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You may have recently taken a pregnancy test and it’s — positive! Now what? Well, you probably have a million and one things going through your head. You may even be thinking things like: “I didn’t want to be pregnant”, “How am I going to do this?”, or “I just don’t want this!” A positive pregnancy test can make you think about a lot of things, but one thing you may not know you need to think about is a limited ultrasound.
Before you go ahead and make any decisions regarding your pregnancy, you need to take a pause. If you had a home pregnancy test, it probably showed two lines. Now what?
A urine pregnancy test shows your HCG levels, which indicates you’re pregnant. It does not show where your pregnancy is, how far along you are, or if there is a heartbeat.
This is where a limited ultrasound would be necessary. What is a limited ultrasound exactly? And why do you need one if you know you’re pregnant? Those are good questions.
A limited ultrasound is performed to gain specific information about the pregnancy, like the location of the pregnancy (inside the uterus vs ectopic), the viability of the pregnancy, and the age of the pregnancy. A limited ultrasound does not provide detailed information about the well-being or gender of the fetus.
At Alcove Health Women’s Clinic you will meet a Registered Nurse who will assess to see if you qualify for a limited ultrasound. We are RNs who are trained in limited obstetric ultrasounds.
First we will check to see what your LMP (first day of your last menstrual period) is. For every woman, this is very different. Then we’ll ask about your symptoms. Again, every woman may or may not have symptoms and they may differ. This is part of our responsibility to take an accurate health history before we proceed.
Once you qualify for an ultrasound we only check for three things: location, size, and cardiac activity. The first one is location. There are times when women will have a positive pregnancy test but if the pregnancy is outside of the uterus, that is what we consider ectopic. This can be very dangerous. An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus.
An ectopic pregnancy can’t proceed normally. The fertilized egg can’t survive, and, if untreated it may cause life-threatening bleeding. This is the reason why it is so important to have an ultrasound before making any decisions about your pregnancy.
The second thing a limited ultrasound reveals is size. In other words, how far along is this pregnancy? Again, the positive pregnancy test only tells you that you’re pregnant, not how far along you are.
But you may say, “I know my body and I know I am very regular with my periods so why do I need an ultrasound?” You are correct, but without a limited ultrasound, you don’t have that confirmation.
Also, there are many women whose ovulation is thrown off for one reason or another and others who have irregular periods. Once you qualify for an ultrasound, then we would be able to confirm how far along you are. This would make a difference in what the next steps for the pregnancy would be.
The third thing we assess, or check for, is to confirm that we can see and measure the heartbeat. We know a heart starts to beat as early as 4-5 weeks – that’s 22 days after conception! Normal fetal cardiac activity could range from 110-160 bpm. That is measured and captured on an ultrasound.
So, it would be in a woman’s best interest to have a limited ultrasound before making any decisions for her pregnancy. Without an ultrasound, you would only have part of the answer to “Am I pregnant?” But to have the complete answers to “Is it viable? and “Is my body safe?” you would need to come in for an ultrasound. We provide ultrasounds free of charge. Come in and let us help you answer the rest of these questions. We are here for you! Call or visit our appointment page to schedule your free and confidential medical appointment today.
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