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Family Forum / Pregnancy / Pregnancy / January 2007



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4-D Scan Safe?

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fleemo17@comcast.net - 24 Jan 2007 19:41 GMT
My brother gave me the wonderful gift of a 4-D scan to get a first
glimpse of our unborn child.  However, our doctor advised us not to do
it, citing concern for the intense ultrasound waves necessary to get
the image.  We'll most likely follow our doctor's advice, but I just
wanted to get input from other sources, see if anyone has any thoughts
on the safety of these 4-D scans.

-Fleemo
Ericka Kammerer - 24 Jan 2007 20:02 GMT
> My brother gave me the wonderful gift of a 4-D scan to get a first
> glimpse of our unborn child.  However, our doctor advised us not to do
> it, citing concern for the intense ultrasound waves necessary to get
> the image.  We'll most likely follow our doctor's advice, but I just
> wanted to get input from other sources, see if anyone has any thoughts
> on the safety of these 4-D scans.

    There are two sides to every argument.  On the one
hand, some might say that doctors just aren't pleased with
someone else horning in on their territory and making money
off it.  On the other hand, there are potential concerns
with u/s, especially at higher intensities and longer
durations.  Some effects have been noted in studies
(things like growth retardation with frequent scans, which
is sort of a chicken-or-egg kind of problem, and increased
left-handedness in boys exposed to prenatal ultrasound,
which isn't a tragedy in and of itself but makes one wonder
if u/s can affect handedness, what else can it affect that
we've never thought to study?).  In vitro studies have
shown that u/s waves can cause temperature changes and
cavitation, though it's not known whether this happens
in vivo (and if it does, what the effects might be).
    So, anyway, I think it's certainly fair to say
that no one can guarantee that there are no negative
effects to recreational u/s.  It is probably also the
case that significant harm is unlikely.  The question
is where you fall on the risk/benefit tradeoff.  For me,
personally, I'd prefer not to take even a small risk
without some benefit accruing to the child, which I don't
see in this case.  However, you may view the calculation
differently.
    For what it's worth, almost all medical organizations
have come out against recreational u/s, and it's illegal in
some areas.  You'll have to make a judgment call whether you
think that's doctors' bank accounts talking or their
concern for public safety.

Best wishes,
Ericka
Elfanie - 25 Jan 2007 14:33 GMT
> On the other hand, there are potential concerns
>with u/s, especially at higher intensities and longer
>durations.

Keeping mind that dopplers are significanly higher in intensity than
even 3D ultrasound...
30 seconds of doppler use is equal to 30 MINUTES of ultrasound.

(and how likely are they to have you hooked up to continuous
monitoring for HOURS while you're in labor?  And how many doctors do
not use routine dopplers at every single prenatal visit vs. a
fetoscope?)

food for thought

Stephanie Soderblom CLD CCCE CD(DONA) CBC
Mommy to Mikael 5/9/95 - Kerstyn 8/6/99 - Kevin 8/30/02
Megan 5/16/05 - new baby due 8/07
Senior Apprentice Midwife/Doula/Childbirth Educator/Breastfeeding Counselor
Mesa, AZ
www.AZDoulas.com
www.birthdiaries.com
Ericka Kammerer - 25 Jan 2007 19:52 GMT
>> On the other hand, there are potential concerns
>> with u/s, especially at higher intensities and longer
[quoted text clipped - 10 lines]
>
> food for thought

    Precisely why I preferred the use of a fetoscope
and didn't have any continuous monitoring during labor.

Best wishes,
Ericka
Nan - 24 Jan 2007 21:58 GMT
>My brother gave me the wonderful gift of a 4-D scan to get a first
>glimpse of our unborn child.  However, our doctor advised us not to do
>it, citing concern for the intense ultrasound waves necessary to get
>the image.  We'll most likely follow our doctor's advice, but I just
>wanted to get input from other sources, see if anyone has any thoughts
>on the safety of these 4-D scans.

I had one during my last pregnancy.  However, it was ordered by my
doctor as a medical necessity, so there was benefit to *us* to have it
done.  
I wouldn't have any ultrasound unless it was medically indicated,
though.

That said, there were no negative effects of having it done.

Nan
Nan - 24 Jan 2007 22:02 GMT
>I had one during my last pregnancy.  However, it was ordered by my
>doctor as a medical necessity, so there was benefit to *us* to have it
[quoted text clipped - 3 lines]
>
>That said, there were no negative effects of having it done.

I forgot to add, I think they're highly over-rated.  While I was
excited to be able to "see" the baby, the video isn't of great quality
and the pictures don't look as good as they advertise.  We could see
her features, but we couldn't *really* see what she actually looked
like.

Nan
fleemo17@comcast.net - 26 Jan 2007 22:21 GMT
Just wanted to say how much I appreciate folks offering their input.
Thanks very much.

-Fleemo
 
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