MCCCD Official Course Competencies:

DMI240AB  2008 Fall - 2010 Fall

Ultrasound Imaging: Obstetric Procedures

1.

Describe the anatomy and physiology of the female pelvis related to the obstetrical application of sonographic imaging. (I)

2.

Describe the normal and variant anatomy and physiology of the maternal pelvis, embryo, and fetus related to the obstetrical application of sonographic images. (II)

3.

Measure and calculate specific fetal biometry using sonographic images and describe specific scanning protocols for obstetrical procedures. (III)

4.

Describe the normal anatomy and anatomical variants of the material pelvis, placenta, embryo and fetus using specific sonographic images. (IV)

5.

Describe the major diagnostic tests related to obstetrics. (V)

6.

Describe major abnormal fetal growth and development. (VI)

7.

Describe maternal risk factors that affect embryonic/fetal growth and development. (VII)

8.

Identify and describe different pathological conditions involving the maternal pelvis, embryo, and fetus using sonographic images. (VIII)

MCCCD Official Course Outline:

DMI240AB  2008 Fall - 2010 Fall

Ultrasound Imaging: Obstetric Procedures

I. Female pelvis

A. Cervix and vagina

1. Anatomy

2. Physiology

B. Uterus

1. Anatomy

2. Physiology

C. Fallopian tubes

1. Anatomy

2. Physiology

D. Ovaries

1. Anatomy

2. Physiology

II. Maternal pelvis, placenta, embryo, and fetus

A. Anatomy

B. Physiology

C. Variants

III. Fetal biometry and normal anatomy

A. First trimester

1. Two to six weeks

2. Seven to eight weeks

3. Eight to ten weeks

4. Ten to thirteen weeks

5. Measurements

B. Second and third trimester

1. Measurements

2. Normal anatomy

3. Fetal well-being/biophysical profile

4. Placental grading

5. Amniotic fluid volume

IV. Normal and variant images

A. Maternal pelvis

1. Normal appearances

2. Anatomical variants

B. Placenta

1. Normal appearances

2. Anatomical variants

C. Embryo

1. Normal appearances

2. Anatomical variants

D. Fetus

1. Normal appearances

2. Anatomical variants

V. Other Obstetrical Diagnostic Tests

A. Vaginal and cervical smears

B. Biopsies

C. Endocrine investigation

1. Pituitary hormone determination

2. Estrogen and progesterone hormone determination

3. Thyroid and adrenal function tests

D. Colposcopy

E. Culdocentesis

F. Laparoscopy

G. Tubal tests

1. Hysterosalpingogram

2. Co2 insufflation

3. Hysterosonograms

H. Pregnancy tests

1. Beta subunit serum test

2. Urine - human chorionic gonadotrophin (HCG)

3. Frog or rabbit tests

I. Genetic testing

1. Chorionic villus sampling

2. Genetic amniocentesis

3. Chromosomal analysis

4. Enzyme or protein analysis

5. Sex determination

J. Estrogen determination

1. Estridiol

2. Estradiol

3. Urinary determination

4. Amniotic fluid determination

K. Creatinine determination

L. Amniotic fluid testing

1. Lectithin/sphinogomyelin ratio

2. Bilirubin

3. Meconium

4. Vernix

5. Blood

M. Fetal monitoring

1. Non-stress test

2. Contraction stress test

3. Internal

N. Fetal scalp blood pH

O. Pelvimetry

P. Manual exam

VI. Abnormal fetal growth and development

A. Large for gestational age

1. Incorrect dates

2. Macrosomia

3. Multiple gestation

4. Polyhdraminos

B. Small for gestational age vs. intrauterine growth retardation

1. Small but normal

2. Incorrect dates

3. Demise

4. Maternal risk factors

5. Iutrauterine growth retardation(IUGR)

C. Congenital anomalies

1. Head

2. Spine

3. Skeletal

4. Thoracic

5. Cardiac

6. Digestive tract

7. Genitourinary tract

8. Other abdominal abnormalities

VII. Maternal risk factors

A. Diabetes

B. Hypertension

1. Pre-existing renal disease

2. Toxemia of pregnancy

3. Increased incidence of polydraminos

C. Rh sensitization

1. H negative mother to Rh positive fetus

2. Enlarged placenta

3. Amniotic fluid tests

4. Effect on fetus

D. Abnormal uterine anatomy

1. Myomas

2. Bicornate uterus

3. Placental complications

4. Fluid complications

5. Amniotic bands

VIII. Pathological images

A. Fibroids and pregnancy

B. Intrauterine contraceptive device (IUCD) and pregnancy

C. Ovarian masses with pregnancy

D. Blighted ovaum/incomplete abortion

E. Complete spontaneous abortion

F. Hydatidiform mole

G. Choriocarcinoma

H. Chorioadenoma

I. Ectopic pregnancy

J. Placenta previa

K. Abruptio placenta

L. Polyhydramnios

M. Oligohydramnios

N. Anomalies

O. Hydrops fetalis

P. Other