Cardiovascular Sonographers, Inc
2nd/3rd Trimester Fetal Ultrasound - IMAGE Protocol
1. Long cervix with length measurement
2. Long placenta (if close to cervix, document with placental tip to cervical os measurement)
3. Long placenta
4. Transverse placenta
5. Document fetal position
6. Transverse RUQ with AFI measurement
7. Transverse RLQ with AFI measurement
8. Transverse LLQ with AFI measurement
9. Transverse LUQ with AFI measurement
10. Transverse umbilical cord – document presence of 3 vessel cord.
11. Transverse fetal head with BPD measurement (MINIMUM OF THREE MEASUREMENTS)
12. Transverse fetal head with HC measurement (MINIMUM OF THREE MEASUREMENTS)
13. Transverse fetal head with cavum septum pellucidum and thalamus
14. Transverse fetal head with bilateral atrial/lateral ventricle measurements
15. Transverse fetal head with cerebellum measurement
16. Transverse fetal head with BPD measurement (MINIMUM OF THREE MEASUREMENTS)
17. Coronal or Transverse fetal head with corpus callosum
18. Transverse fetal head with orbits
19. Long fetal profile
20. Coronal fetal face (nose and lips)
21. Transverse spine—cervical
22. Transverse spine—thoracic
23. Transverse spine—lumbar
24. Transverse spine—sacral
25. Long spine—cervical
26. Long spine—thoracic
27. Long spine—lumbar/sacral
28. Transverse chest with 4 chamber heart
29. M-mode with HR measurement
30. Long chest with aortic arch
31. Oblique chest views LVOT and RVOT
32. Transverse abdomen at the level of the stomach
33. Transverse Abdomen with AC measurement (MINIMUM OF THREE MEASUREMENTS)
34. Transverse abdomen at the level of the cord insertion
35. Transverse abdomen at the level of the kidneys
36. Transverse fetal pelvis at the level of the bladder
37. Transverse fetal pelvis at the level of the bladder with color Doppler of 2 umbilical arteries
38. OPTIONAL: fetal sex (ultrasound has a 3% error rate at gender determination)
39. Long femur with FL measurement (MINIMUM OF THREE MEASUREMENTS)
40. RT foot
41. LT foot
42. RT hand/fingers/thumb
43. LT hand/fingers/thumb
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