SPHP

1. Sagittal midline cervix, show internal os and placenta relationship
2. Sagittal view to demonstrate fetal lie.
3. At least three images of placenta (sagittal of lower edge, sagittal of upper edge, transverse)
4. AFI or MVP for amniotic fluid volume.  If MVP, sagittal and transverse views of largest pocket
5. Depth measurement of largest amniotic fluid pocket
6. Two BPD measurements and two HC measurements at level of thalami and cavum septum
7. Image the cavum septum, cerebellum/posterior fossa, choroid/lateral ventricles
8. Coronal view of nose, lips, mouth
9. Sagittal profile of nose, lips, chin
10. Axial view of neck at correct angle, color doppler if abnormal
11. Three sagittal views of spine: cervical, thoracic, lumbosacral
12. Three representative transverse images of cervical, thoracic, lumbosacral spine.  Important to perform meticulous dynamic scan of spine transverse from cervical through sacrum to identify posterior defects
13. Image diaphragm
14. Image 4 chamber heart
15. M-mode heart rate
16. Coronal or sagittal chest/abdomen to show heart and stomach on left side
17. Transverse images of both kidneys
18. Sagittal images of both kidneys
19. Image urinary bladder 
20. Image stomach
21. Two AC measurements, at level of umbilical vein
22. Two FL measurements
23. Transverse image 3 vessel cord.  RES this image.
24. Transverse color doppler through fetal bladder showing 2 umbilical arteries
25. Doppler of 3 vessel cord, measure SD ratio
26. Cord insertion to ventral wall
27. Four major extremities
28. Label:  stomach, kidneys, bladder, heart, posterior fossa, cervical spine, thoracic spine, lumbosacral spine, 3 vessel cord, cord insertion
29. Report page (1st and 2nd pages)
30. Print growth chart

Placenta:

Sagittal and transverse views.  Show relationship to internal os.

Amniotic Fluid Volume:

Use four quadrant AFI per protocol.  May also use MVP.

Fetus:

Show fetal lie.  Fetal measurements.  Fetal survey.  Doppler 3-vessel cord.  M-mode heart rate.

Always scan spine transverse cervical --> sacral to exclude any dysraphism

NOTES SECOND/THIRD TRIMESTER: 

• Perform transvaginal US if there are findings suggesting placenta previa.
Perform transvaginal US if the relationship of the inferior tip of the placenta and the internal cervical os has not been established on 2nd/3rd trimester prior US. 
Perform transvaginal US if the inferior tip of the placenta is <4cm from internal os on transabdominal US.  https://my.statdx.com/document/placenta-previa/a6bc678f-d5a0-4199-a10c-7ba866e4079c?searchTerm=previa
If the patient has symptoms (pain, bleeding) good images of the cervix are essential.  If you cannot visualize the cervix adequately on transabdominal imaging, perform transvaginal US. 
If the cervix has abnormal morphology (funneling, Y-shaped, V-shaped, U-shaped) or appears shortened (<3cm length) on transabdominal US, perform transvaginal US. 
Perform transvaginal US if requested by referring healthcare provider.