Ultrasound

Basic Pregnancy Ultrasound Training Course – Radiology

Curriculum

• This course was created to train healthcare workers to perform basic pregnancy ultrasound in parts of the world where formal training is not available.

• The ultrasound videos and training handbooks are designed to be used in a 2-week ultrasound course.

• The hands-on sessions in the trainer’s guide are essential components of the course and must be supervised by an experienced ultrasound practitioner.

• Upon completion of the course and the written and practical tests, we strongly recommend that you have at least 40 hours of scanning experience with clinical mentoring before you undertake unsupervised scanning.

Training Handbooks

Participant Handbook

The Participant Handbook contains all of the materials you will need to complete this course. There is a section for each day that includes:

  • Daily schedules
  • Copy of lecture slides
  • Lecture review questions
  • Outline of hands-on sessions
  • Additional blank pages for note taking
  • Fetal measurement charts in the Appendix

Trainer’s Guide

The Trainer’s Guide includes sections on Tools for Trainers, Guidelines for Hands-on Sessions, Daily Training Instructions, Clinical Tools and Chairs, and Assessment Tools.

Training Videos 

The following videos will teach the principles of pregnancy ultrasound, infection control, fetal anatomy, how to date a pregnancy, maternal pelvic anatomy, how to examine amniotic fluid volume, placenta anatomy, fetal presentation, how to identify certain serious complications (such as bleeding, ectopic and multiple gestation pregnancy, and intrauterine growth restriction) and fetal anomalies.

Video 1: Welcome and Introduction to the Course

This video provides a general introduction and overview of the training course. 


Video 2: How Ultrasound Works

Learning Objectives:

  1. How Ultrasound Works
  2. How to use the Ultrasound Machine

Video 3:Tomography

Learning Objectives:

  1. Orient the Transducer
  2. Orient the Screen
  3. Rapidly Survey a Pregnant Uterus
  4. Determine Fetal Orientation from a Single Transverse Scan

Video 4: Infection Control

Learning Objectives:

  1. The Purpose of IPC
  2. How to Keep Equipment Clean and Safe
  3. how to Wash Your Hands Properly
  4. How to Properly Cover Your Cough

Video 5: 2nd & 3rd Trimester Anatomy

Learning Objectives:

  1. How to Identify Normal Fetal Anatomy of the Head, Heart, Abdomen, Spine, Extremities, Skull, Face, and Brain

Video 6: Fetal Dating: 2nd & 3rd Trimesters

Learning Objectives:

  1. How to Measure the Head, Abdomen, and Femur to find Fetal Age
  2. How to Scan the Correct Level for each Structure
  3. How to Choose the Best Ultrasound Images to Assess Fetal Age in the 2nd and 3rd Trimesters

Video 7: Pelvic Anatomy

Learning Objectives:

  1. How to Identify Normal Structures
  2. How to Identify Common Problems during Pregnancy

Video 8: 1st Trimester Anatomy

Learning Objectives:

  1. How to Identify the Following Structures on Ultrasound: Gestational Sac, Yolk Sac, Fetus, Corpus Luteum
  2. How to Describe how the Fetus Grows during the First 13 Weeks

Video 9: 1st Trimester Dating

Learning Objectives:

  1. How to Measure “Mean Sac Diameter” to Estimate Fetal Age
  2. How to Measure “Crown Rump Length” to Estimate Fetal Age
  3. How to Choose the Best Ultrasound Images to Assess Fetal Age

 Video 10: Amniotic Fluid

Learning Objectives:

  1. Measure the volume of amniotic fluid.
  2. Provide appropriate care if amniotic fluid levels are too low or too high.

Video 11: Placenta

Learning Objectives:

  1. Identify the position of the placenta
  2. Evaluate for placenta previa
  3. Assess for placental abruption
  4. Conduct appropriate follow up and referrals if you suspect either condition 

Video 12: Fetal Lie and Presentation

Learning Objectives:

  1. Why it is important to identify the fetal lie and presentation
  2. How to identify an abnormal fetal lie or presentation
  3. When to perform a follow up ultrasound

Video 13: 1st Trimester Pain and Bleeding

Learning Objectives:

  1. Identify the normal and abnormal gestational sac
  2. Evaluate fetal cardiac activity
  3. Identify the signs of complete and incomplete miscarriage
  4. Identify the signs of molar pregnancy
  5. Perform appropriate ultrasound followup

Video 14: Ectopic Pregnancy

Learning Objectives:

  1. Identify the signs of an ectopic pregancy on ultrasound
  2. Assess the risk level of ectopic pregnancy and respond appropriately

Video 15: Multiple Gestation Pregnancy

Learning Objectives:

  1. Identify dizygotic and monozygotic twins on ultrasound
  2. Identify complications that can result in high-risk birth
  3. Properly refer patients with multiple gestation to the hospital

Video 16: Intrauterine Growth Restriction (IUGR)

Learning Objectives:

  1. Evaluate for IUGR on clinical exam
  2. Evaluate for IUGR with ultrasounds using three different indicators
  3. Make appropriate referrals for IUGR

Video 17: Fetal Anomalies

Learning Objectives:

  1. Identify some important abnormalities
  2. Many fetal anomalies cannot be seen by ultrasound or are difficult to see
  3. Some babies you scan may be born with abnormalities you did not see on ultrasound

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