Society guideline links: Ultrasound imaging in pregnancy

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Non-ultrasound imaging in pregnancy" and "Society guideline links: Prenatal genetic screening and diagnosis".)

International

●International Society of Ultrasound in Obstetrics and Gynecology (ISUOG): Practice guidelines

●World Health Organization (WHO): Antenatal care recommendations for a positive pregnancy experience – Maternal and fetal assessment: Imaging ultrasound before 24 weeks of pregnancy, update (2022)

●WHO: Recommendations on antenatal care for a positive pregnancy experience (2016)

Canada

●Radiological Society of North America (RSNA): Statement on safety of the developing fetus in medical imaging during pregnancy (updated 2023)

●Choosing Wisely Canada: Don't perform umbilical artery Doppler studies as a routine screening test in uncomplicated pregnancies with normal fetal growth (updated 2021)

●Society of Obstetricians and Gynaecologists of Canada (SOGC): Clinical practice guideline for prevention, screening, diagnosis, and pregnancy management for fetal neural tube defects (2021)

●SOGC: Clinical practice guideline on point of care ultrasound in obstetrics and gynaecology (2021)

●SOGC: Committee opinion on the complete 11–14 week prenatal sonographic examination (2021)

●SOGC: Clinical practice guideline on sonographic cervical length in singleton pregnancies – Techniques and clinical applications (2020)

●SOGC: Clinical practice guideline on determination of gestational age by ultrasound (2019)

●SOGC: Clinical practice guideline on the use of first trimester ultrasound (2019)

●SOGC/Canadian Association of Radiologists (CAR): Joint policy statement on non-medical use of fetal ultrasound (2014, reaffirmed 2019)

●SOGC: Clinical practice guideline on obstetric ultrasound biological effects and safety (2018)

●SOGC: Clinical practice guideline on the content of a complete routine second trimester obstetrical ultrasound examination and report (2017)

●SOGC: Guidelines on ultrasound in twin pregnancies (reaffirmed 2017)

●SOGC: The role of early comprehensive fetal anatomy ultrasound examination, technical update (2017)

●CAR: Standard for performing diagnostic obstetric ultrasound examinations (2010)

United States

●American College of Radiology (ACR)-American College of Obstetricians and Gynecologists (ACOG)-American Institute of Ultrasound in Medicine (AIUM)-Society for Maternal-Fetal Medicine (SMFM)-Society of Radiologists in Ultrasound (SRU): Practice parameter for the performance of standard diagnostic obstetrical ultrasound (revised 2023)

●Radiological Society of North America (RSNA): Statement on safety of the developing fetus in medical imaging during pregnancy (updated 2023)

●ACOG, AIUM, and SMFM: Committee opinion on methods for estimating the due date (2017, reaffirmed 2022)

●ACOG: Committee opinion on guidelines for diagnostic imaging during pregnancy and lactation (2017, reaffirmed 2021)

●AIUM: Practice parameter for the performance of detailed diagnostic obstetric ultrasound examinations between 12 weeks 0 days and 13 weeks 6 days (2021)

●SMFM: Consult series for the evaluation and management of isolated soft ultrasound markers for aneuploidy in the second trimester (2021)

●SMFM: Special report on consensus on definition of markers and approach to the ultrasound examination in pregnancies at risk for placenta accreta spectrum (2021)

●ACR: ACR Appropriateness Criteria on nuchal translucency evaluation at 11 to 14 weeks gestational age (2020)

●ACR: ACR Appropriateness Criteria on second and third trimester screening for fetal anomaly (2020)

●ACR: ACR Appropriateness Criteria on second and third trimester vaginal bleeding (revised 2020)

●AIUM: Practice parameter for the performance of fetal echocardiography (2020)

●SMFM: Consult series for the diagnosis and management of fetal growth restriction (2020)

●SMFM: Statement on reducing the risk of transmitting infection by transvaginal ultrasound examination (2020)

●ACR: ACR Appropriateness Criteria on gestational trophoblastic disease (2019)

●AIUM: Practice parameter for the performance of detailed second- and third-trimester diagnostic obstetric ultrasound examinations (2019)

●ACR: ACR Appropriateness Criteria on breast imaging of pregnant and lactating women (2018)

●ACR: ACR Appropriateness Criteria on growth disturbances – Risk of fetal growth restriction (revised 2018)

●AIUM: Practice parameter for the performance of limited obstetric ultrasound examinations by advanced clinical providers (2018)

●ACR: ACR Appropriateness Criteria on first trimester vaginal bleeding (revised 2017)

●ACR: ACR Appropriateness Criteria on multiple gestations (revised 2017)

●SMFM: Consult series on the role of ultrasound in women who undergo cell-free DNA screening (2017)

●SMFM: Statement on ultrasound screening for fetal microcephaly following Zika virus exposure (2016)

Europe

●European Society of Urogenital Radiology (ESUR): Guidelines on contrast agents, 10th edition (2018)

●ESUR: Contrast Media – Safety Issues and Guidelines, 3rd edition (2014)

●ESUR: Recommendations on acute abdominal and pelvic pain in pregnancy (2013)

United Kingdom

●Royal College of Obstetricians and Gynecology (RCOG): Scientific impact paper on the combined use of ultrasound and fetal magnetic resonance imaging for a comprehensive fetal neurological assessment in fetal congenital cardiac defects (2019)

●RCOG: Scientific impact paper on ultrasound from conception to 10+0 weeks of gestation (2015)

●British Institute of Radiology (BIR), College of Radiographers (CoR), and Royal College of Radiologists (RCR): Pregnancy and work in diagnostic imaging departments, 2nd edition (2009)

Australia–New Zealand

●Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), Australasian Society for Ultrasound in Medicine (ASUM), and Royal Australian and New Zealand College of Radiologists (RANZCR): Position statement on the appropriate use of diagnostic ultrasound (2015)

Japan

●[In Japanese] Japan Society of Obstetrics and Gynecology (JSOG): Obstetrics and gynecology clinical practice guidelines - Obstetrics edition (2023)

●[In English] JSOG and Japan Association of Obstetricians and Gynecologists (JAOG): Guidelines for obstetrical practice in Japan, 2020 edition (published 2023)

●[In Japanese] Japanese Society of Cancer and Reproductive Medicine (JSFP): Clinical practice guidelines for pregnancy, childbirth and reproductive medicine for the breast cancer patient (2021)