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Appendix 1: Ultrasound scan codes and indications
http://corporat-prod.sites.silverstripe.com/for-health-professionals/health-workforce-development/maternity/new-zealand-obstetric-ultrasound-guidelines-online/appendices/appendix-1-ultrasound-scan-codes-and-indications
Current codes for claiming for ultrasound scans through the New Zealand Public Health and Disability Act 2000 Primary Maternity Services Notice 2007. Code Clinical indication Comment TA Threatened abortion Scan at time of bleeding. Serial scans may be necessary if bleeding persists. EP Suspected ectopic pregnancy For example, previous tubal surgery, PID or ectopic. Suggestive symptoms (for example, abdominal pain). PM Pelvic mass in pregnancy Any palpable abnormality in early pregnancy. UD Uterus not equal to dates If discrepancy >4 weeks, or discrepancy in amniotic fluid. BA Before booking
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Appendix 3: Ectopic pregnancy location
http://corporat-prod.sites.silverstripe.com/for-health-professionals/health-workforce-development/maternity/new-zealand-obstetric-ultrasound-guidelines-online/appendices/appendix-3-ectopic-pregnancy-location
Tubal ectopic Most common Adnexal mass ± gestational sac May demonstrate peripheral vascularity Ectopic angle is the most common site (between the uterus and ovary). Non-tubal ectopic pregnancy Interstitial/cornual ectopic: mass or gestational sac in the cornual region of the uterus, outside the endometrial cavity Scar ectopic: mass or gestational sac related to the caesarean section scar Cervical ectopic: mass or gestational sac within the endocervical canal Ovarian ectopic: mass or gestational sac within the ovary. This is a rare condition (less than 1 percent of ectopi
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Appendix 5: Non-invasive prenatal screening
http://corporat-prod.sites.silverstripe.com/for-health-professionals/health-workforce-development/maternity/new-zealand-obstetric-ultrasound-guidelines-online/appendices/appendix-5-non-invasive-prenatal-screening
Non-invasive prenatal screening (NIPS) is a way of determining the risk of the fetus having certain chromosomal abnormalities. Small fragments of circulating DNA in a pregnant woman’s blood are analysed. These fragments are free floating and not within cells, unlike most DNA, which is found inside a cell’s nucleus. They are therefore known as cell-free DNA (cfDNA). During pregnancy, a mixture of cfDNA from the woman’s cells and cells from the placenta are found in the maternal blood. Evaluation of the cfDNA from the placenta allows screening for certain genetic abnor
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Appendix 9: SGA scanning schedule
http://corporat-prod.sites.silverstripe.com/for-health-professionals/health-workforce-development/maternity/new-zealand-obstetric-ultrasound-guidelines-online/appendices/appendix-9-sga-scanning-schedule
Source: Reproduced with permission from Professor Lesley McCowan. To view at source, see the Gestation Network website .
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Maternity referrals — Waikato
http://corporat-prod.sites.silverstripe.com/for-health-professionals/hospital-and-specialist-services/maternity-services/maternity-referrals-waikato
Guidelines for Consultation with Obstetric and Related Medical Services (Referral Guidelines) Process to find a Lead Maternity Carer - Midwife Expand all Find your midwife website Find your midwife website Find Your Midwife is a website where LMC can advertise their availability and the geographical areas they cover along with a profile. Direct pregnant people to access this site and contact the midwife directly to engage them as an LMC. Find Your Midwife (external link) Drop in clinics Drop in clinics There are currently no drop in clinics in Hamilton. When a LMC can’t be accessed Whe ...
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For health professionals
http://tewhatuora.govt.nz/health-services-and-programmes/genetic-health-service-nz/for-health-professional
GHSNZ Hereditary Genetic Testing Guidelines Download: Hereditary Breast, Ovarian, Pancreatic, Prostate Cancer Testing Guidelines - PDF, 601 KB Please note these are NOT referral guidelines and are updated annually. Please contact us to discuss individual patients Download - PDF, 601 KB Download: GHSNZ Hereditary Genetic Testing Guidelines: Diffuse Gastric Cancer (DGC) - PDF, 148 KB Version 1.0 last updated 11/12/2023 Note: these guidelines are for GHSNZ use Download - PDF, 148 KB Download: GHSNZ Hereditary Genetic Testing Guideline: Ovarian Cancer - PDF, 235 KB Version 4.0 Last reviewed 11/12/ ...
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12–13+6 week scan
http://corporat-prod.sites.silverstripe.com/for-health-professionals/health-workforce-development/maternity/new-zealand-obstetric-ultrasound-guidelines-online/first-trimester/1213-6-week-scan
These guidelines were published in 2019 and are awaiting review, due 2022. Some content may be outdated. The 12+ week scan should be considered an early anatomy scan and may include NT assessment as part of combined screening for Down syndrome and other conditions (see NSU, Antenatal Screening for Down syndrome and other conditions ). The scan is optimally performed at 12–13+6 weeks’ gestation (see Antenatal Screening for Down Syndrome and Other Conditions: Guidelines for health practitioners [PDF, 2.6 MB] , Ministry of Health 2013). Indications Dating ...
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Third-trimester reporting pro forma
http://corporat-prod.sites.silverstripe.com/for-health-professionals/health-workforce-development/maternity/new-zealand-obstetric-ultrasound-guidelines-online/third-trimester/third-trimester-reporting-pro-forma
These guidelines were published in 2019 and are awaiting review, due 2022. Some content may be outdated. Normal third-trimester scan report Compare growth with previous scans, if available. Note that this is a non-customised growth estimate and recommend customised growth charts. Clinical [ ] EDD by earliest ultrasound at [ ] weeks: [ ] Gestational age: [ ] weeks, [ ] days, ± [ ] days. Growth scan: Fetal measurements: BPD [ ] mm HC [ ] mm AC [ ] mm FL [ ] mm. EFW = [ ] g, ± 15 percent. EFW lies on the ...
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Anatomy scan reporting pro forma
http://corporat-prod.sites.silverstripe.com/for-health-professionals/health-workforce-development/maternity/new-zealand-obstetric-ultrasound-guidelines-online/anatomy-scan/anatomy-scan-reporting-pro-forma
These guidelines were published in 2019 and are awaiting review, due 2022. Some content may be outdated. Normal anatomy scan Clinical Routine anatomy scan EDD by earliest ultrasound at [ ] weeks: [ ] Gestational age: [ ] weeks [ ] days ± [7] days. Findings Anatomy scan: Fetal measurements: Biparietal diameter (BPD) [ ] mm Head circumference (HC) [ ] mm Abdominal circumference (AC) [ ] mm Femur length (FL) [ ] mm Nuchal fold [ ] mm. Cardiac activity present Normal fetal movements Amniotic fluid: normal Cord: 3 vessels Placenta: [anterior/posterior ...
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References
http://corporat-prod.sites.silverstripe.com/for-health-professionals/health-workforce-development/maternity/new-zealand-obstetric-ultrasound-guidelines-online/references
... Z, Tang A-W, Collins SL, et al. 2016. Pro forma for ultrasound reporting in suspected abnormally invasive placenta (AIP): an international consensus (external link) . Ultrasound Obstet Gynecol 47: 276–78 (accessed 18 December 2018). ASUM. 2017. Policies, Standards, and Guidelines: Guidelines for the performance of first trimester ultrasound G02. Chatswood: Australian Society for Ultrasound in Medicine (ASUM). Bennasar M, Eixarch E, Martinez JM, et al. 2017. Selective intrauterine growth restriction in monochorionic diamniotic twin pregnancies (external li ...