Morphology Scan

Ultrasound scanning guidelines

Morphology Scan - Second Trimester Assess: Fetal number Fetal cardiac activity Placental position liquor volume Adnexae Cervix Fetal morphology Fetal biometry Documentation: Placental views long / transverse Internal os view in midline with measurement to lower placental edge Deepest Pool of liquor Images of fetal heart Documentation of all structures Detailed fetal morphology protocol ( for increased risk of abnormaliites, or if abnormality found) Head Measure BPD / HC Cerebellum / cisterna magna with nuchal skin thickness Choroid plexus assessment Lateral ventricle measurement at trigone Coronal view of orbits Face Nose / lips Profile Nasal bone Spine Coronal or Sagital of entire spine (cervical, thoracic, lumbar, sacral regions) Transverse assessment of entire spine Heart M-mode trace Clipstore of 4 chamber heart Abdominal situs (stomach, ivc, aorta) 4 chamber view Outflow tracts - rvot / lvot 3 vessel view - rvot / aorta / svc and trachea Colour image of "arch" or "arrow view" Colour image showing intraventricular septum (ivs) Abdomen Coronal abdomen with bladder and stomach Coronal aortic bifurcation - colour Coronal diaphram Measure Abdominal circumference (AC) Transverse cord insertion Colour image showing umbilical arteries Kidneys and Urinary Tract Transverse kidneys at hilum Coronal kidneys Transverse bladder Limbs Femur, humerus, tibia/fibula, ulnar/radius on both sides Views of both wrists (showing normal angle of the hand to the radius and ulna) Identificaation of the digits in each hand with normal positions Views of both ankles showing the orientation of plantar plane of the foot to the tibia/fibula

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