Re: To Doppler or not to Doppler, that is the ?

From: Terry J DuBose (tjdubose@juno.com)
Fri Dec 26 14:42:49 1997


After 5.5 weeks, M-mode should tell the story, especially if you use an endovaginal transducer. I see no need for Doppler, however, I am not aware of any real risk as long as you keep it short and quick. Heating it the major danger, and Doppler does crank up the energy a bit.

The only time in very early pregnancy that I have used Doppler was for a suspected ectopic, and we used it to look for trophoblastic flow. Did that only once on a 4th week IUP, flow proved IUP, went on to a normal term delivery. But for the embryo that you can see, you can see the beating heart. And if you can see the beating heart, you can M-mode it. According to R. Shats (Amsterdam) we are seeing by EV the heart beat as soon as it starts beating about 32-37 days after the LMP , depending on when implantation takes place. Hope this helps. Peace, Terry J. DuBose

On Thu, 25 Dec 1997 17:24:45 EST Frog2688 <Frog2688@aol.com> writes: >Please tell me your opinions on this:
>An early OB (5-8 weeks or so)
>Need to document heartbeat
>Do a m-mode or do a Doppler?
>Those of us that have been scanning B.D. (before Doppler)
> are reluctant to
>drop the Doppler on the developing fetus.
>We do m-mode if at all possible.
>Our new young Radiologist from a large teaching Medical Center tells
>us he is used to a Doppler recording of the heartbeat. Two of our
younger >sonographers want to Doppler. Us older scanners say "no."
>What do y'all think?
>Wayne?? Terry?? anyone??
>




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