Women's Point-of-Care Ultrasound: First Trimester

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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 Content

First Trimester I Normal and Variations First Trimester I Normal and Variations

First Trimester II Early Pregnancy Loss (EPL)First Trimester II Early Pregnancy Loss

First Trimester III Multiple Gestation First Trimester III Multiple Gestation

First TrimesteChapter 4. Pregnancy of Unknown Location/Ectopic and Trophoblastic Disease First Trimester IV PUL/Ectopic and Trophoblastic Disease

Credits

AMA PRA Category 1™ Credits

* AMA PRA Category 1™ credits are used by physicians and other groups like PAs and certain nurses. Category 1 credits are accepted by the ACCME, ARDMS, CCI, and Sonography Canada.

Course Details

Duration: 9 hours
Released: Aug 1, 2025
Last Review: Aug 1, 2025
Expires: Aug 1, 2028

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

Faculty & Disclosure

Faculty

Diana Dowdy, DNP, CNM, RDMS, FACNM

Disclosure

Diana Dowdy, DNP, CNM, RDMS, FACNM discloses no such relationships exist

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, 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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