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Repeating uterine artery Doppler is therefore of limited value.
Women with an abnormal uterine artery Doppler at 20-24 weeks should be referred for serial ultrasound measurement of fetal size and assessment of well-being with umbilical artery Doppler, commencing at 26-28 weeks of pregnancy.
However, they should be offered a scan for fetal size and umbilical artery Doppler during the third trimester.
Examination of the pregnant abdomen is performed routinely throughout pregnancy.
Ultrasound scans use sound waves which are considered safe for mother and baby.
They include providing clear, written advice that includes detection rates for defined, common conditions.
A trained counsellor in the area of diagnosis and screening should be available, as should a quiet room for breaking bad news about the baby.
As you become more skilled at this station you can incorporate these types of questions into your examination technique along the way. Comment whether she looks comfortable, does she have any abdominal striations or Linea Nigra, and whether she has previous operative scars, such as previous caesarean section. Do this with a tape measure (disposable if available).
If greater than 24 weeks you can expect some foetal movements, comment if so. Measure from the pubic symphysis to the top of her bump (fundus).
Expectant mothers attend ante-natal check-ups regularly throughout their pregnancy where this is performed by both doctors and midwives.