Obstetric Ultrasound

This evidence-based book shows how to use ultrasound to identify potential problems and how best to manage them. Working backwards from the fetal finding or maternal problem, this practical resource explores potential diagnostic routes and management plans. Throughout the book, the author uses ‘case in point’ examples to focus on how to extract the most useful information from a standard ultrasound examination. Dr. Hobbins, who has spent more than three decades using ultrasound in a perinatal setting, also thoroughly explores vital issues such as comprehensive examination of the fetal anatomy, the meaning of various abnormal findings, how ultrasound can be used to enhance the management of obstetrical complications, dealing with discrepant biometry, diabetes and hypertension, advanced maternal age, preterm labor, intrauterine growth restriction (IUGR) and safety of ultrasound.

This established text covers the full range of obstetric ultrasound examinations that a sonographer would be expected to perform in a general hospital or secondary referral setting, and is the only text that combines the practicalities of learning how to perform these examinations with the information needed to carry them out in a clinical setting. It encourages students to think about their practice and provides the sonographer with the necessary tools to provide a 'gold standard' service.

Based on a popular course taught at the Radiological Society of North America's Annual Meeting, this book provides all the essential information for choosing the appropriate imaging examination and completing the imaging workup of a patient. Chapters are organized into parts according to the anatomical location of the clinical problems addressed. The authors guide the reader through the diagnostic evaluation, reviewing the indications for and the strengths and limitations of ultrasound imaging.Features: Practical information on the usefulness of ultrasound, nonimaging tests, or other imaging modalities, such as CT and MR, for evaluating each clinical situation Clear descriptions of symptoms and differential diagnosis Nearly 1,300 images and photographs demonstrating key points A new chapter on neonatal spinal cord anomalies Comprehensive and up-to-date, this edition is essential for ultrasonographers, radiologists, residents, physicians, nurses, and radiology assistants seeking the latest recommendations for the effective use of ultrasonography.

How engineers and clinicians developed the ultrasound diagnostic scanner and how its use in obstetrics became controversial. To its proponents, the ultrasound scanner is a safe, reliable, and indispensable aid to diagnosis. Its detractors, on the other hand, argue that its development and use are driven by the technological enthusiasms of doctors and engineers (and the commercial interests of manufacturers) and not by concern to improve the clinical care of women. In some U.S. states, an ultrasound scan is now required by legislation before a woman can obtain an abortion, adding a new dimension to an already controversial practice. Imaging and Imagining the Fetus engages both the development of a modern medical technology and the concerted critique of that technology. Malcolm Nicolson and John Fleming relate the technical and social history of ultrasound imaging—from early experiments in Glasgow in 1956 through wide deployment in the British hospital system by 1975 to its ubiquitous use in maternity clinics throughout the developed world by the end of the twentieth century. Obstetrician Ian Donald and engineer Tom Brown created ultrasound technology in Glasgow, where their prototypes were based on the industrial flaw detector, an instrument readily available to them in the shipbuilding city. As a physician, Donald supported the use of ultrasound for clinical purposes, and as a devout High Anglican he imbued the images with moral significance. He opposed abortion—decisions about which were increasingly guided by the ultrasound technology he pioneered—and he occasionally used ultrasound images to convince pregnant women not to abort the fetuses they could now see. Imaging and Imagining the Fetus explores why earlier innovators failed where Donald and Brown succeeded. It also shows how ultrasound developed into a "black box" technology whose users can fully appreciate the images they produce but do not, and have no need to, understand the technology, any more than do users of computers. These "images of the fetus may be produced by machines," the authors write, "but they live vividly in the human imagination."

This text takes the reader through obstetric ultrasound in a logical and progressive manner, starting with simple scans to more detailed and complicated ones that would be encountered as the sonographer/doctor gains experience.

European Practice in Gynaecology and Obstetrics is a series of books conceived and endorsed by the European Board and College of Obstetrics and Gynaecology (EBCOG). The topics chosen for each volume are those of significant clinical interest where treatment is changing in response to research findings and developments in practice. The volume editor and contributing authors are European specialists invited to contribute because of their expertise in their field. The books concentrate on various types of management used in European practice as well as published results. The authors present treatments for which a consensus exists and - when there is no consensus - they discuss the key elements of the controversy. Each book provides a review of the basic science, recent concepts in pathophysiology, clinical aspects, treatment and unresolved problems or controversies, as well as the major recent references. A final section provides multiple-choice questions for each chapter. Series concentrates on important and changing areas of clinical practice Each volume editor is a leading European expert in the field Contributors are drawn from a wide range of European countries All volumes include a review of basic science and pathophysiology, as well as clinical aspects, treatment, unresolved problems Current references are included for each chapter Multiple choice questions are provided at the end of each chapter This volume comes with a CD containing all the colour images in the book plus 106 extra images

This book contains a series of clinical cases that address and illustrate difficult problems in obstetric ultrasound. The approach is strongly didactic and will aid trainees in maternal-fetal medicine and obstetrics to appreciate potential pitfalls and recognize rare presentations. Each case sets out one page of text, then one of treatment algorithms, and then presents sample ultrasound scans. Learning objectives are given for each case, together with a short list of references and background reading.