JRG71
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Member since 5/05 5025 total posts
Name:
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Re: Alternatives for Amnio ?
I believe the level 2 ultra sound is an alternative. My sis has declined the amino because she feels it's too invasive, and will be having a level 2 instead.
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IrishTracy
Believe!!
Member since 5/05 15167 total posts
Name:
Tracy
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Re: Alternatives for Amnio ?
I refused an amnio. You do NOT have to get one. If you don't want to. It's your decision. If you are at risk & they mention it. Discuss w/ your husband what you would do in the situation. In my case we wouldn't change anything so there was no point going through with it. I did have a Level 2 & the Dr doing the sono made a comment "Did you schedule your amnio" I said "no I don't want one." Then she said (very snotty I might add) "The why are we doing this" So I said "because, my docotor said to" 
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IrishTracy
Believe!!
Member since 5/05 15167 total posts
Name:
Tracy
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Re: Alternatives for Amnio ?
Here is exactly what a Levvel II is:
A level II ultrasound examination refers to a 'targeted' examination. This is usually performed at a perinatal center where more expertise in ultrasound scanning is available. Situations when a level II scan is ordered include:
suspected fetal anomaly during a level I examination, severe IUGR, elevated maternal-serum AFP, Oligohydramnios, polyhydramnios, two-vessel umbilical cord detected at the level I examination, fetal cardiac arrhythmia, and exposure to drugs or chemicals in the first trimester....etc. Detailed scanning for any congenital anomalies and growth abnormalities is done on top of the basic documentations obtained at the level I examination, which refers to:
in the first trimester,
a. documentation of the location of the gestational sac.
b. documentation of the crown-rump length.
c. documentation of the presence or absence of fetal life.
d. evaluation of the uterus (including cervix) and adnexa.
in the second and third trimester,
a. documentation of fetal life, number, and presentation.
b. documentation of an estimate of amniotic fluid volume.
c. documentation of placental location.
d. documentation of gestational age. Assessment of the BPD, FL, AC and othe fetal parameters.
e. documentation of basic fetal anatomy (including a basic 4 chamber view of the heart, spine, stomach, kidneys, bladder, umbilical cord insertion ... etc ).
One should not not dwell too much on the definitions or guildlines for a level II ultrasound scan. In a level II scan the sonologist should try as hard as he can to look for and assess any abnormality that is present in the fetus. It's meaningless to be thinking about level III or even level IV scans.
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- I would have told that tech off!
