Ultrasound during pregnancy

  • The general German insurance covers the costs for 3 ultrasounds, if you have a straight forward pregnancy. (I do not want to use the word “normal”.)
  • Of course may there be difficulties, the insurance will take care of more needed ultrasounds.
  • A doctor performing an ultrasound at every visit of yours -just for fun- is not covered, make sure there are no hidden costs involved.
  • The Mutterpass now has room to note the 3 ( covered ) examinations. But do not worry, a 4th and or 5th, 6th examination is easily added.

 

Ultraschall Examination explained in Mutterpass

Ultrasound examinations are recorded in your Mutterpass

I will start explaining going from top left to right.
  • Datum: Date
  • SSW ( LR ): Week of pregnancy calculated after your last period
  • SSW korrigiert:Week of pregnancy adjusted

 

1. Screening 8+0 until 11+6 weeks

Erstes Screening im Mutterpass explained in english

 I will translate for you what is is checked.

  • Intrauteriner Sitz: Is embryo sitting in the uterus?
  • Embryo darstellbar: Embryo visible?
  • Herzaktion: Heart beating?
  • Mehrlinge: Multiples
  • Monochorial: Multiples sitting in just one sack of membranes
  • Auffälligkeiten: Abnormalities

Continuing on the right side of the page

  • Zeitgerechte Entwicklung : Timely development
  • Konsiliaruntersuchung veranlasst : Check up recommended oder examination arranged for

The Examiner has the possibility to thick off every question with YES or NO.

Following measurements are taken

  • FS ( Fruchtsack -Durchmesser der Fruchthöhle ):  Diameter amniotic cavity
  • SSL Scheitel Steiß Länge: Crown: Rump-length
  • BPD Biparietaler Durchmesser: Biparietal diameter ( Head diameter )

2. Screening 18+0 week until 21+6 week

2.Screening during pregnancy

This second screening is called Feindiagnostik or großer Ultraschall

Not every praxis / doctor offers/ performs this ultrasound. Meaning you might be told to see a specialist for this appointment.

a. Again all answered with yes or no

  • Einling: Singleton
  • Mehrlinge: Multiples
  • Herzaktion: Heart beating
  • Plazenta Struktur: Placenta structure
  • Zeitgerechte Entwicklung: Timely development

 

b. Kopf- Head

  • Auffälligkeiten: Abnormalities
  • Auffälligkeiten der Kopfform: Head shape abnormalities
  • Darstellbarkeit des Kleinhirns: Presentability of cerebellum

Hals und Rücken: Neck and spine

  • Unregelmäßigkeiten der dorsalen Hautkontur: Skin contours abnormalities at the back, ( Sign for Spina Bifida )

Thorax-Thorax

  • Auffällige Herz-Thorax Relation ( Blickdiagnose ): Abnormality in heart-thorax relation ( visual diagnosis )
  • Linksseitige Herzposition: Sinistral heart position
  • Persistierende Arrhythmie im Untersuchungszeitraum: During examination persistent irregular heartbeat
  • Darstellbarkeit des Vier Kammer Blicks:  4 chambers presentability, Heart visible with all 4 chambers

Rumpf- Torso

  • Konturunterbrechung an der vorderen Bauchwand: Skin contour abdominally in the abdominal wall ( organs might be growing outside )
  • Darstellbarkeit des Magens im linken Oberbauch: Stomach presentable in left epigastrium ( upper abdomen )
  • Darstellbarkeit der Harnblase – presentability bladder

 

Following measurements are taken

  • BPD Biparietaler Durchmesser:  Biparietal diameter
  • FOD/KU Kopfumfang: Head circumference
  • APD/AU Bauchumfang: Abdomen circumference
  • FL Femurlänge: Thigh bone length
  • Fruchtwassermenge: Amniotic fluid index
  • körperliche Entwicklung: Bodily development
  • Konsiliaruntersuchung veranlasst : Check up recommended oder examination arranged

 

3. Screening 28+0 until 31+6 week

3 Screening during pregnancy explained
  • Einling: Singleton
  • Kindslage: Fetal presentation
  • Herzaktion- Heart beating
  • Plazenta Struktur – Placenta structure
  • Zeitgerechte Entwicklung: Timely development
  • Fruchtwassermenge: Amniotic fluid index
  • Körperliche Entwicklung: Bodily development

Following measurements are taken

  • BPD Biparietaler Durchmesser: Biparietal diameter
  • FOD/KU Kopfumfang: Head circumference
  • APD/AU Bauchumfang: Abdomen circumference
  • FL Femurlänge: Thigh bone length

 

I will skip the next 3 pages and will continue with my last part, named the Final Examination.

Lots of love & Go leor de ghrá, 

Signatur from Midwife Katrin O'Malley

Posted by:midwifeinberlin

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