Transvaginal ultrasound (TVS) can be used for early first trimester obstetric ultrasounds, evaluating complications in later pregnancy like placenta previa, assessing the fetal spine position, and evaluating the nuchal region before 14 weeks. It is also used to evaluate suspected ectopic pregnancies, monitor follicle development during fertility treatments, and monitor ovarian response during assisted reproductive technology cycles. The procedure involves first performing a transabdominal ultrasound with a full bladder, then emptying the bladder and inserting the transvaginal probe to obtain images of the cervix, uterus, ovaries, and surrounding structures in both the sagittal and coronal planes. Key anatomical structures like the uterus and ovaries are described in
Here we talk about the Transvaginal Ultrasound which is used to get the clear image of the female pelvic organs. We have also discuss about the features, advantages, disadvantages and many more.
In this presentation we will discuss
First trimester US especially TVS is an integral part for confirmation of intrauterine pregnancy and to rule out ectopic pregnancy.
First trimester US helps us in suggesting conceptus viability.
First trimester US especially TVS is very efficient in approaching and evaluating the cause of vaginal bleeding.
Here we talk about the Transvaginal Ultrasound which is used to get the clear image of the female pelvic organs. We have also discuss about the features, advantages, disadvantages and many more.
In this presentation we will discuss
First trimester US especially TVS is an integral part for confirmation of intrauterine pregnancy and to rule out ectopic pregnancy.
First trimester US helps us in suggesting conceptus viability.
First trimester US especially TVS is very efficient in approaching and evaluating the cause of vaginal bleeding.
In this presentation we will discuss role of Doppler US in Infertility, fertilization and assisted fertilization.
we will discuss the favorable and unfavorable RI and PI.
We will discuss role of doppler us in various gynecological malignancies.
In this presentation we will discuss role of Doppler US in Infertility, fertilization and assisted fertilization.
we will discuss the favorable and unfavorable RI and PI.
We will discuss role of doppler us in various gynecological malignancies.
Signs and Symptoms, Investigations-UPT and USG helps to diagnose pregnancy. A midwife can diagnose pregnancy by physical examination of signs and symptoms.
Overview
While it takes nine months to grow a full-term baby, labor and delivery occurs in a matter of days or even hours. However, it’s the process of labor and delivery that tends to occupy the minds of expectant parents the most.
Read on if you have questions and concerns around the signs and length of labor, and how to manage pain.
Signs of labor
Labor has started or is coming soon if you experience symptoms such as:
increased pressure in the uterus
a change of energy levels
a bloody mucus discharge
Real labor has most likely arrived when contractions become regular and are painful.
Braxton Hicks contractions
Many women experience irregular contractions sometime after 20 weeks of pregnancy. Known as Braxton Hicks contractions, they’re typically painless. At most, they’re uncomfortable and are irregular.
Braxton Hicks contractions can sometimes be triggered by an increase in either mother or baby’s activity, or a full bladder. No one fully understands the role Braxton Hicks contractions play in pregnancy.
They may promote blood flow, help maintain uterine health during the pregnancy, or prepare the uterus for childbirth.
Braxton Hicks contractions don’t cause the cervix to dilate. Painful or regular contractions aren’t likely to be Braxton Hicks. Instead, they’re the type of contractions that should lead you to call your doctor.
The methods of pregnancy diagnosis in farm and pet animals are explained in this lecture. Useful for veterinary students, practitioners, and researchers.
Obstetrical Ultrasound• Introduced in the late 1950’s ultrasonography is a safe, non- invasive, accurate and cost-effective means to investigate the fetus• Computer generated system that uses sound waves integrated through real time scanners placed in contact with a gel medium to the maternal abdomen• The information from different reflections are reconstructed to provide a continuous picture of the moving fetus on the monitor screen
types of breech
how you can manage a woman with breech baby?
what is External cephalic version and who can do it ?
what is the risks of vaginal breech birth ?
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
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2. TVS
Gynaecologic US
Earlt first trimester obstetric US
Obstetric complications later in pregnancy
E.g. Placenta previa
Fetal spine in breech
Evaluation of fetal intra..... in cephalic fetuses
Evaluation of nuchal region before 14w
4. Generally :
TAS with full bladder
then empty the bladder
Followed by TVS
Not to be done in virginal pt, no consent to
vaginal examination
5.
6. Orientation of TV probe (manoeuvres)
Rotation 0 to 90 degrees about its longitudinal
axis from capital to coronal
Angled or pointed in any direction for plane of
section
Advance or withdraw
7. As a marker note the position of the urinary
bladder- angle of the bladder is consistent .... the
variable positions of the uterus and ovaries
14. The Uterus
Before menarche- ratio of uterus to cervix is half
Nulliparous women- corpus and cervix equal length
Multip- corpus is double the size
Size of uterus is variable in adults:
6-8.5cm in length in multips
Width - 3 -5 cm in nulliparous, 4-6cm in multips
AP diameter- 2-4cm in nulliparous, 3-6cm in multips
15. After menopause- atrophy
>5 years menopause:
3.5-7cm length
2-4 cm width
1.7- 3.3cm AP
Prepubertal uterus 2-4.4cm
Position is highly variable and changes with
varying degree of bladder and rectal distension
16. Muscular layers- 3 distinct layers
The endometrium: thickness
4-8mm proliferative phase
6-10mm periovulatory
7-14mm secretory phase
Post menopausal < 8mm
If the endometrium > 5mm in PMB--> investigate
20. Recruitment of follicles:
TVS can pick up when follicle is 2mm
Day 5-7
Day 8-12 one or more dominant follicles are
seen
21. Rate of growth of dominant follicles:
2-3mm per day
To reach max mean diameter of approx.
20mm (range 16-28mm)
24 hrs before ovulation:
The granulosa layer separates from the theca
layer resulting in a hypoechoic ring
