Early Pregnancy Scan Disclaimer and Consent Form

Introduction

SEE YOUR BABY LIMITED aim to provide each client with a unique experience by excelling your expectations of an early pregnancy scan.

Dependant on the number of weeks pregnant will determine the recommended approach to view the necessary structures to provide reassurance.

A trans-abdominal scan is conducted by scanning via a probe over your stomach. Generally, we anticipate any pregnancy over 6 weeks can be visualised via a trans-abdominal probe. There are restrictions that can inhibit this, and they are detailed below.

A trans-vaginal scan is conducted by using an internal probe and due to its closer connection to the uterus can improve the images captured for pregnancies under 5 weeks and those that cannot be seen over 6 weeks using a trans-abdominal method.

Please do make note on your consent form if you do not wish to be offered a transvaginal scan. A chaperone can be provided.

Potential reasons for a restricted view

Raised BMI over 35

Tilted/Malformations of the uterus

Pain/Guarding of the abdomen

Bowel Gas/Some bowel conditions

Safety

We have produced an information folder called ‘Is Ultrasound Safe?’ for you to review if you wish.

This can be located in reception. Alternatively please ask a member of staff to assist you.

Disclaimer

As a client of SEE YOUR BABY LIIMITED your privacy will be protected, and we support any friends or family to accompany you. The professional opinion of the sonographer in terms of the advised method of scan will be discussed and your consent for both vaginal and abdominal scans can be
indicated on your consent form. Verbal consent will be asked prior to any procedure. If at any point you feel uncomfortable and or wish to end your scan, please inform your sonographer immediately. The safeguarding of our clients is paramount, and we continually assess your needs and safety. We
abide by our rigorous risk assessments to ensure our duty of care follows local and national guidance in relation to safeguarding. Our safeguarding lead is Katie Adams who can be contacted on 0116 2895987 should you need for future reference, or our staff are happy to assist you with any concerns
Despite our services being non-diagnostic, we do refer clients to a hospital of choice for further scans and professional opinions. Any such scenario will be discussed at length, a full report provided and a 24-hour helpline to contact if further support be required prior to your appointment.

By signing your consent form, you are confirming you have read and understood the above and consent to SEE YOUR BABY conducting an early pregnancy scan during your appointment today.