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Identifying pregnancies at increased risk of miscarriage or pregnancy loss.

The first trimester ultrasound may detect changes in the early pregnancy that are concerning and associated with an increased risk of pregnancy loss (for example, the pregnancy sac is small or irregular, or the baby’s heart beat is much slower than expected) Such appearances may not always be significant for your baby, as we know that pregnancies with these changes may continue without problems over subsequent weeks. Your doctor may want an ultrasound to check other things in your pelvis apart from your pregnancy, such as the uterus (for example, if you have a history of fibroids) and the ovaries (for example, if you have pelvic pain and there is concern about an ovarian cyst).

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If you have concerns about transvaginal ultrasound, please discuss this with your sonographer before your ultrasound begins. We usually get better images during transabdominal ultrasound if the bladder is partially filled, so to help your examination we ask you to drink water prior to the assessment.

Please empty your bladder 1 hour before your appointment, drink 2 glasses of water and try not to empty your bladder again until after your appointment.

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However, in the early pregnancy, the developing embryo is very small (at 6 weeks gestation, the baby is only 5-9mm long) and a transvaginal ultrasound may be required to get a better image of the baby.Transvaginal ultrasound is safe and commonly performed during all stages of pregnancy, including the first trimester. Transabdominal ultrasound involves scanning through your lower abdomen.A small amount of ultrasound gel is put on the skin of the lower abdomen, with the ultrasound probe then scanning through this gel.All transvaginal probes have been cleaned and sterilised according to recommended protocols.Performing the transvaginal ultrasound usually causes less discomfort than a pap smear. Your privacy will always be respected during your ultrasound, especially the transvaginal examination.

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