What You Need to Know about 2D Ultrasounds

Many parents worry about the safety of pregnancy ultrasounds. However, ultrasounds have been used during pregnancy for over 30 years, and to date there is no evidence that they harm either the mother or the baby. Because ultrasounds rely on sound waves and not radiation like X-rays do, they are much less risky.

Ultrasound is not just limited to use during pregnancy. They can be used for a whole range of medical diagnoses and treatments. Any organ can be visualized by ultrasound and depending on the skill and expertise of the sonographer, sometimes more invasive and expensive diagnostic procedures can be avoided.

A 2D ultrasound is the standard procedure used during obstetric ultrasound. It is the one used to produce two-dimensional images of what is happening inside the mother’s and baby's body. Generally, all pregnancy ultrasounds are done using 2D technology. A baby's gestation, growth, heartbeat, development and size can all be seen clearly using 2D ultrasound. The position of the placenta, cord and position of the baby can also be clearly seen.

The images from a 2D ultrasound tend to be in black and white and have the same level of detail as a photographic negative. Depending on how the baby is lying and their position in the uterus, different images will be seen.

It really is a matter of luck if the baby is awake and active or sleeping when the ultrasound is being done. Some mothers choose to have a sweet or cold drink before the procedure or poke their belly in an effort to stimulate their baby.

Sometimes the images are very clear and it's easy for parents to interpret the ultrasound images. At other times, they can be more difficult to interpret. But don’t worry; the sonographer can point out specific organs, features, and details of the baby if you're not sure. They can also freeze frame the images, take photos, and label different body parts on the screen. With a little explanation, it can all be come a lot clearer!

Ultrasounds can be done at any stage during pregnancy. Some health care practitioners recommend 2D ultrasound very early in gestation to:

• Diagnose a pregnancy.


• Determine if one or more embryos are present.


• Check where the placenta is, especially in relation to the mother's cervix.


• Determine if there are any physical abnormalities or birth defects.


• Estimate the period of gestation.

A screening ultrasound is usually done between 18 and 20 weeks of pregnancy. This is the scan which parents tend to look forward to and for many, this is the first time they have seen their baby so clearly. This is also the scan which is designed to check that all is well with the baby, and that they are developing and growing normally.

If parents wish to know the sex (gender) of their baby, then it is usually clear by this stage of gestation. You may be able to take home a record of the scan.

Do what you can to organize your partner to be with you and request an appointment date which is mutually suitable. If, by some chance any concerns come up, it will help if you have a support person such as your partner with you.

A sonographer, who is a health professional especially trained in sonography, will do the ultrasound. Otherwise, a radiologist, who is a medical doctor with an additional degree in radiology, will do the procedure. You will probably have a choice regarding where you can go for your 2D ultrasound, but bear in mind that some radiology clinics specialize in obstetric scans.

Another alternative is to have a scan at your hospital. Either way, you will need a referral for your ultrasound from your maternity care provider.

If you are having an early pregnancy 2D ultrasound you will probably be asked to drink 16 to 24 ounces of water within the hour prior to your appointment. This is so that your full bladder will help to lift your uterus a little higher in the pelvis. This will make the scan images clearer.

A warm gel will be applied to your tummy and the radiographer will gently place a transducer on top of the gel. This is a slippery, clear and transparent substance which helps to reduce any resistance between the transducer and the skin. It also helps to facilitate a clearer transmission of the sound waves.

You may be able to see the scan on a separate screen or the sonographer will turn their screen around so you can both see it at the same time. They will do a lot of measuring and what seems to be frequent stopping, starting, and clicking on their keyboard and computer mouse.

If you need clarification, ask them to explain to you what they are looking at and what they are looking for. But don’t interrupt their concentration. Doing a 2D ultrasound properly takes focus and attention to detail. Some sonographers prefer to do the procedure and then discuss what they have seen, and others are able to talk their way through it.

Some parents are disappointed that their 2D ultrasound is not as clear as they would like it to be and for this reason request a 3D ultrasound.

A transvaginal ultrasound still uses the same technology but in a different way. Instead of the transducer being held against a mother's abdomen, a specially shaped device is inserted into the vagina. It is not as important to have a full bladder for this procedure as the sound waves do not need to travel through as many layers of tissue and muscle. Instead, the sound waves travel through the cervix and straight into the uterus. To reduce the risk of cross infection, the sonographer will apply a disposable condom to the vaginal transducer.

In early pregnancy, a transvaginal ultrasound is a good alternative to abdominal ultrasound as it can provide a much clearer picture of the embryo and its development.