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Common causes include maternal bleeding, complications of abortion, high blood pressure of pregnancy, maternal sepsis, and obstructed labor.Gravidity is a term used to describe the number of times that a female has been pregnant.Abdominal scanning is performed with a full maternal bladder, provides a wider field of view, and provides the greatest depth of view.Vaginal scanning is best performed with the bladder empty, gives a much greater resolution with greater crispness of fine detail.A full maternal bladder, often required in the past, is rarely needed with currently used ultrasound equipment.

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Basic Ultrasound Exam In evaluating the pregnancy with ultrasound, the following observations are usually made: Biparietal Diameter The biparietal diameter (BPD) is among the most accurate 2nd trimester measures of gestational age.First trimester scanning is useful to identify abnormalities in the early development of a pregnancy, including miscarriage and ectopic pregnancy, and provides the most accurate dating of a pregnancy.Technique First trimester scanning can be performed using either an abdominal approach or a vaginal approach.Although the last menstrual period (LMP) has been traditionally used to calculate the estimated due date (EDD), many inaccuracies exist using this method in women who have irregular cycles, have been on recent hormonal birth control, or who have first trimester bleeding.In particular, women are more likely to be oligo-ovulatory than polyovulatory, so cycles longer than 28 days are not uncommonly seen.

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