Ultrasound examination in the first trimester

Aleksandra Mikic Novakov, MD

Novi Sad, Yugoslavia

Normal fetal morphology

image1
  • complete ossification of the skull
  • choroid plexuses fill the skull
  • "butterfly shape" of the choroid plexuses
  • uninterrupted midline echo

Fetal profile

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  • Visible nasal bone
  • Measurement of the nuchal lucency

Transverse section of the abdomen

 
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  • abdominal wall closed
  • normal size of stomach

Longitudinal section of the fetus

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  • diaphragm
  • stomach seen below the diaphragm

Transverse section of the abdomen at the level of the cord insertion

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  • anterior abdominal wall closed
  • normal insertion of the umbilical cord

Fetal bladder

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  • bladder seen, normal size

Fetal legs

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Fetal hands

image8

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  • both hands seen
  • all long bones and fingers seen

Measurement of nuchal translucency (Snijders RJM et al)

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  • gestational age 11 - 14 weeks (CRL 45-84 mm) (Snijders RJM, Nicolaides KHN)
  • maximal enlargement of the image (fetus occupies 75% of the whole image)
  • longitudinal section of the fetus (profile clearly seen)
  • fetus away from the amnion (three parallel lines seen)
  • the biggest thickness behind the neck is measured calipers put on the tissue following the rule "on/on"
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