Are there any risks to ultrasounds?

Question

Please don't just say yes or no. Please explain why or why not and provide a link if possible. Thank you.

Answer 1

I think if you have an excessive amount of ultrasounds it could potentially harm the baby. But if you have a couple like 1 or 2 I think that they is nothing wrong with it. Some woman choose not to have ultrasounds for many reasons. I can't wait til mine. This will be my first one and I can't wait to see my little baby bouncing around in there.

Answer 2

Ultra sound is much like radar. It uses sound waves at a pitch that is so low that our ears cannot readily hear it. These waves bounce off solid internal structures such as bone, and denser things such as organs, and are transmitted to a screen for viewing.

They are not high powered, they are not 'rays' of light or energy, they are sound. These waves typically pass through our bodies daily (yes, there are many creatures, machines, and things in our lives that create soundwaves at frequencies we cant even hear), and we never notice them.

There have been NO suggestions from all the extensive research done that even so much as hints that ultrasounds are in anyway dangerous to babies.

Every so many years some scientist or doctor claims to ahve found a link between ultrasound and infant mortality or defect. And each time when the studies are completed they deny their original theroy, proving them safe once again.

No, theyre not dangerous.

Answer 3

No, there are no risks. An ultrasound just uses sound waves, so it's as safe as you listening to music or your partner talk. I know an internal ultrasound can be uncomfortable for some women though. Sorry, I don't know of any links, I just talked to the Tech about it during my first pregnancy. Good Luck anyways

Answer 4

Well I remember when Tom Cruise bought an Ultrsound machine while Katie Holmes was pregnant and a Dr. spoke out and said it wasn't safe to do it all the time. But I've not heard anything about it just done as routine. Most pregnancies get 2. One when u are first preg, and then again around 6 mo. I only had one. But I know people who have had a lot and their kids are fine. I don't know if that helped, hope it did though.

Answer 5

My best friend's man is a gyn/obs and we talk a lot about these things. He said that many ultrasound are not good, cause of the radiation. The radiation dryes the water where the baby is and can harm the baby. But many ultrasounds. I don't think you need many

Answer 6

AN ULTRASOUND IS SOUND WAVES THAT "BOUNCE" OFF OF AN OBJECT AND GIVE YOU A PICTURE. TO MY KNOWLEDGE THERE HAS NOT BEEN ANY PROVEN ILL EFFECTS OF HAVING AN ULTRASOUND.

Answer 7

Absolutely no known dangers

Answer 8

no.


ultrasounds arent alwasy right though

Answer 9

no there is not

Answer 10

I tried to get the link for you but for some reason it wouldn't.


Weighing the Risks: What You Should Know about Ultrasound
By Sarah Buckley
Issue 102, September/October 2000

Ultrasonography was originally developed during World War II to detect enemy submarines. Its use in medicine was pioneered in Glasgow, Scotland, by Dr. Ian Donald, who first used ultrasound to look at abdominal tumors, and later babies in utero in the mid-1950s.1 The use of ultrasound in pregnancy spread quickly.

In westernized healthcare systems, ultrasound, which may be offered to a pregnant woman either to investigate a possible problem at any stage of pregnancy or as a routine scan at around 18 weeks, has become almost universal in pregnancy. In Australia, where I live, 99 percent of pregnant women have at least one scan, paid for in part by our federal government, through Medicare. In fact, from 1997 to 1998 Medicare paid out AU$39 million for obstetric scans, compared to AU$54 million for all other obstetric Medicare costs. In the US, the American College of Obstetrics and Gynecology (ACOG) estimates that 60 to 70 percent of pregnant women are scanned, despite an official statement from ACOG that recommends against routine ultrasound.2 At a cost of roughly $300 per procedure, this represents a cost of approximately $70 to $80 million each year in the US.

Besides routine scans, ultrasound can be prescribed to investigate problems such as bleeding in early pregnancy. Later in pregnancy, ultrasound can be used when a baby is not growing, or when breech or twin births are suspected. In such cases, the information gained from ultrasound can be very useful in decision-making, and generally most professionals support the use of ultrasound in this context.

It is such use of routine prenatal ultrasound (RPU) that is more controversial, as this practice involves scanning all pregnant women in the hope of improving the outcome for some mothers and babies. RPU seeks to gain four main types of information:


Estimated due date. Dating a pregnancy is most accurate at early stages, when babies vary the least in size. By contrast, at 18 to 20 weeks the expected date of delivery is only accurate to within a week either way. Some studies have suggested, however, that an early examination or a woman's own estimation of her due date can be as accurate as RPU.3,4
Unsuspected physical abnormalities. While many women are reassured by a normal scan, in fact RPU detects only between 17 percent and 85 percent of the one in 50 babies that have major abnormalities at birth.5,6 A recent study from Brisbane, Australia, showed that ultrasound at a major women's hospital missed about 40 percent of abnormalities, many of which are difficult or impossible to detect.7 The major causes of intellectual disability, such as cerebral palsy and Down syndrome, or heart and kidney abnormalities, are unlikely to be picked up on a routine scan.

There is also a small chance that the diagnosis of an abnormality is false positive. In some instances, normal babies have been aborted because of false-positive diagnoses.8 A United Kingdom survey found that one in 200 babies aborted for major abnormalities were wrongly diagnosed.9

In addition to false positives, there are also uncertain cases in which the ultrasound image cannot be easily interpreted, and the outcome for the baby is not known. In one study involving babies at higher risk of abnormalities, almost 10 percent of scans were uncertain.10 This can create immense anxiety for the woman and her family that may not be allayed by the birth of a normal baby: in the same study, mothers with questionable diagnoses still had associated anxiety three months after the child's birth. Uncertain findings also lead to repeated and/or prolonged scans, increasing the expense, inconvenience, and dosage of ultrasound.

In some cases of uncertainty, further tests such as amniocentesis are recommended. In such situations, there may be up to two weeks wait for results, during which time a mother must consider whether or not she will terminate the pregnancy if an abnormality is found. Even mothers who receive reassuring news have felt that this process has interfered with their relationship with their babies.11

Location of the placenta. A very low-lying placenta (placenta previa) puts mother and baby at risk of severe bleeding, and usually necessitates a cesarean section. However, 19 out of 20 women who have placenta previa detected on RPU will be needlessly worried, as the placenta will effectively move upwards as the pregnancy progresses.12 Furthermore, detection of placenta previa by RPU has not been found to be safer than detection in labor.13

Multiple fetuses. Ultrasound can detect the presence of more than one baby at an early stage of pregnancy, but this knowledge affords no documented health advantages for mother or babies, and, without RPU, almost all multiple pregnancies are discovered before birth.14

Why Are RPUs So Popular?
Supporters of RPU argue that availability of ultrasonic information leads to better outcomes for mother and baby. While this seems logical, researchers have not found evidence of significant benefit from RPU, and the issue of the safety of ultrasound has not yet been resolved.

From a research perspective, the most significant benefit of RPU is a small reduction in perinatal mortality, that is the number of babies dying around the time of birth. This is, however, merely a statistical reduction since perinatal mortality rates do not include deaths that occur before five to six months' gestation. Often when a baby is found to have a fatal abnormality on RPU, the pregnancy is terminated before this time, excluding the baby from perinatal statistics.

RPU proponents presume that early diagnosis and termination is beneficial to women and their families. However, the discovery of a major abnormality on RPU can lead to very difficult decision-making. Some women who agree to have an ultrasound are unaware that they may get information about their baby that they do not want, as they would not contemplate a termination. Other women can feel pressured to have a termination, or at least feel some emotional distancing from their "abnormal" baby.15

Furthermore, there is no evidence that women who have chosen termination are, in the long term, psychologically better off than women whose babies have died at birth. In fact, there are suggestions that the reverse may be true in some cases.16 In choosing a possible stillbirth over a termination, women at least get social acknowledgment and support, and are able to grieve openly. Where termination has been chosen, women are unlikely to share their story with others and can experience considerable guilt and pain from the knowledge that they themselves chose the loss.17

Another purported benefit of RPU is a reduced risk of being induced for being "overdue," because RPU dating gives a more certain estimated due date. However, there is no clear evidence that this is true, as the possibility of induction is more determined by hospital or doctor policy than by the availability of RPU.19

Many supporters of RPU claim that it's a pleasurable experience, and contributes to bonding between mother (and father, if he is present) and baby. While it is true that it can be exciting to get a first glimpse of one's baby in utero, there is no evidence that it helps attachment or encourages healthier behavior toward the baby.20 For most women, bonding occurs naturally when they begin to feel fetal movements at 16 to 20 weeks.

Reasons for Concern
Ultrasound waves are known to affect living tissues in at least two ways. First, the sonar beam heats the highlighted area by about 1°C (2°F). This is presumed to be insignificant, based on whole-body heating in pregnancy, which seems to be safe up to 2.5°C (5°F).21 The second effect is cavitation, where the small pockets of gas that exist within mammalian tissue vibrate and then collapse. In this situation "...temperatures of many thousands of degrees Celsius in the gas create a wide range of chemical products, some of which are potentially toxic."22 The significance of cavitation in human tissue is unknown.

A number of studies have suggested that these effects are of real concern in living tissues. The first study indicating problems analyzed cells grown in the lab. Cell abnormalities caused by exposure to ultrasound were seen to persist for several generations.23 Another study showed that, in newborn rats (who are at a similar stage of brain development as humans at four to five months in utero), ultrasound can damage the myelin that covers nerves,24 indicating that the nervous system may be particularly susceptible to damage from this technology. In 1999, an animal study by Brennan and colleagues, reported in New Scientist,25 showed that exposing mice to dosages typical of obstetric ultrasound caused a 22 percent reduction in the rate of cell division, and a doubling of the rate of cell death in the cells of the small intestine.

Studies on humans exposed to ultrasound have shown possible adverse effects, including premature ovulation,26 preterm labor or miscarriage,27, 28 low birthweight,29 poorer condition at birth,30, 31 dyslexia,32 delayed speech development,33 and less right-handedness,34, 35 a factor which in some circumstances can be a marker of damage to the developing brain. In addition, one Australian study showed that babies exposed to five or more ultrasounds were 30 percent more likely to develop intrauterine growth retardation (IUGR)--a condition that ultrasound is often used to detect.36

Two long-term randomized controlled trials, comparing exposed and unexposed children's development at eight to nine years of age, found no measurable effect from ultrasound.37, 38 However, as the authors note, intensities used today are many times higher than in 1979 to 1981. A later report of one of these trials39 indicated that scanning time was only three minutes. More studies are obviously needed in this area, particularly in Doppler ultrasound, where exposure levels are much higher, and in vaginal ultrasound, where there is less tissue shielding the baby from the transducer.

A further problem with studying ultrasound's effect is the huge range of output, or dose, possible from a single machine. Modern machines can give comparable ultrasound pictures using either a lower or a 5,000 times higher dose,40 and there are no standards to ensure that the lowest dose is used. Because of the complexity of machines, it is difficult to even quantify the dose given in each examination.41 In the US, as in Australia, training is voluntary (even for obstetricians), and the skill and experience of operators varies widely.

In all the research done on ultrasound, there has been very little interest in women's opinions of RPU, and the consequences of universal scanning for women's experience of pregnancy. In her thoughtful book on prenatal diagnosis, The Tentative Pregnancy,42 Barbara Katz Rothman suggests that the large numbers of screening tests currently being offered to check for abnormalities makes every pregnancy tentative until reassuring results come back.

Ultrasound is not compulsory, and I suggest that each woman consider the risks, benefits, and implications of scanning for her own particular situation. If you decide to have a scan, be clear about the information that you do and do not want to be told. Have your scan done by an operator with a high level of skill and experience (usually this means performing at least 750 scans per year) and say that you want the shortest scan possible. If an abnormality is found, ask for counseling and a second opinion as soon as practical. And remember, it's your baby and your choice.

Hope this helps. Congratulations!