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The American Congress of Obstetricians and Gynecologists, a professional association of more than 55,000 doctors, has general standards for ultrasonography in pregnancy, including when it is appropriate to administer a trans-vaginal ultrasound versus a trans-abdominal ultrasound, i.e., the jelly on the belly ultrasound typically seen in movies.
In 2009, ACOG published a practice bulletin developed collaboratively with the American College of Radiology and the American Institute of Ultrasound in Medicine. For first-trimester ultrasound scanning, ACOG recommends trans-vaginal or trans-perineal scanning if the trans-abdominal exam is not definitive. ACOG offers a list of 12 indications for doing this type of scan, which include attempts to confirm a suspected ectopic pregnancy, to assess for fetal anomalies, to evaluate vaginal bleeding or pelvic pain, or to estimate gestational age. ACOG spokesperson Amanda Hall pointed out to The American Independent that abortion is not on the list of indications for a trans-vaginal sonogram.
more: http://www.americanindependent.com/211906/virginia-ultrasound-bill-at-odds-with-medical-standards