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Ultrasound in Obstetric Triage


  • Gwen Spears CNM, MS, FACNM,

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    • Gwen Spears received a master's degree from California State University, Los Angeles in 1970, and a certificate in nurse-midwifery from the University of Southern California in 1988. She is Chief of Nurse-Midwifery Services at King/Drew Medical Center in Los Angeles, and Assistant Professor in the Nurse-Midwifery Education Program at Charles Drew University, Los Angeles, California. Her practice is full-scope.

  • Joyce Griffin CNM, MS

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    • Joyce Griffin received a master's degree and nurse-midwifery education in 1991 from Columbia University. She is presently in full-scope nurse-midwifery practice at the Beth Israel Medical Center in New York. She is also a clinical instructor in the School of Nursing at New York University, New York.

Chief, Nurse-Midwifery Services, King/Drew Medical Center, 12021 S. Wilmington Avenue, Los Angeles, CA 90059


The use of limited ultrasound as a tool in obstetric triage has become increasingly popular. While most midwives only perform ultrasound in the third trimester, some institutions do include earlier sonographic testing as part of the midwifery management plan. This article addresses the professional issues related to limited ultrasound in obstetric triage protocol, the education and training needed to acquire the skill, the process for integrating the skill into clinical practice, and a discussion of obstetric triage procedures.