Revision History


You may apply for accreditation on any one trimester, any combination of two, or all three trimesters. 

  • All three Trimesters: one exam for each trimester is required. 

  • Trimester-Specific: your site will only be accredited in the specific trimester(s) you select. Required exams for trimester-specific obstetrical are as follows: 

    • One trimester only (1st, 2nd, or 3rd):  Two exams (if 1st trimester, both must be endovaginal) 

    • Any combination of two trimesters: 1 exam of each trimester (if 1st trimester is selected, exam must be endovaginal) 

When submitting obstetrical images, choose examinations of a gestational age that allow all anatomy to be well demonstrated.


Exam Requirements: Obstetrical Ultrasound Accreditation

1st Trimester (Must be between 6-12 weeks)

  • All requirements MUST be imaged transvaginally. Only transvaginal images will be reviewed. 

  • MUST include an embryo/fetus with cardiac activity

  • Documentation of the gestational sac

  • Documentation of the yolk sac

  • Documentation of the embryo/fetus without measurement

  • CRL measurement

  • Cardiac motion with M-mode

  • Complete documentation of the uterus in longitudinal and transverse

  • Complete documentation of both ovaries in longitudinal and transverse, including size-length, AP, width


2nd Trimester (MUST be between 18 and 26 weeks)

  • Fetal presentation/position

  • Amniotic fluid documentation

  • Placental location

  • Placental relation to the internal cervical os

  • Fetal measurements

    • Biparietal diameter

    • Head circumference

    • Abdominal circumference

    • Femur length

  • 4 chamber view of heart

  • Cardiac motion with M-mode

  • Right ventricular outflow tract (RVOT)

  • Left ventricular outflow tract (LVOT)

  • Cerebral ventricles

  • Cerebellum

  • Cisterna magna

  • Urinary bladder

  • Umbilical cord insertion into fetal abdomen

  • Umbilical cord vessel number

  • Nose/lips

  • Stomach

  • Kidneys

  • Spine in longitudinal and transverse

    • Cervical

    • Thoracic

    • Lumbar

    • Sacral

  • All 4 extremities

  • Maternal anatomy

    • Cervix with measurement

    • Uterus

    • Adnexa


3rd Trimester (MUST be greater than 26 weeks)

  • Fetal presentation/position

  • AFl documentation

  • Placental location

  • Placental relation to the internal cervical os

  • Fetal measurements

    • Biparietal diameter

    • Head circumference

    • Abdominal circumference

    • Femur length

  • 4 chamber heart

  • Cardiac motion with M-mode

  • Stomach

  • Kidneys

  • Urinary bladder




Revision History for this Article

Date

Section

Description of Revision(s)

12-12-19

All

Article created; FAQs incorporated; No criteria changes

12-17-19!st TrimesterAdded "including size-length, AP, width" to the complete documentation of both ovaries in longitudinal and transverse
12-17-192nd Trimester and 3rd TrimesterAdded cardiac motion with M-mode
1-27-2020
1st Trimester
Clarified 1st bullet and included "Must" be between 6-12 weeks.



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