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Scannning Room

Scan choices for 7-20 weeks gestation

Early Scan

So why would you have an early scan?

For most women they just want, or need to see their baby and confirm that the pregnancy is real! For others they may have sadly experienced a miscarriage and just need the peace of mind and reassurance that an early scan can bring. Time really seems to drag in the first trimester, seeing is certainly believing!

An early pregnancy scan will confirm the presence of a heartbeat, diagnose a single or multiple pregnancy and establish an estimated due date. It can be performed from 7 weeks of pregnancy, before this time it is not always possible to see the fetal heart beating but can confirm the pregnancy is in the right place and developing as it should for the number of weeks you are.

We also see women who have had bleeding and can’t be seen quickly in their local early pregnancy unit, or those that have had a loss of symptoms and are concerned – we can provide you with a service that fully assess how you are progressing and will give you all the information you need.

This early scan is not routinely available on the NHS and does not require a GP or Midwife referral.

What we do…

Usually performed over the tummy as transabdominal scan, for this reason having a moderately full bladder will help to see the pregnancy more clearly in the early weeks.

We will measure your little one crown to rump to get an estimated due date and assess that everything is developing normally for that number of weeks. We will also confirm that the pregnancy is in the right place within the uterus and check that the uterus and ovaries appear normal.

We also have the option of performing an internal scan if we don’t get great views over the tummy. This is entirely safe in early pregnancy and will be discussed with you as an option where needed.

After the scan..

We will create a detailed report for you with everything that we have seen and also give you pictures of your little bean.

Throughout the scan we will be talking about what your baby is doing, how it is developing and what it can do – such a lovely insight into your baby’s world.

If we sadly find that the things are not progressing as they should we discuss everything that we can see, giving you plenty of time to ask questions. We create a report and contact your local early pregnancy unit (EPU) for a follow up appointment.

An 8 week 6 day old little bean.

9 weeks old.

“I cannot recommend Lindsay enough!! I've seen Lindsay a few times after a really difficult time to make sure things were getting back to normal and she's always been so lovely and helpful. She's always on hand to answer any questions I have and I cannot thank her enough xx”

Leanne

Early scan 7-11 weeks £89

25 minute appointment £89
20 minute scan time
Viability check and heartbeat visualisation
Anatomy check
Estimated due date
Detailed scan report
Pictures
Fully qualified sonographers to assess normal development.

 

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Dating Scan

Why have a dating scan?

As with an early scan, most women just want, or need to see their baby and confirm that the pregnancy is developing beautifully. The peace of mind and reassurance that a scan can bring can whilst waiting for your first NHS scan appointment can be invaluable.

What do we do…

Usually performed over the tummy as transabdominal scan, having a fairly full bladder will help to see the pregnancy more clearly. From 11-14 weeks we measure the baby crown to rump (CRL) to get an estimated due date and over 14 weeks we measure the head, tummy and thigh. Over 14 weeks the due date is based on the head circumference measurement.

The scan can also see if you are having just the one baby or a couple of surprises! We also check your little one to see how well it is developing by checking the skull/brain, arms and legs, stomach and cord insertion.

We also check the uterus and ovaries to ensure everything appears normal.

Throughout the scan we will be talking about what your baby is doing, how it is developing and what it can do – such a lovely insight into your baby’s world.

After the scan…

We will create a report with everything we have discussed, answer any questions you may have and give you the pictures we have taken during the scan.

If we sadly find that the things are not progressing as they should we discuss everything that we can see, giving you plenty of time to ask questions. We create a report and contact your local early pregnancy unit (EPU) for a follow up appointment.
(This scan may be available for free at your local NHS hospital)

Look at my long legs - 13 weeks old.

12 week baby

“This woman is second to none. Not only is she a sonographer but a midwife too. She is sensitive, funny, warm, professional but incredibly kind and gentle. The waiting area is modern and huge with free drinks available. You get lots of pictures but what is more important you get a very thorough scan that isn't rushed. I love taking my daughter to see Lindsay. I work with ante natal women so I can assure anyone that this service is truly amazing. Thank you Lindsay from Rosie, Jenny, Sam and baby Teddy oh and new little pink 16 week old bump xx”

Rosie

Dating scan 11-16 weeks £89

25 minute appointment
20 minute scan time
Viability and heartbeat visualisation
Estimated due date
Detailed scan report
Pictures
Anatomy check
Fully qualified sonographers that can assess development

£89

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Harmony Test

Why have the Harmony Test?

Currently screening for Trisomy 21, Down’s syndrome, is offered by the NHS as a combined test between 11+3 to 14+1 weeks. The pregnancy is dated, the fluid at the back of the neck (Nuchal Translucency) is then measured and a blood test from the mother is taken to assess the hormone levels in the blood. This information along with the scan findings is combined and generates a risk of 1:>150 for a low risk result and 1:<150 for an increased risk result. The risk detection rate is around 70-80% dependent on the literature you read.

The Harmony Test is a new option for non-invasive prenatal testing (NIPT) with a 99% accurate risk detection rate. A blood sample from the mother is analysed for fetal DNA which circulates within her blood.

The cell-free DNA can be tested in the most accurate screening process to detect the risk of the baby having Trisomy 21 (Down’s syndrome); trisomy’s 18 (Edward’s syndrome) and 13 (Patau’s syndrome) are also tested. It must be remembered that the Harmony test is NOT diagnostic giving you a yes or no answer; it is still screening that works in levels of risk.

The effectiveness of this screening test is that it will massively reduce the need to have invasive testing such as an amniocentesis of CVS (Chorionic Villus Sampling) to less than 1% which carries a risk of miscarriage.

A low risk result does not mean there is absolutely no risk and a high risk result will require invasive testing such as an amniocentesis to provide a definitive answer.

The NHS is currently researching this type of testing and it is believed to be available within the next few years only for those women with an increased risk from the combined screening.

If you have had your combined screening and an increased risk has been generated we can offer you a service where we only need to take the bloods. This option can only be performed if you have a scan report showing that you have a viable pregnancy over 10 week’s gestation.

This test does not require any referral from your healthcare providers; it is a safe and non-invasive screening test. All singleton and twin pregnancies whether naturally conceived or by IVF including those with use of donor eggs can be assessed.

The test can be performed from 10 weeks of pregnancy until 40 weeks.

The Scanning Room strongly advise that the mother has all the routine scans offered by the NHS during her pregnancy. The Harmony non-invasive prenatal test does not check or provide information on growth problems or physical defects for e.g. Spina bifida, heart or brain abnormalities.
This test does not assess risk for mosaicism, partial trisomy’s or translocations. The findings of the test may not give you a result and my suggest that further testing is more appropriate.

What we do…

A scan needs to be performed to confirm viability and that the pregnancy is over 10 weeks gestation before the paperwork is completed and bloods are taken.

The dating scan is performed over the tummy as transabdominal scan, having a fairly full bladder will help to see the pregnancy more clearly. From 10-14 weeks we measure the baby crown to rump (CRL) to get an estimated due date and over 14 weeks we measure the head, tummy and thigh. Over 14 weeks the due date is based on the head circumference measurement.

The scan can also see if you are having just the one baby or a couple of surprises! We also check your little one to see how well it is developing by checking the skull/brain, arms and legs, stomach and cord insertion.

We also check the uterus and ovaries to ensure everything appears normal.

Throughout the scan we will be talking about what your baby is doing, how it is developing and what it can do – such a lovely insight into your baby’s world.
After the scan we complete the paperwork and you read through and sign the consent form. We then take 2 tubes of blood and send these to the lab.
If you are having the bloods only service we will complete the paperwork and take the bloods as above. There is plenty of time to ask any questions.

After the test…

The bloods are sent to The Doctors Lab in London who have the license to process the samples. The results take 3-5 working days once received to come back to us. Once we receive the results via email, we call you to discuss the findings and then email you the copy of the results. Once you receive the email/results you can always contact us if there is anything you need to discuss.

The results will come back as 0.01% probability which is your low risk result or 99.9% which is your increased risk result. If low risk the report can be put in your notes and no further follow up required. If the results show an increased risk we will discuss whether you would like us to refer you onto the screening midwives at your local hospital or contact them directly yourself. The screening midwives will talk you through further options from this point.

In approximately 3% of blood samples taken there is not enough fetal DNA to provide a result. In these cases another sample of blood is requested by the lab which will delay the results being released. If an additional sample is requested this is processed at no extra charge. At times the lab do request further information or clarification about details, in this case we will contact you with the details requested.

13 weeks old.

“I couldn't recommend Lindsay more highly. I had a scan with her at 8+2 and 10+6. She is so warm, kind and caring but also extremely competent, thorough and knowledgeable. She has (at least temporarily!) calmed all my worries and we have some lovely photos of our little one. Thank you Lindsay  ”

Alex

Harmony Test 10-40 weeks gestation £450/ Bloods only £380

40 minute appointment
25 minute scanning time
99.9% risk detection for Downs syndrome
Dating scan to confirm gestation
Detailed scan report
Pictures
Bloods only option £380 (with a scan report showing a pregnancy over 10 weeks gestation)

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Reassurance and gender scans

Why have a reassurance/gender scan?

The wait between your dating and anomaly scan can seem so long! From 16 weeks you (for the most part) feel entirely normal again, don’t necessarily feel pregnant and to the outside world you don’t look pregnant – so what is going on in there……
Or if you just cannot wait to find out the gender then we can help with that too.

What we do…

We measure the head, tummy and thigh to get an estimated weight and see how well your baby is growing in relation to your due date. Have a general assessment of your baby, check the movements, placenta and fluid.

We can determine your baby’s gender with very high accuracy, we take our time and look in a number of different views to clearly see little girl’s bits or little boy’s, it’s that simple! If your baby is being decidedly shy (or awkward) or we are not convinced ourselves then we will re-book you free of charge – we want to be certain!

If you don’t want to know the gender we can keep that secret as well that’s no problem at all.

We also have a glimpse at your little one in 4D and take pictures for you both in 2D and 3D (we don’t have a maximum number of pictures we take, depends on how well your little one poses!). Sometimes your baby may be in a position where we cannot clearly see it’s face in 3D/4D and we won’t be able to take pictures – but we will always try!

After the scan…

We will discuss everything that we have seen throughout the scan and complete a wellbeing checklist along with the pictures we have taken throughout the scan.
If we find anything of concern during the scan we discuss this with you giving you plenty of time to ask questions. We create a report and contact your local maternity hospital to arrange follow up for you.

16 weeks

Hmmmm boy or girl????

Reassurance and gender scans 16-24 weeks £75

20 minute appointment
15 minute scan time
Growth measurements
Anatomy check
Wellbeing report
Gender if you would like to know!
4D view
Pictures in 2D and 3D
Fully qualified sonographers

£75

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Anomaly scan

Why would you have an anomaly scan?

An anomaly scan can be performed from 18+6 weeks to 21+6 weeks but ideally performed around 20 weeks. The scan will effectively check your baby’s development from head to toe, assessing the growth, placental position and amniotic fluid. We can perform this scan with the flexibility of your timescale not always achieved with the NHS.

We can also provide this scan as a second opinion to an anomaly scan already performed or to complete an anomaly scan when all structures have not been clearly seen.

What we do..

We measure your baby’s femur, head an abdominal circumference to compare the growth against the due date. The following anatomical structures are also assessed; Skull/brain, profile/lips, heart/chest, abdomen/cord insertion, kidneys, bladder, limbs, spine and placental position. The scan is performed to the Fetal Anomaly Screening Programme (FASP) standards set out by Public Heath England for clinical care standards within the NHS.

The anomaly scan is a screening tool; it cannot see every abnormality and it does not guarantee a healthy baby. Some problems/abnormalities may not be present or visible but develop at a later stage (for example diaphragmatic hernia).

Throughout the scan we talk you through everything we are looking at so you get to know your little one and how well it is developing. We also take pictures in 2D for you and have a little look in 4D as well.

After the scan..

A detailed report will be created with all our findings and discussed with you giving you every opportunity to ask questions. This report should go alongside your maternity notes.

If any problems or abnormalities are found, these will be discussed with you and where possible/known the implications will also be discussed. A referral will be made for you to your local midwife, GP or local hospital/antenatal clinic and appropriate follow up will be arranged.

Sometimes when abnormalities are found we cannot give you the exact implications/outcomes for your baby, we will give you as much information as possible but you will require specialist referral for a clear diagnosis.

(Please note this scan may be available for free at your local NHS hospital)

Count my fingers

And my toes

Anomaly scan 19 - 24 weeks (optimal time 20 weeks) £159

Anomaly scan 19 – 24 weeks (optimal time 20 weeks)

40 minute appointment
30 minute scanning time
Growth measurements
Full anatomy check to FASP guidelines
Detailed scan report
Pictures in 2D and 3D
Fully qualified sonographers

£159

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