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Diagnostic Imaging Pathways - Assessment of Fetal Wellbeing in the Third Trimester

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Teaching Points

  • Routine US in the third trimester is not indicated. However, there are a number of maternal, fetal and pregnancy related indications for an ultrasonography at this time. These include -
    • Pregnancy induced hypertension/pre-eclampsia
    • Severe chronic renal disease and hypertension
    • Maternal Diabetes Mellitus/Pregnancy induced Diabetes Mellitus
    • Maternal vascular disorder
    • Suspected IUGR
    • Previous history of placenta praevia
    • Multiple pregnancy
    • Clinical polyhydramnios
    • Review of fetal anomaly
    • Malpresentation
    • Planned vaginal delivery of breech presentation

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