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Reflections in Real Time

Prescription Use Only

Published June 22, 2009 10:38 AM by Daniel Merton
Call it a victim of its own success: Vast improvements in the quality of images obtained with three- and four-dimensional ultrasound technology have contributed to the modality's wide-spread use for non-medical reasons or "entertainment OB scans."

According to a Food and Drug Admin­istration's Consumer Health Information report entitled Taking a Closer Look at Ultrasound, "Ultrasound equipment is regu­lated by the Food and Drug Admin­istration's (FDA) Center for Devices and Radiological Health (CDRH). Ultrasound imaging devices are approved for use only with a pre­scription. Information accompany­ing the devices explains the risks and benefits of the approved uses. However, FDA does not regulate how health professionals actually use the equipment."   

Another FDA document warns the public to Avoid Fetal "Keepsake" Images, Heartbeat Monitors: "The use of ultrasound imaging devices for producing fetal keepsake videos is viewed as an unapproved use by the FDA. Doppler ultrasound heartbeat monitors are not intended for over-the-counter use. Both products are approved for use only with a prescription."

But the FDA's warnings and regulations have done little to stop the proliferation of entertainment OB services (an unfortunate example of supply meeting demand), and while the legitimate health care industry is suffering from the impact of state and federal funding cut-backs and the overall economic down-turn, the demand for non-medical obstetrical sonograms continues to grow.

But recently, the use of sonography for entertainment purposes has gained the attention of lawmakers in Connecticut. A new bill, HB-5635 titled "AN ACT CONCERNING ULTRASOUND PROCEDURES FOR MEDICAL AND DIAGNOSTIC PURPOSES," threatens to ban all non-medical sonograms.

It will be interesting to see how this precedence-setting measure impacts the OB entertainment industry in this country as well as around the world.

Read more here.

4 comments

There is a bill in my home state of New Jersey that, if passed, will restrict the sale of ultrasound

August 30, 2009 9:31 PM

In my last post I described a bill that was pending in Connecticut that would ban businesses that provided

June 29, 2009 11:28 AM

I am a Sonographer and since sonography has not been proven to hurt the fetus in any way, I do not oppose the use of ultrasound for a closer non-diagnostic look at one's future child with of course some regulations.  Due to the possibility of forming microbubbles, I believe that there should be a time regulation just to be on the safe side and it should be performed by a trained Sonographer who know what they are doing safely.  

It seems to me that if the industry where to stop the 3D/4D non-diagnostic facilities from performing sonograms for entertainment purposes, it will raise the amount of sonograms we would do in a diagnostic facility.   And sure I would love more work but in all reality it's unfair to keep the people from having then when there are no concrete facts to stop them.  It's not really "The Land of the Free" if they are not allowed to see their babies with a safe technology method.

Ibeth, Sonographer June 24, 2009 5:39 PM
CA

I appreciate your comments and appraisal of this issue with "entertainment" US, we have a nearby outfit called First Debut and the families are spending in excess of $700 dlls for the DeLuxe package: 2 portraits, DVD in 3-4D, desk size, wallet sizes, the whole ten yards!, I understand the tech doing this is credentialed by the ARDMS, just wonder if the Registry may have an opinion on this subject, especially when the tech has her big ARDMS certifficate hanging on the wall!, thanks

Sergio Heredia, Gen, Ob/Gyn, Vasc - Sonologist, Various June 23, 2009 7:46 PM
Green Bay WI

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About this Blog


    Daniel A. Merton, BS, RDMS, FSDMS, FAIUM
    Occupation: Diagnostic Medical Sonographer
    Setting: Academic healthcare facility
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