Women's Point-of-Care Ultrasound: Second and Third Trimester

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Course Overview

This course covers when and how to use POCUS during the second and third trimesters of pregnancy. It includes fetal assessment, position, presentation, tests for fetal well-being, and examination of structures like placenta, cord, and cervix. Evaluation of postpartum and abnormal bleeding is addressed, with a focused review of pregnancy-specific exam techniques.

Course Content

Second and Third Trimester Overview Overview: Second/Third Trimester

Fetal Position and Presentation Fetal Position and Presentation

Fetal Sex Identification Fetal Sex Identification

Maternal Fetal Structures: Placenta and Cord Maternal Fetal Structures: Placenta and Cord

Maternal Fetal Structures Cervix Maternal Fetal Structures: Cervix

Biophysical Profile

Subinvoluition and Postpartum Bleeding Subinvolution and Postpartum Bleeding

Performing the OB Exam

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: 8 hours
Released: Sep 13, 2025
Last Review: Sep 13, 2025
Expires: Sep 13, 2028

Objectives

By the end of this course the learner will be able to:

1. List the indications for performing a second trimester POCUS

2. Accurately describe fetal presentation and position, using maternal and fetal anatomic landmarks

3. Recognize fetal presentations that are not deliverable vaginally

4. Locate the placenta on images and detect abnormalities (previa, low-lying, accreta)

5. Describe umbilical cord location and features

6. Measure cervical length correctly and identify normal values for preterm labor detection

7. State biophysical profile indications and discuss management of abnormal results.

8. Recognize clinical and ultrasound signs of subinvolution, abnormal postpartum bleeding, and retained products of conception

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 8 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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