The Seasoned Sonographer

When Ultrasound Changes the Delivery Plan: Timing Birth Based on What We See

Episode Summary

In this episode of The Seasoned Sonographer, host Lynn Flamm, RDMS interviews Rachel Wernsman, CNM about how ultrasound findings influence the timing and planning of delivery. Ultrasound is a critical clinical tool that helps identify conditions requiring closer surveillance, referral to Maternal Fetal Medicine (MFM), or earlier delivery. From fetal growth restriction and abnormal Dopplers to amniotic fluid abnormalities, placental concerns, and findings suggestive of aneuploidy, sonographers play a key role in guiding clinical decision making. This episode highlights the collaboration between sonographers, midwives, and physicians — and the importance of communication when pregnancy plans change unexpectedly.

Episode Notes

In this episode, Lynn Flamm, RDMS, interviews Rachel Wernsman, CNM about how ultrasound findings influence delivery timing and planning.

Topics include fetal growth restriction, Doppler studies, amniotic fluid abnormalities, placental conditions, aneuploidy concerns, and Maternal Fetal Medicine referrals.

The episode also discusses how co-morbidities such as diabetes, hypertension, IVF, and multiple gestation impact ultrasound surveillance and clinical decision making.

Special emphasis is placed on the role of the sonographer and the importance of patient counseling when delivery plans change.

 

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