Reassurance Scan Disclaimer and Consent Form

Introduction

SEE YOUR BABY LIMITED aim to provide each client with a unique experience by excelling your expectations of you Non-Diagnostic Reassurance scan. Your scan today will be performed by a trained sonographer with a wealth of experience that will immediately put you and your family at ease. A transabdominal probe will be used during your scan and glides over the stomach. There are some restrictions to obtaining clear images and occasionally this may inhibit total reassurance during your scan- Your sonographer will discuss further is this is an issue. Potential issues are listed below.

Here at SEE YOUR BABY we do persist, and we do encourage lengthen your appointment time to allow baby to move.

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 β€˜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 a reassurance scan during your appointment today.