Ioan Vladuca: Vaccinarea si ecografia fetala Efecte negative Ultrasunetele il deranjeaza pe copilas, atat prin efectele mecanice, cat

t si prin cele termice. Se stie faptul ca aproape toti copilasii devin agitati la ecografia fetala. Cercetari recente au aratat ca pruncusorul percepe ultrasunetele ecografului ca zgomotul unui tren . Sa ne gandi ce insea na sa tii un prunc in acest zgo ot, ti p de o ju atate de ora, cat dureaza ecografia. In plus, prin cavitatie, ultrasunetele pot afecta membranele celulare, perturband fluxul de ioni si activitatea intracelulara. Se stie insa ca e!ista efecte "iologice ale ultrasunetelor: e!peri ental, dupa e!punerea de lunga durata, c#iar si la frecvente o"isnuite de lucru, pot aparea arderea sau incalzirea tesuturilor, producerea de radicali liberi, c#iar hemoragii sau modificari genetice. Se stie si ca nu este reco andat sa se foloseasca ecografia $oppler cu e isie continua in ecografia o"stetricala, iar etoda nu are o vec#i e c#iar atat de are incat sa se poata afir a categoric ca este a"solut inofensiva. %entru asta ar fi nevoie de studii epide iologice, "iologice, to!icologice pe ter en lung si pe un nu ar foarte are de cazuri. &u e!ista date suficiente privind eventualele efecte datorate e!punerii repetate si cu ulative la doze ici si repetate'((). Un studiu, realizat la Universitatea *ale in +,,-, a aratat ca e!punerea la ultrasunete afecteaza dezvoltarea creierului fetal la soareci. In +,,., /IU0 1/ erican Institute of Ultrasound in 0edicine2 a pu"licat un raport de (3, de pagini, intitulat / erican Institute of Ultrasound in 0edicine Consensus 4eport on %otential 5ioeffects of $iagnostic Ultrasound, declarand ca e!ista intr6adevar, anu ite riscuri potentiale pentru investigarea cu ultrasunete in ti pul sarcinii 1efecte ecanice si ter ice asupra e "rionului2'(+). Sa nu uita faptul ca pruncusorul se afla in ediu lic#id7 8a interfata lic#id6 solid, cavitatia are un efect puternic. In apropierea unei suprafete solide, anizotropia ediului induce o defor are a "ulei in ti pul i ploziei, care genereaza un icrojet de lic#id cu o viteza de peste (,, 9s. Energia potentiala a cavitatii supradi ensionate este convertita in energie cinetica a jetului lic#id care patrunde prin cavitate si loveste puternic suprafata solida. /cest icrojet, laolalta cu undele de soc create de i plozia cavitatii, duce la eroziunea solidului'(3). Este evident ca aceasta stare este nociva pentru

pruncusor. :oc ai pe acest efect ecanic foarte puternic se "azeaza etoda de curaare cu ultrasunete a o"iectelor solide. :e#nologia de cura are cu ultrasunete consta in iradierea cu ultrasunete a unui o"iect plasat intr6un recipient cu lic#id. %rin feno enul de cavitaie apar ilioane de "ule icroscopice care i plodeaza degajand o are cantitate de energie. I pulsul provocat de i plozie duce la dislocarea i purita ilor de pe suprafaa o"iectului'(;). Specialistii siste ului oficial afir a ca trupul fe eii este e!pus la ultrasunete pentru o fractiune de secunda. /ceasta este o alta inciuna. Se cunoaste faptul ca o ecografie fetala dureaza +,6;< inute. %e#ttp:99===.sanatateatv.ro9e isiuni6 edicale9o"stetrica6 ginecologie9analiza6 orfologiei6de6sarcina6tri estrul6ii6si6iii9 se gaseste un fil din care se poate constata ti pul are de e!punere. >ractiunea de secunda pe care o prezinta siste ul, se refera la una din cele +, de e!puneri pe secunda, nu la ti pul total de e!punere. Insa parintii nu cunosc aceasta. Intentiile siste ului se vad "ine din reco andarea de a se face ecografie fetala de rutina, inainte de (, sapta ani. Cu cat copilasul este ai ic, cu atat este ai vulnera"il la ultrasunete. Specialistii, constienti de acest fapt, nu reco anda ecografia de rutina, inainte de (, sapta ani: $esi ecografia este cea ai fidela etoda pentru deter inarea varstei gestationale si a analizei 5C>, efectuarea acesteia inainte de (, sapta ani de sarcina in cadrul ingrijirilor prenatale de rutina nu se justifica daca nu e!ista acuze'(<). Interesul siste ului oficial de a pro ova ecografia fetala se vede si din faptul ca fe eile insarcinate "eneficiaza de e!a ene ecografice gratuite, adica suportate integral din fondurile Casei &ationale de /sigurari de Sanatate, daca se interneaza intr6o sectie de o"stetrica6ginecologie'(-). $ivertis entul cu i agini ecografice prenatale In od viclean, pentru prelungirea e!punerii la ultrasunete, parintii sunt inde nati sa nu se li iteze la scopul edical, ci sa inregistreze copilasul pe caseta video, ca divertis ent, ca sa ai"a a intire: :e#nica a evoluat atat de ult, incat in zilele noastre iti poti vedea copilul inainte ca acesta sa se nasca. Ecografele 3$ si ;$ ofera i agini fidele ale "e"elusului, astfel incat il poti privi cu clipeste, cu ing#ite, cu doar e, cu za "este sau cu

isi suge degetul. %oti pastra aceste i agini, pri ele fotografii din al"u ul icutului, si c#iar il poti inregistra pe o caseta video'(?). &ici ai ult, nici ai putin, parintii sunt invitati la fil : I aginile captate pot fi inregistrate pe C$ sau $V$, astfel incat viitorii parinti pot avea oricand la dispozitie un pri fil al "e"elusului lor'(.). >il uletele si pozele o"tinute prin ecografia ;$ sunt apreciate in special de catre parinti'(@). %e foru 6uri gasi ulte interventii ale unor fe ei care, cazand in capcana acestei ode, considera i aginile ecografice fetale drept un divertis ent. $e e!e plu: Ai, #i, #i, noi ave al"u cu ecografiile facute in fiecare luna de sarcina si c#iar i i dadea cate +63 poze, asta la dr. din 5acau. 8a cel din Iasi ave caseta video. $eci eco ulteB. Ca raspuns la acest spectacol ciudat, prezenta interventia "inevenita a unei doa ne, edic radiolog: Eu nu sunt a ica si doar din inta plare a dat peste acest foru . Insa, fiind edic, sunt socata de faptul ca unele a ici sau viitoare a ici cred ca o e!a inare ca ecografia este o etoda de divertis ent. Spun asta, pentru ca, radiolog fiind si efectuand zilnic ecografii, a avut ocazia de ulte ori sa constat ca desi teoria si cartile spun ca ecografia nu este daunatoare fatului, pot spune ca copilasii vostri nu se o oara dupa ea. In ti pul e!a inarii, aparatul e ite ultrasunete care se rasfrang de pe "e"elusul vostru si astfel se creeaza i aginea pe care o vede edicul. In ti pul e!a inarilor indelungate, energia cedata se anifesta prin caldura, pe care copilul vostru o sesizeaza. $e ulte ori el incearca sa i pinga cu anutele, piciorusele pe "urta a ei, sau se intoarce cu spatele sa se fereasca. /veti grija sa fie controlat copilasul, sa nu ai"a alfor atii sau voi sa nu aveti pro"le e 1e!. #idronefroza, s.a. .d2 dar va rog, nu considerati asta un divertis ent7'+,). Concluzii Siste ul oficial inte eietor al dictaturii pseudo6stiintei raspandeste inciuni pe toate caile, prezentand ecografia fetala ca pe o investigatie fara efecte negative. Insa adevaratii cercetatori au dovedit faptul ca ecografia este periculoasa pentru pruncusori. In ulti a vre e, ecografia 3$ si ;$ a ajuns un divertis entC parintii vizioneaza un spectacol care li se pare a uzant, dar care pentru pruncusor este un c#in. Vre e de +,,, de ani, nea ul nostru a avut prunci sanatosi si cu inti. Si nu a folosit nici ecografia fetala, nici alte investigatii. &u arul pierderilor de

sarcina si al copiilor cu alfor atii a crescut a"ia acu , in epoca necredintei, a ecografiei, a surselor de radiatii, a edica entelor nocive, a ali entelor artificiale si a stresului. 5ine ar fi sa ne intoarce la vietuirea si pla, linistita, curata si evlavioasa, a inaintasilor nostri dreptcredinciosi, ca sa redo"andi sanatatea trupeasca si sufleteasca a acestui nea 7 5i"liografie /lina6Elena /luculesei, 0i#aela6Cristina /nton, V. S. D#er an, $ana6 Ertansa $oro#oi, Efectul ecanic de ultrasunete aplicat pentru sporirea solu"ilitatii alcaloizilor purinici, Universitatea /l. I. Cuza, >acultatea de >izica, Iasi, #ttp:99===.ar Facade F.ro9reviste93G+,,-Gro9a(+.pdf, 1+, fe"ruarie, +,(,2. Eugen S. /ndreiadis, /specte funda entale ale folosirii ultrasunetelor in c#i ie, Universitatea %olite#nica din 5ucuresti, #ttp:99files.andreiadis.go.ro9/rticles9Ultrasunete.pdf, 1++ fe"ruarie +,(,2. Hillia $. EI 5rien, Jr., /ssesing t#e 4isKs for 0odern $iagnostic Ultrasound I aging, 5ioacoustics 4esearc# 8a"oratorF, $epart ent of Electrica land Co puter Engineering, UniversitF of Illinois, #ttp:99===."rl.uiuc.edu9%rojects95ioeffects9/ssessing. p#p. :. D#i, D. %ilu, %. >alco, /. %erolo, 5. Valeri, $. Santini, 0. Segata, &. 4izzo EC(<<: >alse negatives of cranial signs in t#e prediction of spina "ifida Ultrasound in E"stetrics and DFnecoloF, Volu e +;, Issue 3, /ugust +,,;. 0. Enteza i, S. *ildiri , S. Aese, 0. Stu , 4. $. Hegner, %+;3: >alse negative result in c#orionic villi s#ort ter culture issing a translocation triso F +(, Ultrasound in E"stetrics and DFnecologF, Volu e ++, Issue ,, +,,3. 0. 5rons#tein, S. Egen"urg, 4. /uslander, E. L. Li er, /trioventricular septal defect in a fetus: a false negative diagnosis in earlF pregnancF, Ultrasound in E"stetrics and DFnecologF, Volu e (-, Issue (, $ate: ( JulF +,,,. 0. /ngels 0artinez6La ora, /ntoni 5orrell, Virginia 5oro"io, /nna Donce, 0ari er %erez, >rancesc 5otet, /lfons &adal, /steria /l"ert, 5ienvenido %uerto, /l"ert >ortunF, >alse positives in t#e prenatal ultrasound screening of fetal structural ano alies, %renatal $iagnosis, Volu e +?, Issue (, $ate: JanuarF +,,?. Aill 80 Ultrasound of t#e fetal gastrointestinal tract. In: Ultrasonograp#F in E"stetrics and DFnecologF. Ed. %eter H. Callen, ;t# Ed. H. 5 Saunders and Co., %#iladelp#ia, +,,,.

Scioscia /8, %retorius $A, 5udoricK &E et al. Second6tri ester ec#ogenic "o=el and c#ro oso al a"nor alities. / J E"stet DFnecol (-?:..@6.@;, (@@+. >oster 0/, &F"erg $/, 0a#onF 5S, 0acK 8/ et al. 0econiu peritonitis: %renatal sonograp#ic findings and t#eir clinical significance. 4adiologF (-<:--(6--<, (@.?. #ttp:99===.scri"d.co 9doc9++,,?-;+9Ecocardiografie6Curs6( #ttp:99===.everestultrasonic.co 9ultrasoniK6ing.p#pMsecNnedir #ttp:99e edicine. edscape.co 9article9;,<;<;6overvie= '() Eugen S. /ndreiadis, /specte funda entale ale folosirii ultrasunetelor in c#i ie, Universitatea %olite#nica din 5ucuresti, #ttp:99files.andreiadis.go.ro9/rticles9Ultrasunete.pdf, 1++ fe"ruarie +,(,2. '+) /lina6Elena /luculesei, 0i#aela6Cristina /nton, V. S. D#er an, $ana6 Ertansa $oro#oi, Efectul ecanic de ultrasunete aplicat pentru sporirea solu"ilitatii alcaloizilor purinici, Universitatea /l. I. Cuza, >acultatea de >izica, Iasi, #ttp:99===.ar Facade F.ro9reviste93G+,,-Gro9a(+.pdf, 1+, fe"ruarie, +,(,2. '3) #ttp:99===.ziarullu ina.ro9articoleC((;,C(C?-(;C,CEcografiile6pot6 depista6la6ti p6ano aliile6fetale.#t l ';) #ttp:99===.sfatul edicului.ro9dictionar6 edical9ecografieG..'<) #ttp:99===.sanatateatv.ro9sfaturi9analize6 edicale9ecografia9 '-) #ttp:99"io edica.ro9inde!.p#pM Ite idN.,OidN+?OoptionNco GcontentOtasKN"logcategorF '?) #ttp:99===.csid.ro9#ealt#9pri a6poza6cu6"e"e6+?.,+((9 '.) #ttp:99===.desprecopii.co 9info.aspMI$N3< '@)#ttp:99===.despre"oli.ro9e!plorari6 edicale9+,,@9,+9ecografia6in6 sarcina6o"stetrica6intre"ari6si6raspunsuri9 '(,) #ttp:99===.copilul.ro9sarcina9analize6sarcina9EcografiaG3$6a3+3+.#t l '(() #ttp:99===.parinti.co 9 odules.p#pMna eN&e=sOfileNprintOsidN@<'(+)#ttp:99translate.google.ro9translateM#lNroOlangpairNenP roOuN#ttp:99en.=iKipedia.org9=iKi9Ultrasound '(3) Eugen S. /ndreiadis, op. cit. '(;) #ttp:99===.everestultrasonic.co 9ultrasoniK6ing.p#pMsecNnedir '(<) cf. Dezer /, Esen >, Erde 5, 0utlu A, Qa#ra an &, EcaK V. EarlF first tri ester ultrasound e!a ination. Is it reallF efficient in t#e clinical anage ent of t#e pregnancFM /rc# DFnecol E"stet +,,+ $ecC+-?1+2:?-6 .,C a se vedea si #ttp:99===.g#iduri edicale.ro9do=nload9g#idGingrijiriGprenatale.pdf. '(-) #ttp:99===.desprecopii.co 9info.aspMI$N3< '(?) #ttp:99===.csid.ro9#ealt#9pri a6poza6cu6"e"e6+?.,+((9

'(.) #ttp:99acade ica6 edical.ro9serviciiGspeciale636$eparta entul6de6 edicina6 aterno6fetala. '(@) #ttp:99===.doctoranF.co 94o anianGServices.#t l '+,) #ttp:99===.parinti.co 9 odules.p#pM na eN>oru sOfileNprintOtopicGidN(,<, e!tras din 4evista /:I:U$I&I, nr. (,, articol de Ioan Vladuca #ttp:99en.=iKipedia.org9=iKi9Ultrasound $iagnostic sonograp#F 0edical sonograp#F 1ultrasonograp#F2 is an ultrasound6"ased diagnostic edical i aging tec#niRue used to visualize uscles, tendons, and anF internal organs, to capture t#eir size, structure and anF pat#ological lesions =it# real ti e to ograp#ic i ages. Ultrasound #as "een used "F radiologists and sonograp#ers to i age t#e #u an "odF for at least <, Fears and #as "eco e one of t#e ost =idelF used diagnostic tools in odern edicine. :#e tec#nologF is relativelF ine!pensive and porta"le, especiallF =#en co pared =it# ot#er tec#niRues, suc# as agnetic resonance i aging 104I2 and co puted to ograp#F 1C:2. Ultrasound is also used to visualize fetuses during routine and e ergencF prenatal care. Suc# diagnostic applications used during pregnancF are referred to as o"stetric sonograp#F. /s currentlF applied in t#e edical field, properlF perfor ed ultrasound poses no Kno=n risKs to t#e patient.'<) Sonograp#F is generallF descri"ed as a Ssafe testS "ecause it does not use utagenic ionizing radiation, =#ic# can pose #azards suc# as c#ro oso e "reaKage and cancer develop ent. However, ultrasonic energF #as two potential physiological effects: it enhances inflammatory response; and it can heat soft tissue . Ultrasound energF produces a ec#anical pressure =ave t#roug# soft tissue. :#is pressure =ave aF cause icroscopic "u""les in living tissues and distortion of the cell membrane, influencing ion fluxes and intracellular activity. H#en ultrasound enters t#e "odF, it causes olecular friction and #eats t#e tissues slig#tlF. :#is effect is tFpicallF verF inor as nor al tissue perfusion dissipates ost of t#e #eat, "ut =it# #ig# intensitF, it can also cause s all pocKets of gas in "odF fluids or tissues to e!pand and contract9collapse in a p#eno enon called cavitationC #o=ever t#is is not Kno=n to occur at diagnostic po=er levels used "F odern diagnostic ultrasound units.'citation needed)

In +,,., t#e AIUM published a !"#page report titled $American Institute of Ultrasound in Medicine %onsensus &eport on 'otential (ioeffects of )iagnostic UltrasoundS'-) stating t#at there are indeed some potential ris*s to administering ultrasound tests, which include $postnatal thermal effects, fetal thermal effects, postnatal mechanical effects, fetal mechanical effects, and "ioeffects considerations for ultrasound contrast agents.S'?) +he long#term effects of tissue heating and cavitation have shown decreases in the size of red blood cells in cattle =#en e!posed to intensities #ig#er t#an diagnostic levels.'.) Ao=ever, long ter effects due to ultrasound e!posure at diagnostic intensitF is still unKno=n.'@) :#ere are several studies t#at indicate harmful side effects on animal fetuses associated =it# t#e use of sonograp#F on pregnant a als. A ,ale study in -"". suggested exposure to ultrasound affects fetal brain development in mice/ / tFpical fetal scan, including evaluation for fetal alfor ations, tFpicallF taKes (,3, inutes.'(,) :#e studF s#o=ed t#at rodent brain cells failed to migrate to their proper positions and remained scattered in incorrect parts of the brain/ +his misplacement of brain cells during their development is lin*ed to disorders ranging from Smental retardation and childhood epilepsy to developmental dyslexia, autism spectrum disorders and schizophrenia .S Ao=ever, t#is effect =as onlF detecta"le after 3, inutes of continuous scanning. &o linK #as Fet "een ade "et=een t#e test results on ani als suc# as ice and t#e possi"le effects on #u ans. /lt#oug# t#e possi"ilitF e!ists t#at "iological effects on #u ans aF "e identified in t#e future, currentlF ost doctors feel t#at "ased on availa"le infor ation t#e "enefits to patients out=eig# t#e risKs. '(() :#e /8/4/ 1/s 8o= /s 4easona"lF /c#ieva"le2 principle #as "een advocated for an ultrasound e!a ination T t#at is, Keeping t#e scanning ti e and po=er settings as lo= as possi"le "ut consistent =it# diagnostic i aging T and t#at "F t#at principle non6 edical uses, =#ic# "F definition are not necessarF, are activelF discouraged. E"stetric ultrasound can "e used to identifF anF conditions t#at =ould "e #ar ful to t#e ot#er and t#e "a"F. 0anF #ealt# care professionals consider t#e risK of leaving t#ese conditions undiagnosed to "e uc# greater t#an t#e verF s all risK, if anF, associated =it# undergoing an ultrasound scan. /ccording to Coc#rane 4evie=, routine ultrasound in earlF pregnancF 1less t#an +; =eeKs2 appears to ena"le "etter gestational age assess ent, earlier

detection of ultiple pregnancies and earlier detection of clinicallF unsuspected fetal alfor ation at a ti e =#en ter ination of pregnancF is possi"le.'(+) Sonograp#F is used routinelF in o"stetric appoint ents during pregnancF, "ut t#e >$/ discourages its use for non6 edical purposes suc# as fetal KeepsaKe videos and p#otos, even t#oug# it is t#e sa e tec#nologF used in #ospitals.'(3) E"stetric ultrasound is pri arilF used to: $ate t#e pregnancF 1gestational age2 Confir fetal via"ilitF $eter ine location of fetus, intrauterine vs ectopic C#ecK t#e location of t#e placenta in relation to t#e cervi! C#ecK for t#e nu "er of fetuses 1 ultiple pregnancF2 C#ecK for ajor p#Fsical a"nor alities. /ssess fetal gro=t# 1for evidence of intrauterine gro=t# restriction 1IUD422 C#ecK for fetal ove ent and #eart"eat. $eter ine t#e se! of t#e "a"F UnfortunatelF, results are occasionallF =rong, producing a false positive 1t#e Coc#rane Colla"oration is a relevant effort to i prove t#e relia"ilitF of #ealt# care trials2. >alse detection aF result in patients "eing =arned of "irt# defects =#en no suc# defect e!ists. Se! deter ination is onlF accurate after (+ =eeKs gestation. 0hen balancing ris* and reward, there are recommendations to avoid the use of routine ultrasound for low ris* pregnancies. In anF countries ultrasound is used routinelF in t#e anage ent of all pregnancies. /ccording to t#e 1uropean %ommittee of Medical Ultrasound 2afety 1EC0US2 SUltrasonic e!a inations s#ould onlF "e perfor ed "F co petent personnel =#o are trained and updated in safetF atters. Ultrasound produces heating, pressure changes and mechanical disturbances in tissue. $iagnostic levels of ultrasound can produce te perature rises t#at are #azardous to sensitive organs and t#e e "rFo9fetus. 5iological effects of non6t#er al origin #ave "een reported in ani als "ut, to date, no suc# effects #ave "een de onstrated in #u ans, e!cept =#en a icro"u""le contrast agent is present.S'(;) &onet#eless, care s#ould "e taKen to use lo= po=er settings and avoid pulsed =ave scanning of t#e fetal "rain unless specificallF indicated in #ig# risK pregnancies.

It s#ould "e noted t#at o"stetrics is not t#e onlF use of ultrasound. Soft tissue i aging of anF ot#er parts of t#e "odF is conducted =it# ultrasound. Et#er scans routinelF conducted are cardiac, renal, liver and gall"ladder 1#epatic2. Et#er co on applications include usculo6sKeletal i aging of uscles, liga ents and tendons, op#t#al ic ultrasound 1eFe2 scans and superficial structures suc# as testicle, t#Froid, salivarF glands and lF p# nodes. 5ecause of t#e real ti e nature of ultrasound, it is often used to guide interventional procedures suc# as fine needle aspiration >&/ or "iopsF of asses for cFtologF or #istologF testing in t#e "reast, t#Froid, liver, KidneF, lF p# nodes, uscles and joints. Ultrasound scanners #ave different $oppler6tec#niRues to visualize arteries and veins. :#e ost co on is colour doppler or po=er doppler, "ut also ot#er tec#niRues liKe "6flo= are used to s#o= "loodflo= in an organ. 5F using pulsed =ave doppler or continuous =ave doppler "loodflo= velocities can "e calculated. >igures released for t#e period +,,<+,,- "F UQ Dovern ent 1$epart ent of Aealt#2 s#o= t#at non6o"stetric ultrasound e!a inations constituted ore t#an -<U of t#e total nu "er of ultrasound scans conducted. Ultrasound is also increasinglF "eing used in trau a and first aid cases, =it# e ergencF ultrasound "eco ing a staple of ost E0: response tea s. >urt#er ore, ultrasound is used in re ote diagnosis cases =#ere teleconsultation is reRuired, suc# as scientific e!peri ents in space or o"ile sports tea diagnosis.'(<) http344www/unhinderedliving/com4pultra/html 3 Ultrasound, sonogra s, and dopplers use #ig# freRuencF produce an i age of t#e "a"F on a vie=ing screen or a #eart"eat so it can "e #eard ore easilF. &E S:U$IES =#ic# prove t#e safetF of t#ese devices, and t#e / /ssociation reco ends /D/I&S: unnecessarF e!posure. SUnnecessarF E!posureS includes t#e use of ultrasound to: (. Confir t#e se! of t#e "a"F. sound =aves to plifF t#e "a"FVs #ave "een done erican 0edical

+. /ssess gestational age 1#o= 3. /ssess fetal size and gro=t#. ;. Confir ultiple pregnancF.

anF =eeKs old t#e "a"F is2.

<. $eter ine fetal presentation 1t#e position of t#e "a"F in t#e =o "2. 0anF #ealt# care professionals still use ultrasound for t#ese purposes anF=aF, even t#oug# t#e / erican 0edical /ssociation #as not approved its use for t#ese purposes. Hit# t#e e!ception of confir ing t#e se! of t#e "a"F, all t#ese pieces of infor ation can "e o"tained =it# #ands6on sKills. / fetoscope or stet#oscope can detect t#e "a"FVs #eart"eat =it#out t#e dangers of ultrasound. /ccording to t#e Horld Aealt# Erganization and U.S. $epart ent of Aealt# and Au an Services report, SIt is not clear at t#is ti e =#et#er ultrasound fetal onitoring is "eneficial to t#e ot#er or fetus in ter s of pregnancF outco e...If t#ere is no generallF acKno=ledged "enefit to t#e onitoring, t#ere is no reason to e!pose patients to increased cost and risK. :#e Ruestion of "enefit #as not Fet "een resolved...and t#e potential for delaFed effects #as "een virtuallF ignored.S In ot#er =ords, Ultrasound technology carries potential ris*s t#at #ave not Fet "een evaluated, Fet anF doctors are telling =o en t#at t#ere is no risK. Aaving an ultrasound is &E: essential to a #ealt#F pregnancF. Ao=ever, ost doctors are trained to use e!pensive tec#nologF and &E: trained to use #ands6on sKills. 5efore Fou allo= an ultrasound to "e done on Fou, do so e researc#, t#oroug#lF Ruestion Four #ealt#care provider a"out safetF as =ell as t#e value of t#e infor ation t#at =ould "e received. $onVt "e afraid to refuse t#e test if Fou are not co forta"le =it# t#e infor ation Fou #ave discovered. It is Four constitutional rig#t to refuse anF tests Fou do not =ant.

:o give Fou so e eans of co parison, I offer t#is analogF. Aave Fou seen a =o an =it# an e!tre elF #ig# voice "reaK a glass "F singing an e!tre elF #ig# pitc#ed noteM :#at is an e!a ple of =#at just E&E relativelF slo= sound =ave can do. Ultrasound tec#nologF is "ased upon ultra #ig#6freRuencF sound =aves, =#ic# "o "ard t#e c#ild in t#e =o " at an e!tre elF #ig# rate of speed. If one slo= sound =ave fro a =o anVs voice can "reaK a glass, =#at can super #ig# freRuencF sound =aves do to Four c#ildM Ultrasound =aves in la"oratorF e!peri ents #ave "een Kno=n to da age c#ro oso es, produce internal cellular #eat =#ic# da ages cells, retard t#e nor al develop ent of cells, and anF ot#er p#eno enon.

4esearc# :#at Aas 5een $one En Ultrasound :ec#nologF S%renatal e!posure to ultrasound =aves i pacts neuronal igration in ice,S %roceedings of t#e &ational /cade F of Sciences, +,,- (,3: (+@,36 (+@(,. :#ere is evidence t#at t#e e!posure of pregnant ice and non#u an pri ates to ultrasound =aves aF affect t#e "e#avior of t#eir e!posed offspring. /dditionallF, studies #ave s#o=n t#at the fre5uent exposure of the human fetus to ultrasound waves is associated with a decrease in newborn body weight, an increase in the fre5uency of left#handedness, and delayed speech/ 5ecause ultrasound energF is a #ig#6freRuencF ec#anical vi"ration, researc#ers #Fpot#esized t#at it might influence the migration of neurons in a developing fetus. &eurons in a als ultiplF earlF in fetal develop ent and t#en igrate to t#eir final destinations. /nF interference or disruption in t#e process could result in a"nor al "rain function. In t#e studF, researc#ers injected ore t#an 33< fetal ice at e "rFonic daF (- =it# special arKers to tracK neuronal develop ent. E!posure to ultrasound =aves for 3, inutes or longer caused a s all "ut statisticallF significant nu "er of neurons to re ain scattered =it#in inappropriate cortical laFers and in t#e adjacent =#ite atter. :#e agnitude of dispersion of la"eled neurons =as #ig#lF varia"le "ut increased =it# duration of e!posure to ultrasound =aves.

&e=n#a , J.%., Evans, S.>., 0ic#ael, C./., StanleF, >.J., O 8andau, 8. I. 1(@@32. Effects of >reRuent Ultrasound $uring %regnancF: / 4ando ized Controlled :rial. :#e 8ancet, 3;+1Ect.@2, ..?6.@(. / studF of over (;,, =o en in %ert#, Hestern /ustralia co pared pregnant ot#ers =#o #ad ultrasound onlF once during gestation =it# ot#ers =#o #ad five ont#lF ultrasounds fro (. =eeKs to 3. =eeKs. :#eF found significantlF #ig#er intrauterine gro=t# restriction in t#e intensive ultrasound group. :#ese ot#ers gave "irt# to lo=er =eig#t "a"ies. :#e researc#ers concluded t#at prenatal ultrasound i aging and $oppler flo= e!a s s#ould "e restricted to clinicallF necessarF situations. :#is reco endation co es at a ti e =#en ultrasound during prenatal visits #as "eco e increasinglF popular and serves as a Kind of entertain ent feature of office c#ecK6up visits. Ca p"ell, J.$., Elford, 4.H. O 5rant, 4.>. 1(@@32. Case6Controlled StudF of %renatal Ultrasound E!posure in C#ildren =it# $elaFed Speec#. Canadian 0edical /ssociation Journal, (;@1(,2, (;3<6(;;,. $elaFed speec# is not a pat#ological or organic sFndro e "ut develop entallF defined sF pto co ple!. Clinicians #ave noted an increased incidence of delaFed speec# in pediatric patients. :#is is a atc#ed6case control studF of ?+ c#ildren + to . Fears old presenting =it# delaFed speec# of unKno=n cause. :#e c#ildren =ere easured for articulation, language co pre#ension, language production, eta6linguisticsKills, and ver"al e orF. H#en c#ecKed for ultrasound e!posure, t#e speec#6delaFed c#ildren =ere a"out t=ice as liKelF to #ave "een e!posed to ultrasound t#an t#e atc#ed controls. :#e aut#ors "elieve t#at delaFed speec# is a sensitive easure reflecting su"6opti al conditions for develop ent. If ultrasound can cause develop ental delaFs, t#e aut#ors are concerned a"out t#e routine use of ultrasound and t#eF =arn against it.

$evi, %.U., Sures#, 4., O Aande, 0.%. 1(@@<2. Effect of fetal e!posure to ultrasound on t#e "e#avior of t#e adult ouse. 4adiat 4es 1W0%2, (;(132, 3(;6?. %regnant S=iss al"ino ice =ere e!posed to diagnostic ultrasound. :#ere =ere significant alterations in "e#avior in all t#ree e!posed groups as revealed "F t#e decreased loco otor and e!ploratorF activitF and t#e increase in t#e nu "er of trials needed for learning. :#ese results indicate t#at ultrasound e!posure during t#e earlF fetal period can i pair "rain function in t#e adult ouse. Aande, 0.%., O $evi, %.U. 1(@@<2. :eratogenic effects of repeated e!posures to X6raFs and9or ultrasound in ice. &euroto!icol :eratol 1&/:2, (?1+2, (?@6... %regnant S=iss ice =ere e!posed to ultrasound, !6raFs, and co "inations of t#e t=o. Effects on prenatal develop ent, postnatal gro=t# and adult "e#avior =ere studied. U Y U group s#o=ed an increase in percent gro=t# retarded fetuses. :#e postnatal ortalitF =as significantlF #ig#er onlF in t#e U Y U group. In t#e X Y U group, t#e e!ploratorF activitF =as affected at ont#s of age. :#ere =as a significant c#ange in t#e loco otor activitF =it# a reduction in t#e total activitF as 3 and - ont#s of age in t#e U Y U group. 8atencF in learning capacitF =as also noticed in t#is group. :#e results indicate t#at repeated e!posures to ultrasound or its co "ination =it# X6raFs could "e detri ental to t#e e "rFonic develop ent and can i pair adult "rain function =#en ad inistered at certain stages of organogenesis. :#ere are anF ot#er studies t#at #ave "een done, "ut no one see s to "e paFing attention to t#e . $onVt allo= Fourself to "e t#e ne!t guinea pig. /ll t#e studies a"ove address t#e issue of p#Fsical safetF of ultrasound procedures. Ultrasound also #as so e verF serious e otional and psFc#osocial side effects. H#en an ultrasound is done, and t#e results are Ruestiona"le, it can "e an e otional rollarcoaster. Ultrasound tec#nicians are =rong as often as t#eF are rig#t, and =#en a fa ilF is told t#at t#eir un"orn "a"F #as so e Kind of

defect, t#eF =ill spend t#e rest of t#e pregnancF =orrFing, crFing, and in so e cases, aF a"ort t#e "a"F "ecause t#eF are assured it #as an a"nor alitF. ClicK Aere to read an article called S0ot#er 4ails /gainst UltrasoundS =#ic# c#ronicles one fa ilFVs terri"le e!perience =it# t#e inaccuracF of t#is test. In (@@3, t#e results of t#e largest studF ever done on ultrasound =ere pu"lis#ed. It =as called t#e 4/$IUS studF. :#e original results =ere reported in t#ese pu"lications if Fou =ould liKe to get a copF of t#e studF and read it for Fourself. E=ig an, 5., Crane, J.%., >rigoletto, >.$., et al. I pact of prenatal ultrasound screening on perinatal outco e. & Engl J 0ed (@@3 Sept (-C3+@:.+(6?. 8e>evre, 0., 5ain, 4., E=ig an, 5., et al. / rando ized trial of prenatal ultrasound screening: I pact on aternal anage ent and outco e. / J E"stet DFnecol (@@3 Sept (<C(-@:;.36@. 5asicallF, t#e studF, t#e largest of its Kind to date, states t#at routine ultrasound does not "enefit ot#ers or "a"ies in ter s of pregnancF outco e. It did not reduce t#e nu "er of infant or aternal deat#s, and it did not lead to "etter care for t#e ne="orn. :#e onlF t#ing it did =as e!pose t#e fa ilies to increased cost and risK. Ene t#ing t#at is irritating are t#e state ents co entators #ave ade a"out t#ese studies. %articularlF after t#e +,,- pu"lication "F t#e &ational /cade F of Science.. He"sites liKe t#e / erican /cade F of 4adiologic :ec#nologists stated t#at It =as e p#asized t#at t#e studF does not ean t#at ultrasound use on #u an fetuses for appropriate diagnostic and edical purposes s#ould "e a"andoned. SEn t#e contrarF: ultrasound #as "een s#o=n to "e verF "eneficial in t#e edical conte!t. Instead, our studF =arns against its non6 edical use.S $o t#eF t#inK =e are stupidM :#ere is no difference "et=een edical and non6 edical e!posure. In t#e #ands of a doctor, it is no ore safe t#an =#en done for recreational purposes.

I encourage Fou to do Four o=n researc#, and donVt listen to peopleVs opinions, "ut looK at t#e actual researc# t#at #as "een done. :#en looK deep inside Fourself and consult Four o=n inner =isdo . /fter reading F ot#er article a"out t#e safetF issues involved =it# ultrasound e!posure, =#at does Four inner =isdo tell FouM 8isten for t#at little voice to ans=er. $oes t#e =#ole concept of ultrasound see safe, effective, necessarF, and #elpfulM I =is# Fou lucK in Four pregnancF and "irt#. Is Ultrasound Scanning $uring %regnancF Hort# t#e 4isKsM %osted 5F $r. 5en Qi Aealt#F %regnancF H#ile ultrasound scanning doesnVt pose t#e sa e dangers to #u an and fetal #ealt# as ionizing radiation, it is a istaKe to t#inK t#at ultrasound is entirelF safe for a "a"F gro=ing in Four =o ". Ultrasound scanning =orKs "F sending sound =aves into Four tissues. /s t#ese sound =aves "ounce off of Four tissues, a picture is created. :#ese sound =aves are capa"le of producing t#e follo=ing p#Fsiological effects: Increase in "lood flo= and te perature in local tissues %roduction of gas "u""les t#at can put pressure on local tissues 0ec#anical effects liKe ove ent of t#e fluid t#at surrounds Four cells, =#ic# can also put pressure on local tissues :#e conventional vie= on ultrasound scanning during pregnancF is t#at t#e intensitF and duration of sound =aves t#at are used for scanning are not enoug# to produce t#ese p#Fsiological effects at a level t#at is #ar ful to a fetus. I "elieve t#at t#is conventional vie= is influenced "F t#e nu "er of dollars t#at are "eing ade "F t#is industrF. 5efore Fou allo= ultrasound scanning to "e perfor ed during pregnancF, please consider t#e follo=ing points:

Ultrasound scanning of pregnant =o en #as "een s#o=n to significantlF increase t#e liKeli#ood of iscarriage, preter la"our, and even infant ortalitF. %regnant p#Fsiot#erapists =#o provided ultrasound treat ents for ore t#an +, #ours per =eeK =ere found to #ave an increased risK for spontaneous a"ortions. Ene of t#e reasons used to support ultrasound scanning for pregnant =o en is t#at it can #elp to diagnose a condition called placental praevia. :#is is a condition =#ere t#e placenta is i planted in t#e lo=er part of a =o anVs uterus, =#ic# can cause "leeding in t#e t#ird tri ester and increase #er c#ance of "eing encouraged to #ave a caesarean section. / studF of ;,,, =o en found t#at of +<, =o en =#o =ere scanned and diagnosed =it# placental praevia, onlF ; actuallF #ad placental praevia upon deliverF. H#o Kno=s #o= anF unnecessarF caesareans #ave "een done and #o= uc# needless an!ietF =o en #ave e!perienced due to incorrect diagnoses of placental praevia =iit# ultrasoundM Using ultrasound scanning to detect serious pro"le s "efore "irt# does not necessarilF save lives or reduce illness. :#ere is evidence to suggest t#at using ultrasound to atte pt to detect pro"le s =#ile a "a"F is in t#e =o " can do ore #ar t#an good. :#ere is evidence to support t#at c#ildren =#o #ave "een e!posed to ultrasound =#ile in t#eir ot#ersV "ellies #ave a greater c#ance of suffering fro dFsle!ia and ot#er speec# and learning pro"le s t#an c#ildren =#o #ave not "een e!posed to ultrasound. Ulti atelF, t#e t=o ain reasons =#F I "elieve t#at it is "est to avoid ultrasound scanning during pregnancF are: &o atter =#at intensitF and duration of ultrasound =aves are used, t#ere is al=aFs a possi"ilitF of t#ese =aves creating unnecessarF t#er al and p#Fsical pressure to a gro=ing "a"F. H#F taKe t#is risKM :#ere is al=aFs a possi"ilitF of practitioner error and9or a defective ac#ine t#at can result in a #ig#er t#an intended dose of ultrasonic =aves to Four "a"F.