The third edition of this text follows the path of its predecessors in combining the description of best practice with practical advice for all ultrasound practitioners who participate in obstetric imaging programmes. The suggestions are derived from experiences of working for many years in teaching centres of excellence that act both as tertiary referral centres and also as providers of routine screening for their local populations. As in most ultrasound departments, the education and training of others has formed an integral part. The combining of the technical expertise of the ultrasound practitioner with the clinical expertise of the obstetrician and our understanding of the challenges of working in a multidisciplinary environment make this text instructive to both the novice and the experienced ultrasound practitioner.
The development of units dedicated to early pregnancy, gynaecological and infertility investigations is encouraging specialization in particular areas of obstetric and gynaecological imaging. In order to gain from the expertise of such specialists this edition incorporates chapters on the imaging and management of early pregnancy, gynaecology and infertility from international experts in these fields. A clear understanding of the principles of ultrasound when applied to 2D imaging or to Doppler examinations is critical to the safe and effective use of ultrasound in clinical practice. Understanding the principles of ultrasound, however, is frequently not synonymous with the skill of being able to impart that knowledge to others. The reader of this edition will benefit from the clear thinking of, one of the best current teachers of the principles of 2D ultrasound and Doppler ultrasound.
The continuing improvement in resolution of ultrasound systems brings with it both advantages and challenges. While we are able to identify an ever-increasing range of abnormalities in the fetus, this diagnostic sophistication is not without its cost. The interpretation of findings that are not abnormal but may confer an increased risk of a particular condition provide the challenge to us as operators and communicators and to parents as the receivers of our care. The uncertainty surrounding the interpretation of markers of aneuploidy remains an example of such a challenge.
This is now further compounded by the introduction of prior screening by nuchal translucency and/or biochemical screening in many departments. The need for the practitioner to understand clearly the purpose of the examination, the information it may provide and how to interpret it has never been greater. This expertise must now be combined with the additional ability to communicate the interpretation of the findings, be they straightforward or complex, to the parents in a way that they can understand. For this reason there are a new chapter into this edition that offers what considered to be a helpful approach to the communication of ‘good’ and ‘bad’ news to parents.
In putting together this third edition it has been intention to provide a clear, concise and usefully illustrated text that addresses many of the issues that the qualified ultrasound practitioner will face in his or her daily practice. It will provide a readable and clinically helpful text for the student sonographer, that it will support them through their training and will ultimately provide a logical foundation on which they base their clinical practice.
Key Features
- The order of material follows a logical approach to the use of ultrasound in pregnancy that's easy to learn and remember.
- Comprehensive and user-friendly, this resource provides basic knowledge of the ultrasound.
- The content offers accurate, precise, relevant, and applicable information that could be useful for a new student or an experienced practitioner.
- High-quality images aid the reader in coming to an understanding of difficult topics.
New to This Edition
- Completely rewritten and updated, this text features the most current information available.
- A large number of new illustrations, including many full-color Doppler images, highlight important topics.
- Color is used throughout the book, creating a fresh, vibrant look.
- New chapter on screening includes new material on screening for Down's Syndrome, a critical topic in this field.
- New information on medico-legal implications, audit, and safety provide the reader with knowledge of real-world issues.
Contents
- 1. Physics and instrumentation
- 2. Preparing to scan
- 3. First trimester ultrasound
- 4. Problems of early pregnancy
- 5. Scanning the non-pregnant pelvis
- 6. Ultrasound and infertility
- 7. Routine second trimester screening – assessing gestational age
- 8. Routine second trimester screening – assessing fetal anatomy
- 9. The placenta and amniotic fluid
- 10. Craniospinal abnormalities
- 11. Other fetal abnormalities
- 12. Fetal growth
- 13. Discussing the findings
- 14. Invasive procedures
- 15. The physics of Doppler ultrasound and Doppler equipment
- 16. Evaluating the pregnancy using Doppler
- Appendices
- Index
About the Authors
- Patricia Chudleigh, Ultrasound Editor, The Parthenon Publishing Group, London, UK.
- Basky Thilaganathan, Director of Fetal Medicine, Fetal Medicine Unit, St. George's Hospital, London, UK.
Book Details
- Hardcover: 264 pages
- Publisher: Churchill Livingstone; 3 edition (January 19, 2005)
- Language: English
- ISBN-10: 0443054711
- ISBN-13: 978-0443054716
- Product Dimensions: 9.7 x 7.6 x 0.8 inches
List Price: $96.95