Posted on July 5th, 2017 by wombwithaviewblog.com

Determining fetal sex by ultrasound is not as easy a task as most think. Actually, gender misconceptions pertaining to ultrasound are so common that I thought it worthy of yet another post.

Making a boy vs girl determination requires far more expertise than just sticking probe to belly. And babies do not just automatically cooperate! Baby’s legs need to be wide open and other parts cannot be covering over external genitalia. If so, the chances of holding that “reveal” party are slim to none.

Another common misconception is that we can force Baby to move. I promise you that if there was one magical button to push, there’s not one sonographer on earth who would hesitate for a second. Why struggle to give you the information you want if we could simply and magically flip Baby? Ugh, a girl a dream, but I think this technology lies in our distant future. Unfortunately, babies get comfy and only move into another position if they get the urge…and not a moment sooner.

Determining sex accurately is all about angles. Being far enough along with Baby in the right position is only part of the task..when I’m the one scanning, that is! Most of my emails come from people who want a second opinion. However, most of the time, it’s one I cannot give! Either Baby is too early or the image is just plain, well..terrible. In these scenarios, the truth is I just can’t comment on what I can’t see.

Most sonographers don’t mind telling you your baby’s sex, by the way! The problem for us comes when we can’t see what our patients want to know.  Even if we explain all the reasons, patients sometimes become upset or angry. I have scanned tens of thousands of babies. Anyone who has scanned as much can recognize when this information is obtainable and when it isn’t.

Tips For Your Next Ultrasound

So, here are a few recommendations for you to follow before your next ultrasound. No guarantees! But if you are busting at the seams to find out what you’re having, these tips just might work!

•Try eating or drinking something about 30 minutes prior to the exam. Baby typically becomes more active after eating. Now, I’m not condoning a double espresso and Snickers combo (yummy, yes; smart, no). We don’t want your fetus launching into orbit. Instead, try enjoying a hearty and healthy lunch or breakfast prior to your scan.

•Keep an open mind! Understand that not seeing the sex is definitely a real possibility!

•Don’t shoot the messenger! In other words, your sonographer would never intentionally withhold this info! …Unless, of course, it’s a policy of the facility to not guess sex.

Believe me! We would love to help you plan your party, shop for baby clothes, or decorate a nursery. It’s the most fun when we can! And when we cannot, it’s a real bummer..for you, because you leave disappointed and for us, because we’re (sometimes) blamed as the party poopers.

Great Pics of Fetal Sex

I’ve posted these before, but below are a couple of really great images of external genitalia, first boy then girl.

male fetal sex, around 27 Weeks

Male Gender

female fetal sex, mid-second trimester

Female Gender

Also, if you send an email asking for a second opinion earlier than 18 Weeks, you may receive the links below to other posts containing very easy, no-mistake pics of boys and girls!

http://wombwithaviewblog.com/female-gender-on-ultrasound-2/

http://wombwithaviewblog.com/boy-girl/

http://wombwithaviewblog.com/boy-vs-girl/

http://wombwithaviewblog.com/twin-gender-update/

http://wombwithaviewblog.com/third-trimester-male-gender/

Good luck on your next scan!

As always, thanks for reading and email me with your comments at wombviewerblog@gmail.com!

You can also subscribe for automatic posts in the right margin! >> You’ll receive a little something special (and free!) when my book on first-trimester ultrasound is published!

Here’s to happy and healthy!

wwavblogger, RDMS
wwavblogger, RDMS

Comments: 2 Comments »

Posted on June 23rd, 2017 by wombwithaviewblog.com

Ultrasound gender determination can be tricky!

female fetus, 16 Weeks pregnant

Female Gender

male fetus, 16 Weeks pregnant

Male Gender

 

How many times have all you moms out there, young and old, heard the story that goes, “They told her it was a ‘this,’ and they decorated an entire nursery, and it came out a ‘that’! Those ultrasounds are wrong sometimes, ya know!”

A dollar for every one of THOSE comments would buy me my dream cottage on the Amalfi coast! However, I understand why this happens, and sonographers everywhere need to apply more discretion. First of all, you may already know that it’s not the machine that’s wrong. The sonographer or observer scanning you evaluates what she sees and determines Baby’s sex. And inexperience and/or caving to the pressure from persistent parents will often cause a sonographer to guess…and, unfortunately, sometimes guess incorrectly.

Advice Regarding Gender Determination for the New Sonographer

First rule of thumb for any newbie sonographer out there…IDON’T GUESS! I don’t put a percentage on my guess, and I don’t say “I think.” I also don’t say “It kinda looks like ‘this,’ but let’s wait until next time.” Parents may want you to guess, but they also want you to be RIGHT! And this last statement is what I typically will share with parents when they become red-faced by my unwillingness to toss out a quasi-guess based on a quasi-image. And, believe me, I’ve had more than my fair share of patients angry with me for something I have no control to change. We can’t just flip Baby in there at will.

The problem with saying “I think..” is that psychologically and emotionally most parents start to really become attached to this guess. They have already envisioned the first dance recital or baseball game by the time the next ultrasound exam rolls around. It’s so true. Mostly, someone else guessed incorrectly (usually, too early!), and I had to be the bearer of bad news. I decided to adopt a personal policy to ONLY offer a guess when I didn’t have to guess! In other words, Baby had to be in a perfect position with an easily seen penis and scrotum or labia/clitoris.

True Story!

One grandmother, so excited by the doctor’s early guess, flew right out and bought thirty-two dresses! Yep, 32. She did so despite the doc’s warning about his level of confidence and told her to wait for the sonogram with me. Fortunately, he got lucky with his baby girl guess, and grandma was a very happy woman (and a little less rich)! However, you can imagine the disappointment in returning all those frilly frocks if doc was wrong. I always hated giving such news!

Please, patients! Please remember your sonographer doesn’t withhold information about fetal sex just because. We’d actually really rather all our babies cooperate after five seconds of examination and that our patients didn’t leave the room cursing our existence. A button to make Baby flip on command? Now that’s a magic trick I’d like to patent:)

Thanks for reading, guys! You can email me at wombviewerblog@gmail.com and/or subscribe for automatic posts! >>>

wwavblogger, RDMS
wwavblogger, RDMS

Comments: 2 Comments »