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Doppler Ultrasound In Pregnancy

Doppler Ultrasound In Pregnancy

A Doppler Ultrasound in pregnancy is a scan that can be given alongside the typical ultrasound scan, with the Doppler measuring the flow of blood to the parts of your unborn babies’ body. To find out more about the scan please read on.

What Is A Doppler Scan?

A Doppler Ultrasound in pregnancy should not be confused with the typical ultrasound scan that most women have more than once during their pregnancy. The typical ultrasound will allow you a first glimpse of your unborn baby and possibly tell you the sex, while the Doppler measures the flow of blood around the body of your unborn baby and shows if enough oxygen and nutrients are reaching the unborn baby through the placenta.

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    A Doppler Ultrasound in pregnancy is conducted in the same way as an ultrasound scan and in fact the same equipment is used as the majority of scanners have the Doppler function on them.

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    During the scan you will have to lie down on a table with your belly exposed and the technician will rub gel onto your tummy before then moving a device called a transducer, over your tummy. This will send sound waves which bounce off the flow of blood to the body of your unborn baby along with their blood circulation system. The technician is then able to read the screen and see how the blood is flowing and this gives an indication of how well the baby is doing.

    The Doppler ultrasound in pregnancy will add on just a few minutes to your regular ultrasound and the technician will advise you of the results there and then.

    Are Doppler Scans Safe?

    Providing the Doppler ultrasound scan is carried out in the hands of a technician who has been trained they are considered to be just as safe as a typical ultrasound scan and it should not pose any risk to the unborn baby when carried out during the 2nd and 3rd trimester.

    If you are at all worried about any part of the ultrasound scan or the Doppler scan you should talk with a medical professional or the technician beforehand.

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    Why You Might Need A Doppler Scan

    There may be numerous reasons why your Doctor may ask you to have a Doppler ultrasound in pregnancy. Reasons typically include:

    • You are a smoker.
    • You had a miscarriage late in a previous pregnancy or lost a baby during birth.
    • You suffer from a high or low BMI, aka body mass index.
    • You have had a baby that was underweight.
    • You are having more than one baby, twins, triplets, for example.
    • Your baby doesn’t seem to be growing at a rate that is considered healthy.
    • Your baby has been diagnosed with slapped cheek disease, aka parvovirus.

    What Does The Doppler Scan Look For and Why?

    The Doppler ultrasound scan in pregnancy is undertaken so that the doctor can check if everything is going to plan to allow your baby to develop healthily. Depending on your situation the sonographer, the person doing your scan, will check over different areas. Typically such a scan is only offered to women if their doctor has any concerns about the baby and pregnancy.

    doppler ultrasound

      There are different scans and these generally include

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      • Uterine artery Doppler scan – Checks the uterine arteries, which are the vessels that take blood to the uterus, aka womb. This is to check that there is enough blood going to the placenta.
      • Umbilical artery Doppler scan – This is to check the rhesus antibodies if your baby seems to be growing at a slow rate. It is to check the umbilical cord as the blood flows from the placenta.

      Should I Use A Doppler At Home?

      Just as with a typical ultrasound machine, there is a portable Doppler machine that you can purchase or hire for use within the home. Typically this is used for the parents to listen in to the heartbeat of their unborn baby. Generally the majority of midwives and doctors will advise against the use of one at home.

      Of course the machine can give the mother to be and partner great peace of mind by listening to the heartbeat of the baby. However there are some downsides and these include:

      • Finding the heartbeat is not always easy and this can cause undue stress and worry in the event you cannot find the heartbeat.
      • A common mistake can also be made with the machine at home and this is that you can pick up the sound of blood going through the placenta and think this is the sound of the heartbeat.
      • A more sound and reliable way to get peace of mind if you are worried is to contact your midwife instead of trying to find the heartbeat of your baby at home.

      What Is a Cardiotocograph?

      There is another type of Doppler ultrasound in pregnancy that can be used and this is the Cardiotocograph. While it may have a fancy unpronounceable name, it simply monitors the heartbeat of the baby to make sure that the heart is beating normally. It doesn’t produce an image, it only uses sound.

      If the pregnancy is going as normal and there is no cause for concern then you probably won’t have the CTG. This type of scan is not typically used until after the 13th week as earlier than this and there is a lot of difficulty in finding the heartbeat.

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      How Is A CTG Used During Labor?

      The CTG can come into its own during labor, where it is typically called electronic fetal monitoring, aka EFM. Here its typical use is in monitoring the contractions along with the heartbeat of your unborn baby. However if all has gone well with the pregnancy this type of monitoring may not be used as there are other ways that are less invasive to monitor mother and baby.

      The CTG may however be used when you are first admitted onto the ward in labor, typically for around 30 minutes, with the readings being used as a base if it is needed at a later stage in the labor.

      Featured photo credit: Flickr via flickr.com

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      Published on February 11, 2021

      3 Positive Discipline Strategies That Are Best For Your Child

      3 Positive Discipline Strategies That Are Best For Your Child

      I’m old enough to remember how the cane at school was used for punishment. My dad is old enough to think that banning corporal punishment in schools resulted in today’s poorly disciplined youth. With all of this as my early experiences, there was a time when I would have been better assigned to write about how to negatively discipline your child.

      What changed? Thankfully, my wife showed me different approaches for discipline that were very positive. Plus, I was open to learning.

      What has not changed is that kids are full of problems with impulses and emotions that flip from sad to happy, then angry in a moment. Though we’re not that different as adults with stress, anxiety, lack of sleep, and stimulants such as sugar and caffeine in our diets.

      Punishment as Discipline?

      What this means is that we usually take the easy path when a child misbehaves and punish them. Punishment may solve an isolated problem, but it’s not really teaching the kids anything useful in the long term.

      Probably it’s time for me to be clear about what I mean by punishment and discipline as these terms are often used interchangeably, but they are quite different.

      Discipline VS. Punishment

      Punishment is where we inflict pain or suffering on our child as a penalty. Discipline means to teach. They’re quite the opposite, but you’ll notice that teachers, parents, and coaches often confuse the two words.

      So, as parents, we have to have clear goals to teach our kids. It’s a long-term plan—using strategies that will have the longest-lasting impact on our kids are the best use of our time and energy.

      If you’re clear about what you want to achieve, then it becomes easier to find the best strategy. The better we are at responding when our kids misbehave or do not follow our guidance, the better the results are going to be.

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      3 Positive Discipline Strategies for Your Child

      Stay with me as I appreciate that a lot of people who read these blogs do not always have children with impulse control. We’ve had a lot of kids in our martial arts classes that were the complete opposite. They had concentration issues, hyperactive, and disruptive to the other children.

      The easy solution is to punish their parents by removing the kids from the class or punish the child with penalties such as time outs and burpees. Yes, it was tempting to do all of this, but one of our club values is that we pull you up rather than push you down.

      This means it’s a long-term gain to build trust and confidence, which is destroyed by constant punishments.

      Here are the discipline strategies we used to build trust and confidence with these hyperactive kids.

      1. Patience

      The first positive discipline strategy is to simply be patient. The more patient you are, the more likely you are to get results. Remember I said that we need to build trust and connection. You’ll get further with this goal using patience.

      As a coach, sometimes I was not the best person for this role, but we had other coaches in the club that could step in here. As a parent, you may not have this luxury, so it’s really important to recognize any improvements that you see and celebrate them.

      2. Redirection

      The second strategy we use is redirection. It’s important with a redirection to take “no” out of the equation. Choices are a great alternative.

      Imagine a scenario where you’re in a restaurant and your kid is wailing. The hard part here is getting your child to stop screaming long enough for you to build a connection. Most parents have calming strategies and if you practice them with your child, they are more likely to be effective.

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      In the first moment of calm, you can say “Your choice to scream and cry in public is not a good one. It would be best to say, Dad. What can I do to get ice-cream?” You can replace this with an appropriate option.

      The challenge with being calm and redirecting is that we need to be clear-minded, focused, and really engaged at the moment. If you’re on your phone, talking with friends or family, thinking about work or the bills, you’ll miss this opportunity to discipline in a way that has long-term benefits.

      3. Repair and Ground Rules

      The third positive discipline strategy is to repair and use ground rules. Once you’ve given the better option and it has been taken, you have a chance to repair this behavior to lessen its occurrence to better yet, prevent it from happening again. And by setting appropriate ground rules, you can make this a long-term win by helping your child improve their behavior.

      It’s these ground rules that help you correct the poor choices of your child and direct the behavior that you want to see.

      Consequences Versus Ultimatums

      When I was a child and being punished. My parents worked in a busy business for long hours, so their default was to go to ultimatums. “Do that again and you’re grounded for a week,” or “If I catch you doing X, you’ll go to bed without dinner”.

      Looking back, this worked to a point. But the flip side is that I remembered more of the ultimatums than the happier times. I’ve learned through trial and error with my own kids that consequences are more effective while not breaking down trust.

      What to Do When Ground Rules Get Broken?

      It’s on the consequences that you use when the ground rules are broken.

      In the martial arts class, when the hyperactive student breaks the ground rules. They would miss a turn in a game or go to the back of the line in a queue. We do not want to shame the child by isolating them. But on the flip side, there should be clear ground rules and proportionate consequences.

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      Yes, there are times when we would like to exclude the student from the class, the club, and even the universe. Again, it’s here that patience is so important and probably impulse control too. With an attainable consequence, you can maintain trust and you’re more likely to get the long-term behavior that you’re looking to achieve.

      Interestingly, we would occasionally hear a strategy from parents that little Kevin has been misbehaving at home with his sister or something similar. He likes martial arts training, so the parent would react by removing Kevin from the martial arts class as a punishment.

      We would suggest that this would remove Kevin from an environment where he is behaving positively. Removing him from this is likely to be detrimental to the change you would like to see. He may even feel shame when he returns to the class and loses all the progress he’s made.

      Alternatives to Punishment

      Another option is to tell Kevin to write a letter to his sister, apologizing for his behavior, and explaining how he is going to behave in the future.

      If your child is too young to write, give the apology face to face. For the apology to feel sincere, there is some value to pre-framing or practicing this between yourself and your child before they give it to the intended person.

      Don’t expect them to know the ground rules or what you’re thinking! It will be clearer to your child and better received with some practice. You can practice along the lines of: “X is the behavior I did, Y is what I should have done, and Z is my promise to you for how I’m going to act in the future.” You can replace XYZ with the appropriate actions.

      It does not need to be a letter or in person, it can even be a video. But there has to be an intention to repair the broken ground rule. If you try these strategies, that is become fully engaged with them and you’re still getting nowhere.

      But what to do if these strategies do not work? Then there is plenty to gain by seeking the help of an expert. Chances are that something is interfering or limiting their development.

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      This does not mean that your child has a neurological deficiency, although this may be the root cause. But it means that you can get an objective view and help on how to create the changes that you would like to see. Remember that using positive discipline strategies is better than mere punishment.

      There are groups that you can chat with for help. Family Lives UK has the aim of ensuring that all parents have somewhere to turn before they reached a crisis point. The NSPCC also provides a useful guide to positive parenting that you can download.[1]

      Bottom Line

      So, there your go, the three takeaways on strategies you can use for positively disciplining your child. The first one is about you! Be patient, be present, and think about what is best for the long term. AKA, avoid ultimatums and punishment. The second is to use a redirect, then repair and repeat (ground rules) as your 3-step method of discipline.

      Using these positive discipline strategies require you to be fully engaged with your child. Again, being impulsive breaks trust and you lose some of the gains you’ve both worked hard to achieve.

      Lastly, consequences are better than punishment. Plus, avoid shaming, especially in public at all costs.

      I hope this blog has been useful, and remember that you should be more focused on repairing bad behavior because being proactive and encouraging good behavior with rewards, fun, and positive emotions takes less effort than repairing the bad.

      More Tips on How To Discipline Your Child

      Featured photo credit: Leo Rivas via unsplash.com

      Reference

      [1] NSPCC Learning: Positive parenting

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