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Women's Point-of-Care Ultrasound: First Trimester
Course Overview
This course presents an overview of POCUS evaluation of the first trimester of a pregnancy. Topics in this chapter include the clinical importance of confirmation of early gestation viability and age, the number of gestations, and other common variations and abnormalities, all of which can be determined by ultrasound. First-trimester ultrasound provides the best gestational age, which directly impacts clinical management throughout the pregnancy. Potential complications that can often be recognized during this time will be discussed, including failed or ectopic pregnancy and multiple gestation.
Course Objectives
List indications for and essential components of performing POCUS in first trimester
Describe how to ‘date’ an early pregnancy
Describe the order of embryonic structures as they appear on ultrasound.
List both suspicious and certain findings for early pregnancy loss (EPL)
Recognize a subchorionic hemorrhage
Recognize and differentiate anembryonic pregnancy and embryonic demise.
Recognize multiple gestations and learn how to determine chorionicity and amnionicity
Describe classic signs of a pregnancy of unknown location (PUL) and recognize sonographic clues to determine a PUL.
Differentiate between a “ring of fire” on a corpus luteum cyst versus an ectopic pregnancy
Describe types of ectopics, including cornual and c/section scar pregnancy
Target Audience
Practitioners of women’s health including physicians, junior doctors, house officers, midwives, nurses, nurse practitioners, physician assistants
Credit Information
Credit Type
* AMA PRA Category 1™
Number of Credits
9
* AMA PRA Category 1 ™ credits are used by physicians and other groups like PAs and certain nurses. Category 1 credits are accepted by the ARDMS, CCI, ACCME, and Sonography Canada.
Faculty
Diana Dowdy, DNP, CNM, RDMS, FACNM
Disclosure
Diana Dowdy, DNP, CNM, RDMS, FACNM discloses no such relationships exist
In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests.
IAME has assessed conflict of interest with its faculty, authors, editors, and any individuals who were in a position to control the content of this CME activity. Any identified relevant conflicts of interest have been mitigated. IAME's planners, content reviewers, and editorial staff disclose no relationships with ineligible entities.
Estimated Time for Completion
9 hours
Date of Release
August 1st, 2025
Date of Most Recent Review
August 1st, 2025
Expiration Date
August 1st, 2028
Accreditation
The Institute for Advanced Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Institute for Advanced Medical Education designates this enduring material for a maximum of 9 AMA PRA Category 1 Credit™s. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Sonographers: These credits are accepted by the American Registry for Diagnostic Medical Sonography (ARDMS), Sonography Canada, Cardiovascular Credentialing International (CCI), and most other organizations.
For information on the applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board or other credentialing organization.
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