Pregnancy Ultrasound- Is it necessary?

The journal, Obstetrics and Gynecology, estimated that over half of all pregnant women in 1990 had undergone diagnostic ultrasound, yet research published in the New England Journal of Medicine suggest that 80 percent of all pregnant women are very low risk and do not need ultrasounds. The unnecessary ultrasounds cost about $1 Billion per year.

Any woman who is told she needs an ultrasound should ask about the potential benefits of the test and the risks of the procedure. She should ask if the results of the ultrasound will affect her care she would otherwise receive and how. If the result of the ultrasound will not affect her care, she may question the need for the test at all. Only after being completely informed about the need for the test, the benefits, and the risks, should she sign a consent for the procedure.

USES OF ULTRASOUND

According to the ACOG patient education flier, "Ultrasound is not necessary for every woman or in every pregnancy." It is, however, being used more often as a standard procedure for every pregnant woman. Some common uses include diagnosing and detecting uterine or ectopic pregnancy, noting pelvic inflammatory disease, cysts, tumors uterine cancer, endometriosis and congenital abnormalities.

Ultrasound may compare fetal age and weight, note the placement of the placenta, amount of amniotic fluid that is present and diagnose certain birth defects such as neural tube defects. Ultrasound is used during an amniocentesis to verify the baby's position to be sure that the needle is placed properly. Some physicians use ultrasound for estimating the fetal weight. This is not a very accurate measurement unless numerous criteria and scans are checked. Head circumference is one measurement. However, incases of gestational diabetes, it is inaccurate because these babies gain the additional weight on their bodies only.

Ultrasounds are frequently used to date pregnancies. According to Otto and Platt, 1991, in the first trimester the error range is +5 days, in the second trimester it increases to +8 days and if done in the final trimester it is +22 days.

Stretch Marks And Skin Changes In Pregnancy

There are countless physical changes to your skin, both pleasurable and painful attributed to your pregnancy only.

The common skin change that most pregnant woman experience is the stretch marks. Stretch marks are separations of the outer layers of skin caused by the overstretching of underlying layers.

Beside pregnant women, stretch marks are found on children who are obese, adolescents who have a sudden growth spurt during puberty and athletes and body builders who do constant exercises. The most commonly affected areas by stretch marks are hips, abdomen, breasts, thighs and buttocks. Stretch marks are itchy reddish marks.

In pregnancy, heredity plays an important role in determining who will have and will not have stretch marks. If your mother has had them, chances are that you will get them too, unless you were born with stretchy skin. There is no sure shot remedy for stretch marks as mostly they fade after delivery. The only way to avoid stretch marks is to prevent them. We recommend the following –

- Massage vitamin E or olive oil on the abdomen areas from the start of your pregnancy. Massage it liberally over the marks after a shower. Incase you skip a shower, clean the area with a wet cloth and then apply the oil.

- Regular exercise helps to tone your muscles and keep your skin firm.

- Maintain healthy diet and drink plenty of water. Plenty of proteins and vitamin C & E foods should be included in your diet. Increase your intake of minerals such as zinc and silica to maintain healthy skin.

- One ounce of sweet almond or jojoba oil with 7-8 drops of lavender and chamomile oils is a good homemade recipe.

- Avoid excessive weight gain in a short time span.

- Cocoa butter reduces stretch marks and helps to keep the skin supple.

- Wear a glove and massage your skin to increase circulation.

- While massaging your body with body oil, add coconut and almond oil. Daily massage with Olive oil, flaxseed oil, cod liver oil or vitamin E oil after shower or before sleeping is an excellent home remedy for either preventing or treating stretch marks.

- To avoid stretch marks around breasts, wear a supportive maternity bra.

- To make stretch mark cream, mix 1/2 cup cocoa butter, 1 tsp wheat germ oil, 1 tsp apricot kernel oil, vitamin E oil and 2 tsp grated beeswax. Heat the mixture until cocoa butter and beeswax melt, stir well and store in air tight conditioner.