Routine ultrasound surveillance of the pregnant uterus

The routine ultrasound examination of the pregnant uterus is presented in this article. The approach is based on published guidelines, dividing the examination into studies of the first trimester and studies of the second and third trimesters. The discussion emphasizes the standard anatomical views and describes the normal sonographic appearances. The methods of obtaining important measurements are described, and tables are provided to analyze these measurements. A systematic approach to obstetric ultrasound is important in ensuring completeness and in maximizing the detection of fetal abnormality.