Ultrasound is a powerful tool for monitoring fetal growth and maternal health, but sometimes scans reveal unexpected findings. Midwives, physicians, nurse practitioners, and other prenatal providers play a crucial role in guiding families through these situations with clarity, compassion, and evidence-based information. At Ultrasound Trainings, we teach providers not only how to detect findings but also how to support clients emotionally and practically when surprises occur.
Common Unexpected Findings
- Fetal Growth Concerns: Small or large-for-gestational-age measurements
- Placental or Amniotic Fluid Issues: Low or high fluid levels, placenta previa, or abruption risks
- Fetal Positioning or Multiple Gestations: Breech, transverse, or twins identified later than expected
- Anatomical Variations or Abnormalities: Structural differences requiring follow-up or specialist referral
Best Practices for Supporting Clients
1. Communicate with Compassion
- Acknowledge emotions: “I understand this may be unexpected and worrying.”
- Use calm, reassuring language, balancing honesty with empathy.
2. Explain Findings Clearly
- Use plain language and visual aids to help clients understand what the images show.
- Clarify what is known, what is uncertain, and what steps will follow.
3. Provide Context and Next Steps
- Discuss potential implications without creating unnecessary fear.
- Outline additional assessments, referrals, or monitoring needed.
4. Encourage Questions and Participation
- Invite clients to ask questions, share concerns, and express feelings.
- Ensure they understand the rationale behind recommendations and interventions.
5. Document Thoroughly
- Record findings, client counseling, and follow-up plans to support continuity of care.
Emotional and Practical Support
- Normalize Reactions: Unexpected findings can trigger anxiety, guilt, or fear; validate these feelings.
- Offer Resources: Provide reputable information, counseling referrals, or support groups if needed.
- Maintain Presence: Continuous support from a familiar provider helps families navigate uncertainty confidently.
Benefits of Thoughtful Support
- Enhances trust and confidence in the provider-client relationship.
- Promotes informed decision-making and adherence to follow-up care.
- Reduces anxiety and fosters resilience during uncertain situations.
- Strengthens the overall experience of prenatal care, even in challenging circumstances.
Unexpected findings on ultrasound can be stressful for families, but midwives and other prenatal providers are uniquely positioned to provide guidance with compassion and clarity. By combining technical expertise with empathetic communication, providers help families navigate uncertainty while maintaining trust and safety.
Learn strategies for supporting families through unexpected findings with Ultrasound Trainings, where providers gain both hands-on skills and patient-centered communication techniques.
