasound hai woh 4 se 5 mahine ke beech mein hota hai preferably 18 to 19 weeks mein 20 weeks se pahle hame dekh lena hota hai ki bache ke andar kisi bhi tarah ka koi defect nahi hai. Toh 20 weeks ke baad agar bachche defective bhi hai toh bhi abortion karne ke liye Supreme Court ke paas ja ke unse hame permission leni padti hai. MTP act mein sirf 20 weeks tak hi hum log agar defective baby ho toh terminate kar sakte hain. Toh 18 to 19 weeks mein baby jo hai pura develop ho chuka hota hai, uski puri body, brain, skull, heart, kidney, hath, pair har tarah ki cheeze hume dikh jati hain aur hum confidently bol sakte hain ki bacch bilkul safe hai aur aap pregnancy aram se continue kariye. In 18 to 19 weeks jisko hum anomaly scan bolte hain, uske baad jo next ultrasound hai wo patient to patient requirement pe depend karta hai. Normally ye around 30 to 34 weeks pe karte hain aur isko coloured optical scanning bolte hain. Isme hum bache ke sare brain, heart or uske alag alag naso me blood ka Prabhav dekhte hain aur usse hame pata chal jata hai ki bacche ki growth jo hai thik hai ke nahi hai, uterus ki arteries mein blood flow dekhte hain usse pata chal jata hai ki high BP hone ka risk hai ki nahi pregnancy ke samay. Aur jin baccho mein growth retardation hota hai, unka phir hum doh doh hafte pe serials scan karke dekhte hain ki growth ho rahi hai ki nahi ho rahi hai aur agar hame lagta hai ki baby bahut jyada week hai aur pait mein uski maa ke andar uterus mein dala jata hai isliye hum timely delivery plan kar sakte hain ultrasound ke dwara. Toh is tarah se ultrasound pregnancy mein bahut hi safe hai, isko karane mein koi hichak nahi honi chahiye. Deliveries ki requirement ho aur aapke doctor suggest kare, toh usko bina kisi darr ke karaiye, uska koi side effect nahi hai. Thank you so much agar aap logon ko mujhse kabhi kuch scan karana ho ya milna ho toh aap mere se appointment le sakte hain.


 

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