Female Speaker: Hi! My name is Josabelle, my background is midwifery, a community midwifery. And I am also a Sonographer, I specialize in obstetric scans and follicular scans. Here at Baby Premier we do the whole range of obstetric scan and also we have got follicular scans.
Merandi: I am Merandi Llewellyn(ph) and I am 27 weeks pregnant. And I am just expecting to see the baby, and to see the features of the baby and once again check that everything is fine.
Female Speaker: Now this scan is very baby dependent. So if your baby is behind it and staying good, then we are going to get some good results.
Merandi: Okay.
Female Speaker: Okay, so if you can just bring your dress down. Okay, so it is quite cold, this jelly. Okay, so we are going to start in two ways, let’s start your DVD, okay, you see the hand, little arm.
Alright, so this is the head, coming down into the chest, and we can see the heart beating away. That's wonderful. Baby is breached today. But this has been a week’s gestation, it's not going to make a lot of difference. They turn and tumble away for the place. Let’s put the 4D on, and it may seem a little odd first just because this cold and arms in front of the face. This little arm there, little hand and just behind is a head. This is all the cord, up around the elbow, little wrist, you can see the knuckles there. Come on baby!
Now what I am going to do I am going to go stop the DVD, and I am just going to get you to go to the toilet if you need to. It is normal, I mean we often get that and what we try to do is encourage the mum to move the baby, just as a midwife would palpate their abdomen in an examination and to know examination and that normally does the trick.
Merandi: It went okay. We are just waiting to go, begin and try for another scan because baby’s positioning wasn't very good. They can be all good, she has been all good with the previous scans as well.
Female Speaker: Now this works is that it's like a jigsaw puzzle a 3D jigsaw puzzle, you know you have to start to build them up from the very first layout and then up to the end and then at the end of the jigsaw puzzle you get the end result, and that's same sort of thing with the 4D scanning. What happens is that the picture is still off, until we have the last surface layoff and it's called surface rendering.
So when the baby moves and the sound doesn't catch up or it goes too fast, then these are the problems that start to appear that you can see. She is moving, that's quite clear in that. Yeah, he is wondering.
Female Speaker: At 27 weeks they are not very plump, therefore great -- found them are quite skinny little people. This is the center up here, and just as we coming it catches the sound. You could just see that. Okay, we are likely to get to it and we have a print out.
Yeah, it was fine, the baby could have been in a better position. You can never tell when we can manipulate the baby and try to move the arms and legs out of the way and hope, fingers crossed, that that happened, but you can never sort of tell where the code is and that's something that is quite obstructive in the view of the face and it makes it look like this water from the face but I think we’ve got some good pictures, and I think she will be pleased with the results.
Merandi: It went very well, thank you, we just did have a bit of trouble with the baby moving her hands and feet in front of her face, but we managed to get some pretty pictures.
Female Speaker: Merandi was nearly 27 weeks and baby was breech. We had a few problems obtaining some good pictures first of all, because obviously the hands and the feet and the cord were in the front of the face. So it's a little bit difficult, but we managed in the end, that they moved around and we had a -- the tummy just to encourage the baby to move around and she did.
Stacey Terrie: I am Stacey Terrie and I am 27 weeks pregnant.
Female Speaker: Okay so how many weeks you did.
Stacey Terrie: I am 27 today.
Female Speaker: Wonderful! Now if your baby is behind then we’ll get some good images, okay? Do you want sex of the baby on the DVD?
Stacey Terrie: Yeah.
Female Speaker: I am just going to start your DVD now. Okay, we are just here, can you see these three little lines? One, two, three.
Stacey Terrie: Yeah, that's a girl.
Female Speaker: You have a little girl, say yes. We are never 100% sure, because in medicine you are never 100% many things first – as sure as we can be. Okay, I think she happened to move about, but she is having a -- she is a busy little person, very busy.
Stacey Terrie: Gosh! She’s got a little nose.
Female Speaker: Is that bad thing? Little hands coming up.
Stacey Terrie: She is picking her nose.
Female Speaker: I think she is awake, she is moving. She has got her eye open. Can you see her eye. Okay.
Male Speaker: Yeah, it was good, I think it was very different. So when we were told before it was 16 weeks.
Stacey Terrie: Completely different today with the usual scans.
Female Speaker: Stacy's baby was breeched today, which was okay, it's not a problem and she was 28 weeks, often they tumble and turn, and it's fine. Her baby didn't have the legs in front of the face. And we managed to get a very good image of the baby.
Stacey Terrie: I wanted it because it was just something different and obviously something to keep, to keep safe for the baby when the baby is older. Because I’ve had – I’ve got a little boy already and basically I haven't got anything like that. So I hadn't had anything like that before so I just wanted it.
Male Speaker: It's our first baby, and what we sort of hear about it from the TV anyway. So it was Nikki's birthday last week, and as a present to her I bought her the full day scan because it is something that she sort of mentioned previously. So it seemed like a good idea at the time, bonding experience.
Female Speaker: Now there is always a danger when I put the probe on that we are going to see the sex of the baby. So what I tend to say to people is if they really don’t want to know the sex look away when I initially put the probe on. So there is no danger there, okay, let’s see the sex.
Female Speaker: Okay, so turn away.
Male Speaker: Alright, can I look here.
Female Speaker: Yes, absolutely. Your baby, you see the little heart beating here. Now I am going to quickly do this because I am going to see the sex. This is just in front of the baby's face at the center, just because the baby is almost reaching up and kissing it.
Nicola: You get such reactions and you can see to that.
Female Speaker: Well they are different, but you know everybody is almost got that, almost everybody that has it, because see the mouth opening up here, the baby is moving that will be scary some time. So the baby has moved face right out of the around and back.
Male Speaker: This is sometimes like girl, isn't that?
Female Speaker: Okay, shoulder, armpit.
Male Speaker: How does it work, how does it --
Female Speaker: It is 4D work?
Male Speaker: How do you know what --
Female Speaker: This is called a Surface Rendering Scan. So what happens is that 2D, like I’ve got here now. 2D is like sending out what -- do you know how ultrasound work? Ultrasound is actually the same principal as dolphins use and same as --
Male Speaker: As everybody else.
Female Speaker: Right, so an electrical pulse is sent to here, in here in the probe we have lots of crystals, and in this fat probe which is a body probe they are oblique and transverse and longitudinal. Whereas in this probe they are just in a straight line. And so what happens is that, this emits a signal, it makes the crystals not together, a sent out sound, it goes into wherever it's pointed to, travels through the fluid which is the black stuff here. Hits something dense, depends on how dense that object is, a signal returned, that's back up here and it's interpreted on the screen by different series of dots, depending on the density.
So you can see the backbone there. That's the bone and so that bone is denser than tissue obviously denser than fluid. And so it's upon -- yeah. So the bright sound.
Okay, this is a very naughty baby, can't even get you a nice picture. So wipe this off, go downstairs.
Well the baby's head was extended back into the pelvis. So there was no fluid in front of the face which obscures the face completely. So what I have done as I have sent her downstairs have a couple of cups of water, have good talk with her child and come back upstairs and hopefully, fingers crossed, the baby would have moved and we will get some good pictures.
Female Speaker: Okay, fingers crossed.
Male Speaker: --
Female Speaker: I think that the bumps going to be --
Male Speaker: Alright.
Female Speaker: Good child.
Male Speaker: What's the most amazing thing you see when you have been doing?
Female Speaker: Well, a baby is the most amazing thing I never, ever, ever stop being in over head because it's just the most spectacular thing that you can ever produce. It's actually miracle.
Nicola: My mom thinks to be girl, she has called her Priscilla.
Female Speaker: Priscilla.
Nicola: Who is the last Queen of the Desert.
Female Speaker: So let's hope she is a girl. I think she is going to have a bad complex if she is a boy.
Nicola: I told her to get --
Male Speaker: I have convinced myself it's going to be a boy. Nikki has convinced herself it's going to be a girl. He has got his hands right at his neck.
Female Speaker: Yeah might be. This is a little tummy here, two elbows together, one on goes that way, one on goes that way, this is huge, okay, uterus, and the baby is been in tucked, like a little pillow. So there you go.
Male Speaker: Brilliant, thank you very much! Wonderful! It was excellent!
Nicola: Yeah, it was really good.
Male Speaker: Yeah, really good to see, baby look like.
Female Speaker: Nicola was 29 weeks and we initially did the scan, baby moved head up and so it was quite difficult to see the face just because the face was pushed very closely towards the center and there was no fluid there. Then I sent her for a walk, had a couple cups of water. She came back within ten minutes the baby moved the head and we’d got some really nice spectacular pictures.
Male Speaker: We are trying to workout, her looks more alike, more happy. Not sure where the button nose comes from but I guess that might develop.
Nicola: It's interesting to see the changes from now to actually born.
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