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One of the best things about a career in ultrasound is that every day is different. Every patient is an opportunity for a new challenge and a new learning experience. We are all continually learning new techniques and tricks and I'd like to share mine with you. You can also find more great information in my book, "Quick Reference Guide for Ob & Gyn Sonography" available on Amazon.com. The book's best sections are the chapter Key Points, which are a compilation of all the great tips, tricks, pitfalls and advice I've received from other techs over the years. If you have scanning advice or a particular case that you learned something new from, please fill out the contact form below and I'll post it. Looking forward to hearing from you!

Thursday, October 17, 2013

Uterine Window

Today I learned a new term: "Uterine Window."  My last patient was a work-in from one of the nurse practitioners at my office: a 30-something mother of three with irregular periods, pretty routine, no big deal.  We were casually chatting about her cycles as I inserted the probe, and suddenly, tiny legs came into view on my monitor.  This completely surprised us both!  She was 12 weeks and 3 days pregnant according to the crown-rump measurement.  However, this is not the most shocking part of the case.  According to her history, during the c-section of her last pregnancy, it was discovered that she had a very large "uterine window" and was told never to get pregnant again.  I hadn't heard this term before so I consulted one of doctor's at my office.  A uterine window refers to a thin area of the myometrium and is at risk for rupture during a future pregnancy.  My patient was scheduled for a consultation with a doctor to discuss her options. I will post updates as I receive them.
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3 comments:

  1. Jane Bryant RNOctober 22, 2013 at 7:53 PM

    Really interesting. Thanks for sharing this. I learned something new, too

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  2. Rebecca Sams Willis, RDMSOctober 27, 2013 at 12:44 PM

    Apparently it was found during her C-section but I'm not sure if the twin pregnancy was the cause or if she had a congenital defect; I'll check her chart again and see if I find anything.

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