FAQs

 

General Ultrasound Questions

Who will be doing my ultrasound?

There is a team of sonographers at Paragon that provide ultrasound services for the entire practice. Paragon sonographers are certified by the American Registry for Diagnostic Medical Sonography (ARDMS).

Is Paragon Health Associates an accredited practice?

Paragon Health Associates, LLC is recognized as an Accredited Ultrasound Program in the areas of Obstetric and Gynecologic Ultrasound by the American Institute of Ultrasound in Medicine (AIUM). This recognition means that the practice has met voluntary standards set by the diagnostic ultrasound profession. The ultrasound department has been accredited since 1998 and is dedicated to upholding high standards.

Why may I need to go to another site to have my ultrasound?

Ultrasound services are available at five of the Paragon sites. We try our best to accommodate your needs with appointment times that fit your schedule and are at a site that is as close to you as possible. Not all sites have ultrasound services available every day of the week.

Can I video tape my ultrasound?

No, it is against our policy to videotape ultrasounds. Pictures of your baby are given to you to keep at the end of the exam.

Is it safe to have an ultrasound?

Although ultrasound is considered safe for the sonographer, patient, and fetus, it should only be done when there is a valid medical reason.

How many ultrasounds will I get during my pregnancy?

In most instances, in our practice, an ultrasound for dating and fetal anatomy is done ideally between 19-21 weeks. Since ultrasound should only be done with a valid medical reason, it would depend on individual symptoms throughout the progression of the pregnancy to determine if additional ultrasounds would be necessary.

 

 

GYN (Pelvic) Ultrasound

Will I have a transabdominal or transvaginal GYN Ultrasound?

Your provider will decide which test you should have. The scheduler will give you any instructions that are necessary.

Do I need to fill my bladder for my transabdominal GYN Ultrasound Examination?

Yes, you will need to drink three eight ounce glasses of water an hour and a half before your appointment time. Do not go to the bathroom (urinate) until after the procedure.

What should I expect when I have transabdominal Ultrasound?

Once you get into the exam room, you will be asked lie back on the exam table and lower your garments below your hips. Ultrasound gel is applied to the skin of the lower abdomen and an instrument (called a transducer) moved around while ultrasound images are obtained.

Do I need to fill my bladder for my transvaginal Ultrasound Examination?

No, a full bladder is not necessary. In fact, you will be asked to empty your bladder before the exam.

Why will I have transvaginal scan?

It provides very good detail of specific structures and is a comfortable procedure.

What should I expect when I have transvaginal ultrasound?

Once you get into the exam room, you will be asked to undress from the waist down and cover up with a sheet. Once the sonographer comes into the room, you will lie back on the exam table and put your feet in stirrups. An instrument (called a transducer) is inserted vaginally and moved around slightly while ultrasound images are obtained.

Can I be on my period and have a transvaginal ultrasound?

A transvaginal scan can be done when you are on your period. ItÕs your choice. The only exception is a procedure called a SIS (Saline Infused Sonohysterogram). Please call the office to reschedule if you are on your period and are scheduled for a SIS.

When will I get the results from my ultrasound?

You will receive final results from your provider in about a week. Some preliminary information may be given at the time of the scan.

Can I bring my child with me when I have the ultrasound?

Use your discretion. Due to the nature of the scan (transvaginal) you may want to refrain from bringing children. This is a medical exam and child care will not be provided. If you are bringing children, please bring another adult to assist them while you are having the testing done.

How long will my exam take?

We allow a 30 minute appointment time for this type of ultrasound.

If my ultrasound results are "normal", what does that mean?

It means that the structures evaluated; the uterus and ovaries, appear normal on ultrasound. It is important to note that ultrasound cannot detect all pelvic or GYN abnormalities and normal findings cannot guarantee the absence of a problem.

 

 

SIS – Saline Infused Sonohysterogram/GYN Pelvic Ultrasound

What is a SIS – Saline Infused Sonohysterogram?

This is an ultrasound procedure that complements a regular GYN (pelvic) ultrasound. It looks specifically at the cavity inside the uterus. It is performed by the sonographer and a provider. First, an ultrasound of the uterus and ovaries is done. Then, the provider inserts a speculum into the vagina (like a pap smear) and a small catheter (tube) is inserted into the uterine cavity. The speculum is removed leaving the catheter in place. The ultrasound probe (transducer) is again inserted into the vagina to visualize the uterine cavity. The provider slowly instills saline (fluid) into the uterine cavity as ultrasound images are obtained.

How long will this exam take?

The procedure itself (inserting the catheter) takes only a few minutes. However, we do allow an appointment time of an hour for the initial ultrasound, provider performing the procedure, set up, and clean up.

Is this procedure painful?

This is different for everyone. Most people experience only a mild cramping that lasts only a short time. If you feel it would make you more comfortable, you may take any over the counter medication that you would normally take to alleviate menstrual cramps before or after the procedure.

Will I be able to go back to work or drive after this procedure?

Yes, you should be able to go back to your normal activities right after the procedure.

 

 

Obstetrics (OB) Ultrasound

OB Ultrasound Exam in the first 13 weeks of pregnancy

Will I have a transvaginal or transabdominal ultrasound?

A transvaginal ultrasound will be done until about 12 weeks.

Can I bring my child/family with me for the ultrasound?

Consider carefully who you bringÉyour husband or significant other is appropriate. You may want to refrain from children or other family members due to the unknown results or possibility of a potential miscarriage.

What if I have bleeding following the ultrasound?

In pregnancy, any internal exam may result in vaginal spotting. This does not increase your risk for miscarriage.

How long will my exam take?

We allow a 30 minute appointment time for this type of ultrasound.

 

Obstetrics (OB) Ultrasound

First Trimester Screening Down’s Syndrome Screening:

Nuchal Translucency (NT)

What is the First Trimester Down’s Syndrome Screening?

It is a combination of an ultrasound exam and a blood test. The ultrasound demonstrates a fetal heart beat and establishes gestational age. Then, the thickness of the fluid at the back of the baby’s neck is measured. This is called the Nuchal Translucency or NT. In addition to the Ultrasound measurement, a blood sample is obtained by doing a finger stick. The blood specimen is analyzed for two chemicals found in all pregnant women’s blood: free Beta human chorionic gonadotropin (free Beta) and pregnancy associated plasma protein-A (PAPP-A). The NT measurement will be combined with the results of the blood test to estimate a specific risk for Down’s syndrome and trisomies 13 & 18.

When can this test be done?

This is performed between 11w1d and 13w6d when the size of the fetus is between 45-84 mm.

What is the Nuchal Translucency?

This is a normal area of fluid at the back of the baby’s neck that can be measured by Ultrasound.

Will I have a transabdominal or transvaginal Ultrasound for the NT?

In most cases, a transabdominal ultrasound will be done.

What if the NT/First Trimester Screening cannot be obtained?

Depending on the stage of your pregnancy, the ultrasound may be rescheduled to another day hoping the fetus will be in a better position at that time. If the gestational age of the pregnancy is close to the cutoff of 13w6d, a provider will speak to you about other testing options that are available.

 

OB Ultrasound Exam done at 19-21 weeks of pregnancy

Anatomic Evaluation

Will I have a transvaginal or transabdominal ultrasound?

You will have both a transvaginal and transabdominal ultrasound. 

How long will my exam take?

We allow a 45 minute appointment time for this type of ultrasound.

How many people can I bring with me for my ultrasound?

Please use your discretion and limit the number of people you bring. Keep in mind the sonographer needs to be able to concentrate as they evaluate your fetus. This is a medical exam and child care will not be provided. We suggest children be over 5 years old. If you are bringing children with you, please bring another adult to assist them while you are having the testing done. If your guests cause too much distraction, they will be asked to leave the exam room.

What is the purpose of the second trimester (19-21 weeks) ultrasound?
           
               The transvaginal ultrasound is a screening tool for pre-term labor which measures the length of the cervix and 
                it also provides a clear picture of the placental location as it relates to the cervix.

The transabdominal ultrasound is an evaluation of the important structures of the fetus. Measurements of the fetus are taken to confirm or to establish your due date. In addition, the patient's uterus, ovaries, and placenta are evaluated. At this time, the sex of the baby may be able to be identified.

Will I know the sex of my baby?

The sex of the fetus is documented if identified and will only be revealed to you or your family if desired. If the sex cannot be identified, this is not a reason to repeat the ultrasound.

If my ultrasound is "normal" does that mean that my baby will be "normal"?

It is important to note that ultrasound cannot detect all fetal or genetic abnormalities and a normal ultrasound cannot guarantee a normal outcome.

 

 

OB Ultrasound Exam done at later stages of pregnancy

Will I have a transvaginal or transabdominal ultrasound?

You will have a transabdominal ultrasound. However, there are occasions that a transvaginal ultrasound may be necessary to complete the exam.

How long will my exam take?

We allow a 45 minute appointment time for this type of ultrasound

How many people can I bring with me for my ultrasound?

Please use your discretion and limit the number of people you bring. Keep in mind the sonographer needs to be able to concentrate as they evaluate your fetus. This is a medical exam and child care will not be provided. We suggest children be over 5 years old. If you are bringing children with you, please bring another adult to assist them while you are having the testing done. If your guests cause too much distraction, they will be asked to leave the exam room

What is the purpose of an ultrasound in later stages of pregnancy?

Measurements of the fetus are taken to evaluate fetal growth and estimate fetal weight. Fetal position is determined and amniotic fluid volume is assessed. The important structures of the fetus are evaluated and any abnormalities previously noted are re-evaluated. In addition, the patient's uterus, ovaries, and placenta are evaluated. At this time, the sex of the baby may be able to be identified.

 

 

Biophysical Profile

Will I have a transvaginal or transabdominal ultrasound?

You will have a transabdominal ultrasound.

How long will my exam take?

We allow a 30 minute appointment time for this type of ultrasound

What is a biophysical profile?

This is an ultrasound assessment of fetal well being. It is based on a scoring system where several components are observed over a 30 minute period. The components are: amniotic fluid volume, non-stress test, fetal breathing movements, gross body movements, fetal tone (limb or trunk extension with return to flexion). These responses are observed and if present a score of 2 is given, if absent a score of 0 is given with 10 possible points.

How many people can I bring with me for my ultrasound?

Please use your discretion and limit the number of people you bring. Keep in mind the sonographer needs to be able to concentrate as they evaluate your fetus. This is a medical exam and child care will not be provided. We suggest children be over 5 years old. If you are bringing children with you, please bring another adult to assist them while you are having the testing done. If your guests cause too much distraction, they will be asked to leave the exam room