Northern Ultrasound for Women

COVID-19 Ultrasound Protocol

We are operating as normal but are taking all appropriate precautions and complying with Government COVIDSafe regulations to ensure a safe and healthy environment for patients and staff.

We are screening every patient prior to attending their appointment. Our rooms are sanitised daily with extra cleaning of high touch-point areas. Hand sanitizer and sanitized pens are provided for each patient.

Air purification systems with internal UV-C have been installed in the waiting and ultrasound rooms.

Social distancing is in effect, temperatures are checked on arrival and the wearing of face masks is mandatory by patients and accompanying person while in the waiting room and during appointment.

We have implemented the following protocols:

    • Requesting patients with pre-booked appointments to call ahead of the appointment if experiencing any of the COVID-19 symptoms - fever (+ 37.5 deg. C), cough or shortness of breath, sore throat, aches and pains, loss of taste or smell (see health.gov.au) or have been in contact with another person with known or suspected of COVID-19 in the last 14 days.
    • Requesting patients to attend the appointment alone or strictly one support person (adult) to attend and for the support person to be free of all COVID-19 symptoms and comply with all screening criteria.
    • Strictly no children under age 16 to attend the appointment.
    • Requesting patients and any support person to wear a face mask, disposable masks will be provided if necessary but it is advised to bring your own face mask.
    • Ensure you have responded to your SMS appointment confirmation as evidence of your appointment, if asked to show evidence by authorities.
    • Support person will be required to provide contact details using our QR Code, to comply with DHHS regulations for the purpose of contact tracing
    • On the day of your appointment, you may be asked to wait outside the waiting room for a short period to comply with social distancing rules.

Our reception staff will be asking screening questions ahead of appointments. We’re confident that patients will understand why they are asked to wear a mask or asked to defer appointments if they are experiencing any COVID-19 symptoms.

Our Doctors and Sonographers will be wearing P2/N95 masks as protective equipment.

Northern Ultrasound for Women is not equipped to cater for infection isolation, therefore if you are concerned you may have been exposed to COVID-19, you should contact your GP, referring doctor or the emergency department immediately.

Our priority is keeping our patients and staff members safe whilst maintaining the highest standards of ultrasound imaging and service. If you have any queries please do not hesitate to contact our helpful staff on 9457-1466.

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Northern Ultrasound for Women, Suite 8 Level 2, 8 Martin St,
Heidelberg 3084
VIC AU
Tel 03 9457 1466
Fax 03 9457 1400

Obstetric Services

Obstetric Scans and Related Procedures

Scan Description

Applications

Early Pregnancy Ultrasound

For early pregnancies when the uterus is still within the pelvic brim, transvaginal imaging produces the best detail and diagnostic accuracy. As with gynaecological scans an empty bladder is the only pre-scan preparation required.

An early pregnancy scan (< 10 weeks) is the most accurate time for pregnancy dating and is useful when planning further gestation dependant tests such as the first trimester combined screen. Localizing the early gestational sac within the uterine cavity confidently excludes ectopics in natural pregnancies for women with pelvic pain or who have an increased risk of ectopic pregnancy. For women with hyperemesis in early pregnancy excluding multiple gestation and molar pregnancy is achieved with an early pregnancy scan. The embryonic heart motion can be seen in some pregnancies from as early as six weeks but a live pregnancy may not be verifiable until the seventh week for many women.

First Trimester Fetal Ultrasound

A transabdominal approach is used with transvaginal imaging reserved for those cases where further detail is required. No special bladder preparation is required however some urine in the bladder may be helpful initialy.

This scan has become increasingly popular initially with the nuchal translucency assessment and recently as part of the First Trimester Combined Screen for chromosomal abnormality. An early anatomical survey is also performed at this time which is particularly reassuring for patients with previous major fetal abnormality such as neural tube defect. Pregnancy dating and determining the pregnancy number are both accurately performed at this scan.

Mid Trimester Fetal Ultrasound

The routine fetal anatomical survey is usually scheduled for 18 – 20 weeks of pregnancy. A comfortable, partially filled bladder is helpful for this transabdominal scan.

Routine scan to exclude anomalies detectable by ultrasound, date and number fetuses, localize placenta and assess liquor volume. Markers for chromosomal abnormality when detected are assessed with respect to the individual maternal age related risk profile and prenatal testing with amniocentesis offered after counseling when appropriate.

Third Trimester Fetal Ultrasound

From 22 weeks onwards. A comfortable, partially filled bladder is helpful for this transabdominal scan.

Performed when indicated for the assessment of fetal growth, determining the placental site in those pregnancies at risk of placenta praevia, monitoring cervical length and determining the fetal position. Fetal well being is assessed by umbilical artery doppler studies, liquor volume and fetal movements.

Chorionic Villus Sampling

Ultrasound guided transabdominal procedure for fetal karyotyping usually done from 11 – 14 weeks. Blood group and type confirmation is requested. Anti-D will be administered to Rh – negative patients.

This is the earliest diagnostic test for establishing the normality of the fetal chromosomes and is 100% accurate. Although considered a safe test, there is a slight increase in the overall miscarriage risk of about 1%. The full karyotype result generally takes two weeks but when indicated a FISH analysis which covers the five main chromosomes (13, 15, 21, X and Y) requires only 24 – 48 hours.

Tubal Patency Studies

A new contrast agent (ExEm Foam) has been registered with the TGA for the purpose of tubal patency testing with ultrasound. This replaces the obsolete Levovist for hystero-colpo-salpingography (HyCoSy) and the procedure is otherwise unchanged.

ExEm is a non (embryo) toxic gel foam containing glycerol and hydroxyethylcellulose that has been tested extensively and safely used in medicine (Elam and Elam. 1993; Fale et al., 1998; O’Brien et al., 2003; Berger et al., 2005; Nilforoushan et al., 2005). ExEm gel foam was successfully trialled in the Netherlands for office tubal patency testing achieving adequate uterine cavity filling in 92% of patients (Emmanuel et al, Human Reproduction Nov. 2011) with no serious side effects observed overall. 7% of patients experienced vasovagal discomfort that resolved spontaneously.

We hope to continue to serve those in need of fertility investigations and your patients will be sheduled for ExEm foam salpingogram during days 4 - 10 of a regular menstrual cycle by our reception staff.