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This Practice Bulletin was developed by the American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins–Obstetrics and the American Institute of Ultrasound in Medicine in collaboration with Lynn L. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care.

These guidelines should not be construed as dictating an exclusive course of treatment or procedure.

Copyright December 2016 by the American College of Obstetricians and Gynecologists. No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. Received October 21, 2016 Accepted October 21, 2016 Obstetric ultrasound examinations are performed with a transabdominal, transvaginal, or transperineal approach.

During early pregnancy, an abdominal transducer with a frequency of 5 MHz or a transvaginal transducer with a frequency of 5–10 MHz or higher generally provides very good resolution while allowing adequate penetration.

A lower-frequency transducer may be needed to provide adequate penetration for abdominal imaging later in pregnancy or in an obese patient.

When technical limitations result in suboptimal images, the nature of the limitations should be documented in the report; a follow-up examination should be considered.

*A measurement of the nuchal fold may be helpful during a specific gestational age interval to assess the risk of aneuploidy. ACR-ACOG-AIUM-SRU Practice parameter for the performance of obstetrical ultrasound.

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