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Other more subtle features such as low-set ears, facial dysmorphia or clubbing of feet can be better assessed.The ability to obtain a good 3D picture is nevertheless still very much dependent on operator skill, the amount of amniotic fluid around the fetus, fetal position and the degree of maternal obesity.Fortunately, gestational sac, yolk sac and embryo are surrounded by hyperechoic (brighter) body tissues. Understanding the limitations of measuring the baby’s head in order to date the pregnancy is very important.

Research shows that routine obstetric ultrasound before 24 weeks gestational age can significantly reduce the risk of failing to recognize multiple gestations and can improve pregnancy dating to reduce the risk of labor induction for post-dates pregnancy.Especially in patients with an uncertain, or unknown last menstrual period, a first trimester ultrasound can be used to estimate gestational age with a variation of only 3 to 5 days.Crown-rump length is the measurement used through 12 weeks for the greatest accuracy at this stage of pregnancy.In the second trimester this may be extrapolated to an estimate of gestational age and an estimated due date (EDD).The BPD should be measured on an axial plane that traverses the thalami, and cavum septum pellucidum. BPD may also be influenced by factors such as abnormalities of head shape, breech presentation, or multiple gestations.




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