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What happens when a tech at one of these clinics is scanning and recognizes a fetal abnormality?
The scan is stopped immediately, the patient is referred to their GP, the session is not performed. All clients require that a diagnostic scan be completed prior to the 3D.4D ultrasound, this is a safeguard and clients understand the difference between their diagnostic scan and non-diagnostic scan.
-"fetal reassurance”? of what.... that their parents think a good way to bond with them is to subject them to an unnecessary medical test? that’s like bonding with your dad by giving him an unneeded prostate biopsy
Comparing an invasive medical procedure requiring anesthesia to a painless, harmless, meaningful experience is a fairly crude analogy, however, “fetal reassurance” implies the following - this is supported by an article in the Journal of Ultrasound & Medicine entitled: Effects of ultrasound on maternal-fetal bonding:a comparison of two- and three-dimensional imaging” performed jointly by the Departments of Radiology and Family Medicine in San Diego.
Conculsion: “3DUS appears to more positively influence the perceptions of mothers to their babies postbirth compared to 2DUS. Specifically, mothers who had 3DUS showed their ultrasound images to a greater number of people compared to mothers who had 2DUS alone and this may represent mother’s social support system. 3DUS may have a greater impact on the maternal-fetal bonding process.”
I think you’d have a difficult time receiving ethics approval if you were to apply this study model to measure the correlation between bonding during prostate exam procedures.
Further studies have shown the following benefits to 3D/4D ultrasound, you can site these in the Journal of Ultrasound and Medicine.
1. Documented cases of patients who underwent 3D/4D ultrasound changed harmful maternal practices such as smoking and alcohol consumption during pregnancy. Patients reported this was because they had an increased bond with their baby and recognized the harm they were causing.
2. Allows the father a more direct means of experiencing the pregnancy.
3. Increases social networking and maternal support support systems (see above).
4. Decreases maternal anxiety
You make a good point about increased NT thickness and cleft lip - additional benefits to this are noticing the appearance of the nasal bone and the the presence of a ventral septal defect (VSD), the scan you’re referring to is the first trimester screening (FTS) test for trisomy 21. The limitation is that the scan is suited for 11-13 weeks, long before the B scan and even longer before a 3D/4D ultrasound (if the patient desires). This scan is not offered by MSP so the argument doesn’t apply to Radiology centres that offer 3D/4D ultrasound in the lower mainland since NT can’t be performed this late in the pregnancy - also a patient by this time would be past the threshold for CVS or Amnio so the FTS scan would provide no benefit.
I guess that question is immaterial because anyone who could only get a job scanning at one of these clinics would not have the skill or credentials to recognize if anything is wrong with a clients baby.
Technicians at Som Visao are ARMDS qualified Sonographers with extensive experience. Some balance FT diagnostic work with non-diagnostic call shifts.
Another article in the Journal of Ultrasound and Medicine surveyed medical professionals and asked whether they’d perform it on their own children - approximately 70% answered they would have no reservations. I’ve spoken with Radiologists, GPs, and OBGYNs who have scanned their own children and have nothing but positive things to say about their experience.
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