These Guidelines have been developed to assist medical practitioners in the appropriate referral and use of obstetric ultrasound and to provide a consistent and broadly endorsed standard of appropriate practice to assist referrers, practitioners and patients.
There are clinical responsibilities associated with performing an obstetric ultrasound scan within the Medicare schedule which include:
- Reporting serious maternal or fetal conditions to the referring doctor in a timely manner to expedite management choice for the woman. Different protocols will exist with respect to the sonographers and/or sonologist informing the woman at the time of the scan but written protocols should be developed within each practice. New staff must be advised of practice protocols.
- The scope of an evaluation of an ultrasound performed during pregnancy is determined by clinical need. This clinical need is at the discretion of the treating clinician and medical practitioner reporting on the scan. Every scan performed should have a report generated with clear indications for the examination stated and relevant ultrasound findings documented. This report should be sent to the referring clinician (referred ultrasound) or included in the patients clinical records (non-referred ultrasound).
- the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG);
- the Royal Australian and New Zealand College of Radiologists (RANZCR);
- the Australian Society for Ultrasound in Medicine (ASUM);
- the Australian College of Rural and Remote Medicine (ACRRM);
- the Australian Diagnostic Imaging Association(ADIA);
- the Australian Sonographers Association (ASA);
- the National Association of Specialist Obstetricians and Gynaecologists (NASOG);
- The Royal Australian College of General Practitioners (RACGP); and
- the Department of Health and Ageing.