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Ultrasound examination performed solely to satisfy the parents wishes to detect foetal sex, or to view the foetus should be actively discouraged.

For detailed ultrasound the panel felt that there are facilities in certain obstetric units in Malaysia for detailed anomaly scans.

Paramedics perform interventions with the basic and advanced equipment typically found on an ambulance.

The Paramedic is a link from the scene into the health care system.

This increase in use has raised concerns regarding the safety, usefulness and necessities of ultrasound in pregnancy.

These concerns prompted the Perinatal Society of Malaysia to sponsor a consensus workshop by inviting the Malaysian Society of Ultrasound in Medicine and the Obstetrical and Gynaecological Society of Malaysia to participate and arrive at some consensus in 4 areas.

Any consideration in the use of diagnostic ultrasound in obstetrics must weigh the benefits against the potential risks.

The safety of ultrasound in pregnancy is dependent on the energy delivered to a target such as the foetus which varies with the ultrasound frequency, intensity, duration of exposure and the distance of the transducer from the target.

The Paramedic is an allied health professional whose primary focus is to provide advanced emergency medical care for critical and emergent patients who access the emergency medical system.

Transvaginal scans have been in use increasingly over the past few years.

There is no added risk in its use when compared to the abdominal scan, despite concerns regarding the proximity of the transducer to the foetus.

Also, the operator is responsible for completing the examination in as short a duration as possible, using scan modes and power outputs which result in energy exposure which are as low as reasonably achievable.

As such, the operator should be well-versed with the equipment as well as being adequately trained.