8 weeks pregnant but ultrasound showed 6 weeks

It seems that i am digging for answers to make the situation better. Ask Your Own OB GYN Question. Its so hard. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Your 8-week appointment may include a transvaginal or abdominal ultrasound, which is low risk but can offer the first glimpse at your baby. She called me back in a week and I dont know what to expect. By 8 weeks pregnant, your womb is around the size of a lemon too small to show, but you're still going to be feeling the effects of pregnancy. This frittata is high in protein and rich in essential nutrients your body needs to support a growing baby. Read our, When a Gestational Sac Is Seen on the Ultrasound. The growth of tiny hands, legs, the formation of internal organs . According to the app I am at exactly 6 weeks, I had an ultrasound today however, they were only able to see a yolk sac. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. I was suppose to be 9w and I went into today and found out I was 6w and I have PCOS. In some cases, a heartbeat may be detected as early as 6 weeks. In some cases, a gestational sac is not seen at all. Depending on what they are looking for, a doctor can perform a transabdominal ultrasound or a transvaginal ultrasound. In addition to a pregnancy test, some health care providers use ultrasounds to confirm pregnancy. I guess what i am saying is, dont stress too much. While these are available over the counter, the Food and Drug Administration (FDA) advises against using them at home due to lack of oversight and unnecessary ultrasound exposure. Talk with your doctor about which type of ultrasound scan is right for you. Sometimes you cant see the fetus or hear a heartbeat but that doesnt always mean the worst. Learn more about how a fetus develops during the second month of pregnancy. At an 8 week scan, it's possible to see the embryo's development, especially their big head and small body. The image above shows a 5 week + pregnancy, but it won't always be this clear for all people. There's conflicting information out there so we look, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. My doctor called me at 8am the next morning and said it doesnt look good even though my levels seemed fine with the blood work and told me to call her if I start to bleed. You will lie on your back with your feet placed in stirrups and a paper drape across your lap. Bang on 28 days each month. I opted for a d&c a few days later. I was supposed to be 8.5 weeks, but ultrasound was showing 7 weeks exactly. We didn't know dates because of my irregular cycle, but from the pregnancy test result, 8 weeks was the minimum. Fetal echocardiograms, which show the baby's heart rate and detect anomalies, also use ultrasound technology. If there are twins, you might see two figures. Cunningham, F. Gary, and John Whitridge Williams. What Does It Mean If There Is No Yolk Sac in Early Pregnancy? This is going to be your first peek at your growing bundle of joy! Waiting to see the heartbeat before we tell the kids, which I thought would be today. First, your doctor or technician will look for key physical indicators, like a gestational sac and a fetal pole, to verify the pregnancy is in the uterus. Welcome to the second month of pregnancy. Am i just being desperate to think that my little baby is still alive? If the pregnancy wasn't viable why did it grow even just a little. Healthline Media does not provide medical advice, diagnosis, or treatment. After the test, you will be able to urinate. This is often done to confirm the pregnancy, verify your expected due date, and ensure that your baby or babies has a healthy heartbeat. Clinicians typically use transabdominal and transvaginal ultrasounds to provide visualizations of the fetus. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. The anatomy scan, a thorough scan of your baby's developing body and organs, is offered to every pregnant person. Or it may be due to your age or medical history, or if youve had bleeding, or your recollection of your last period is hazy because thats the best time to set the due date. All they saw was a small gestational sac so I assumed 5 weeks. my next ultrasound is Monday, the 22nd and I am counting the days. As much as I do have faith in my doctor, I also know that there is more to it (ultrasound) than just a few quick measurements. Only had sex once this cycle on 12/27 and ovulated around 12/29 (opks). You won't feel your baby move until sometime between 16 and 22 weeks, though. I am supposed to be 8 weeks a long but it only measured 6 weeks + 1 day. I now have a very healthy 6 week old who was actually born two weeks early:). No heartbeat. Unfortunately my hcg is going down n I will be having d&c tomorrow morning :( thank u for all the support. Other essential bodily infrastructure like bones, muscles, and skin are also developing, but their skin is still see-through at this point. Fetal heartbeat and heart rate. In this case, your doctor will ask you to return for a repeat ultrasound to ensure an accurate diagnosis (which means determining that the pregnancy is eitherviable or nonviable). I truly hope all turns out well for you. I went back in a week for another ultrasound and baby did grow a little but the heart rate was even slower. praying for a miracle. Sex is assigned at birth based on the appearance of a baby's genitalia. The fetus is growing inside an amniotic sac and receiving nourishment from the yolk sac. Even though people often look forward to this pregnancy ultrasound to learn their baby's gender, it's important to note that gender is a personal identity that exists on a spectrum, can change over the course of a person's lifetimeand most importantlyis something that a person defines for themselves. Stretch marks are easier to prevent than erase. 11 Pregnancy Symptoms You Shouldn't Ignore, 20 Causes of Pelvic Pain During Pregnancy and When to Call a Doctor, 15 Things All People Should Do Before Getting Pregnant, the American Institute of Ultrasound in Medicine, ISUOG Practice Guidelines: performance of first-trimester fetal ultrasound scan, Monitoring your baby's growth and development, Determine if multiples share a placenta and amniotic sac. I had the scan repeated after 10 days as I was spotting and they saw a sac with a fetal pole and heartbeat dating 6 weeks 6 days. If a gene is not triggered, the fetus develops ovaries and will likely be assigned female at birth. So it still can turn out good. Bonus: You can. What Does No Gestational Sac on My Ultrasound Mean? Learn what's known as 40 week 8 weeks, your baby's heartbeat cannot bend and 10 weeks, 10. Hopefully I am wrong and everything will be fine. How Long Does It Take to Get Pregnant After Sex? At 5 weeks into pregnancy things are so small there is very little to see on ultrasound. However, one 2013 study found that hCG levels that correspond to detection of the gestational sac can vary widely, from 390 to 3,510 mIU/mL. They will then lubricate a wand-shaped device called a transducer and insert it into the vagina. Paired with your hCG levels, ultrasounds can give you and your doctor an idea about how your pregnancy is progressing. The growth between ultrasounds will give you your answer. This occurs when a fetus is developing outside of the uterus. Doppler uses more intense (louder) sound than imaging and has the potential to raise tissue temperature, so its best to minimize throughout pregnancy but especially in 1st trimester. Keep us posted!! I went in 2 weeks ago because my period dates were wacky and there was a chance I was further along. Some organs and body parts are beginning to form. !We lost our baby at 20 weeks in November so just have been extra nervous this time around. They will move the transducer across your abdomen to make images of the fetus. If you feel you need more support than what is being offered by your family and friends, talk about it with your doctor. Identical twins are the same in so many ways, but does that include having the same fingerprints? Based on lmp i was 8 weeks. 8 weeks is often the stage when pregnancy symptoms start becoming noticeable. This makes it easier to visualize the fetus inside the uterus. Other times, you might have experienced a blighted ovum when the embryo fails to develop or stops developing, yet a gestational sac remains. Bonus: You can. The gestational sac is the first structure your doctor will look for with an early ultrasound. I think I kept getting super dark positive pregnancy tests for about a month. It's possible that you may feel and be sure you are carrying twins but be careful: many mothers were wrong in the past. Ectopic pregnancy. You can find her at. Abnormal measurements can indicate Down syndrome and other congenital disabilities of the heart, abdomen, and skeleton. Is the baking soda gender test an easy and accurate way to identify if youre having a boy or girl? Waiting for that next ultrasound can result in a stressful week. Health care providers commonly use these devices to monitor your baby's heartbeat during prenatal exams and labor. Either my dates are off or the baby stopped growing about 2 weeks ago. I'm a 43 yr old mother and I've been trying for the past year to have another baby. The sac was measuring behind a week or two as well. In reality, there are many reasons your doctor may want an early scan. If not, ask them. Share this conversation. The sex organs generally remain the same until the eighth week of pregnancy. 10 Questions to Ask When You Take a Hospital Maternity Tour. Have an Answer? (n.d.). Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Dr. Said I could be earlier then I thought or Im having a missed miscarriage. Not everyone receives a first-trimester ultrasound during pregnancy, but sometimes a health care provider may use them for determining viability, dating the pregnancy, or if there are suspected complications. It could be that: An ectopic pregnancy can be a medical emergency, and if this is a possibility your doctor will want to do further testing and talk about treatment options. But because not every persons menstrual cycle is the same length of time, these projections can be off. These first movements are more like spontaneous twitches and stretches. This pregnancy-friendly spin on traditional chili is packed with the nutrients your body needs when you're expecting. A nuchal translucency (NT) ultrasound occurs around weeks 10 to 13 of pregnancy. If you're seeking a preventive, we've gathered a few of the best stretch mark creams for pregnancy. The head is still nearly the same size as the rest of the body. I'm 41 and have been trying to get pregnant for a year. The heart of the embryo continues to develop over the next several weeks. I went in your baby before 24 weeks. I feel the same way. This frittata is high in protein and rich in essential nutrients your body needs to support a growing baby. So, for example, some health care providers will only conduct early ultrasounds for certain high-risk pregnancy conditions like bleeding, abdominal pain, or to rule out ectopic pregnancy, congenital disorders, or miscarriage. In addition to an abdominal ultrasound, an NT screening includes measuring hormones and proteins with a blood test. 2023 Dotdash Media, Inc. All rights reserved. The content on Healthgrades does not provide medical advice. doi:10.1097/AOG.0000000000002464. My dr said they baby looks good but she is just a lil concerned about the growth. ncbi.nlm.nih.gov/pmc/articles/PMC5958571/, medlineplus.gov/genetics/understanding/traits/twins/, cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf, womenshealth.gov/pregnancy/youre-pregnant-now-what/prenatal-care-and-tests, fda.gov/radiation-emitting-products/medical-imaging/ultrasound-imaging, plannedparenthood.org/learn/pregnancy/pregnancy-month-by-month/what-happens-second-month-pregnancy. This time Im petrified of the same thing happening although Monday everything was fine on the ultrasound but still so much could go wrong. It may also help identify if the pregnancy is in the uterus by locating the gestational sac and the fetal pole. An ultrasound after two weeks of conception can show positive . By Krissi Danielsson What happens in the second month of pregnancy? Specifically, a healthcare professional will want to confirm that your fetus has a heartbeat a clear sign that its alive. Often, this is used during early pregnancy to get a closer look at the fetus. Both transabdominal and transvaginal ultrasounds are painless. Answer (1 of 5): There are number of reasons why a fetus/embryo does not show on ultrasound: * You may have had the wrong scan: in very early pregnancy abdominal ultrasound does often not so much which is why internal (vaginal) scan is recommended * Your dates may be wrong and you are not far . It is fully formed around 10 weeks gestation. Stretch marks are easier to prevent than erase. The gestational sac is the first structure your doctor will look for with an early ultrasound. Consuming turmeric in pregnancy is a debated subject. I thought I was 8 weeks along based on LMP but my ultrasound showed 6 weeks 1 day and no heart beat was visible. Use of this site is subject to our terms of use and privacy policy. Dr said to pray for a miracle but chances are I would miscarry. The ultrasound identification of fetal gender at the gestational age of 1112 weeks. That said, since you're . These might include chorionic villus sampling (CVS) or amniocentesis, which screen the baby for congenital disorders. But I am not going to to stress about it because maybe I am off because I just got off of my birth control in June. That is unfortunately exactly what I am going through right now. you are I desperately waiting for Tuesday , I was is the same situation last year. It's typically diagnosed after an individual develops multiple pregnancies at once. Get information and tips on how to help you choose the right place to deliver your baby. But in some situations, it might not be the news you hoped for. Your 8-week appointment may include a transvaginal or abdominal ultrasound, which is low risk but can offer the first glimpse at your baby. I hope you get to hear good news. They will then move a scanner along your skin. This is an exciting step, and being prepared can help you focus on the positive aspects. New York: McGraw-Hill Education Medical, 2014. ISUOG does not recommend routine early pregnancy ultrasounds unless there is a clinical indication of a complication. Depending on the size of the gestational sac, it might just be too early to determine that the sac is truly "empty." Let's face it. I went back for another u/s today and again was told that the pregnancy was not viable. 1. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. I'm in the same boat. Went on to have an uncomplicated pregnancy. While they still dont look like the bouncing bundle of joy youll give birth to, they look more human and less otherworldly. They count the weeks that the baby measures and it is usually correspondant to your last period. I am going back in a week but was wonder if anyone had experienced being off by almost 2 weeks when you have a regular 28 day cycle and also whether anyone had no heartbeat visible at 6 weeks but still had a good outcome. This is my first post ever but I feel so helpless. ( at 6 weeks ) I had blood work done as well, and when I got the results,.my hcg level almost trippled. Dr thought it was a blighted ovum but I went for another ultrasound and hcg testing the next week to find that baby was growing exactly the way baby is supposed to!! By the time you reach week 8 of pregnancy, the embryo has increased in size slightly. RadioGraphics. In the same boat with you all. Your preference, provider's standard protocol, ultrasound machine access, medical history, and complications may influence how many ultrasounds you receive. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. ISUOG Practice Guidelines: performance of first-trimester fetal ultrasound scan, Wileys Obstetrics and Gynaecology, 2012, Parents uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. has this happened to anyone else? Went in & no heart beat - was so sad & scared. In pregnancy, a doppler ultrasound can help determine if your baby's blood is circulating properly. Still too small to see a heartbeat. Learn more about why doctors use ultrasounds for pregnancy. (n.d.). And what can you expect to see? In some cases, a gestational sac is not seen at all. No heartbeat was seen however the baby measured at 6 wks 1 day. According to ACOG, this ultrasound measures the space at the back of a fetus' neck. I am freaking out as it is very scary and my NP was completely rude the whole time! Learn the key topics to cover, such as C-section and epidurals. If the baby did stop growing, nature did the right thing as it was chromosomally broken. One major milestone is the 8-week ultrasound. pretty much word for word but I haven't misscarried. My wife TVS ultrasound says no definitive fetus pole/cardiac activity seen after 7 weeks of Ultrasonic age and 7.6 weeks of LMP. Dont expect to see a lot of definition or details this early in the game. Get the facts on how twins and multiples are formed and your chance of carrying more than one baby at a time. Youll also see the gestational sac, the fluid-filled space around your baby(s). Many parents-to-be don't need an ultrasound in the third trimester. Not able to wait anymore. The following frequently asked questions have been reviewed by Valinda Riggins Nwadike, MD, MPH: During a transabdominal 8-week ultrasound, a clinician will apply gel to your abdomen. good luck to you! Your doctor will be able to give you insights into what is happening in your specific case and when, if desired, you can try for another pregnancy. They will appear on a scan for accurate identification around 1113 weeks. This will make the ultrasound more comfortable for you. Size of the placenta. You may have your first ultrasound early in pregnancy (a first-trimester ultrasound) or you may have a standard ultrasound at 18 to 22 weeks. Beyond heartbeat, the technician or physician will be able to immediately identify key features such as the gestational sac and your fetuss crown-rump length. The sound waves bounce off the fetus and send signals back to a machine that converts these reflections into a black-and-white image of your uterus. A 6-week ultrasound is recommended when the mother has potential health risks. According to ACOG, this detailed pregnancy ultrasound generally happens between weeks 18 and 22 in the second trimester. The initial due date is determined by confirming the first day of your last period, deducting 3 months, and then adding 1 year and 7 days. If the heartbeat cant be picked up and you have no other symptoms, youll probably be scheduled for another ultrasound in a week or two. Learn more about. When your pregnancy progresses, but at. Third Party materials included herein protected under copyright law. Same thing happened to me. I had my first ultrasound today and I'm supposed to be 8 weeks but it shows only 6 weeks along. J Gynecol Obstet Hum Reprod. However, you may feel a small amount of pressure with a transvaginal ultrasound. Please specify a reason for deleting this reply from the community. When it is present (between 3 and 5 weeks gestation), it can be a positive sign. 2013;13(1):65-70. doi:10.1097/AOG.0b013e318278f421, Suguna B, Sukanya K. Yolk sac size and shape as predictors of first trimester pregnancy outcome: A prospective observational study. Sadly I measure a week behind what my dates are. Symptoms include nausea, constipation, and more. Dont give up hope just yet.. Praying for you. The first trimester is a busy time for your little one. My doc says to keep positive and is sending me for hcg level testing but I don't understand how the baby could be two weeks off. Ive been a wreck all week. The first trimester can throw some rough symptoms at you, and around 8 weeks is when they can kick into high gear. If you don't want to know about your baby's genitalia, be sure to inform the technician ahead of time. Common symptoms include: When you first know youre pregnant (via a pregnancy test), you should contact a doctor or a healthcare professional to see when you should come in for an evaluation and ultrasound. Your little one will also start to make involuntary movements, like a slight flicker or a jump. in October I went to my first ultrasound at 8 weeks and measured 6 weeks and 1 day. 2018;220:100-105. doi:10.1016/j.ejogrb.2017.11.020, ACOG practice bulletin no. 2015;46(2):142-149. doi:10.1002/uog.14725. Some medical practices offer 3D (high quality and lifelike) and 4D (moving picture) ultrasounds, which may help doctors detect specific fetal abnormalities and congenital disorders. Established in 2013. . Didn't find the answer you were looking for? With an ultrasound, a physician or technician can determine gestational age and due date by measuring the size of your fetus. Pregnancy ultrasound allows your provider to check on your baby's health and development, monitor your pregnancy, and look for any physical abnormalities. Currently In a similar situation. Also showed . Before a transabdominal ultrasound, your doctor will ask you to expose the lower part of your abdomen near your pubic bone. Unfortunately, I am not feeling too confident that it will be good news. Its exciting because you get to actually see whats going on inside your body. We'll tell you what to expect in. A transvaginal ultrasound, also called an endovaginal ultrasound, is a type of pelvic ultrasound used by doctors to examine female reproductive organs. An ultrasound scan at 8 weeks can confirm a pregnancy and check the fetuss heartbeat. However, your gynaecologist may suggest a scan to check your foetus' health. Take care ladies! This is may be your first indication of twins. The heart has already started developing, and webbed fingers and toes are starting to develop. Martin JA, et al. perinatalservicesbc.ca/Documents/Guidelines-Standards/Standards/Ultrasound/CRLChart.pdf, acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/05/methods-for-estimating-the-due-date, miscarriageassociation.org.uk/information/worried-about-pregnancy-loss/ultrasound-scans, What to Expect at Your 12-Week Ultrasound, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, What Are the Symptoms of Hyperovulation?, Pregnancy Friendly Recipe: Creamy White Chicken Chili with Greek Yogurt, What You Should Know About Consuming Turmeric During Pregnancy, Pregnancy-Friendly Recipe: Herby Gruyre Frittata with Asparagus and Sweet Potatoes, The Best Stretch Mark Creams and Belly Oils for Pregnancy in 2023, Why Twins Dont Have Identical Fingerprints. Wait one. My doctor thinks my dates are just wrong and it's just too early. The ultrasound commonly shows a small collection of fluid within the lining of the uterus that represents the early development of the gestational sac. I went back in about 10 days later for another ultrasound and the heart had finally stopped. Summary. How in the actual f***?! I go back tomorrow for a second ultrasound to see if anything changed. The second trimester is the most common time for a routine prenatal ultrasound. I've heard of a few reasons that dates can "look" off. Preparing for a prenatal ultrasound depends on the type of ultrasound you will be having. In general, the risk of miscarriage is much lower once the pregnancy has reached this point and a fetal heartbeat has been detected. A pregnancy ultrasound uses sound waves to create a picture of your baby developing in your womb. Sometimes, a gestational sac is seen but is found to be empty (without evidence of an embryo by 6 weeks gestation). However, the head is still much larger than the body. (2015). This first scan was at 5 weeks and it just showed an empty sac. Either my dates are off or the baby stopped growing about 2 weeks ago. (2017). Had a growth scan today and my baby is measuring 8 lbs 5 ounces. Learn what to expect at doctor visits during pregnancy. Presence of the gestational sac on transvaginal ultrasound, Verywell / Michela Buttignol / Getty Images. 8 week ultrasound measuring only 6 weeks A Abenge78 Mar 2, 2017 at 6:21 PM I had my 8 week ultrasound today but the baby only measured 6 weeks. Yes blood work and ultrasound. Last medically reviewed on September 30, 2021. There was a gestational sac and yolk sac visible. Verywell Family's content is for informational and educational purposes only. Answered in 1 minute by: 2/28/2023. I knew right away when I saw the embryo on the monitor that it looked far too small for 8 weeks. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. HOW CONFUSING!! You can learn more about how we ensure our content is accurate and current by reading our. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Sometimes it means that your calculations on the conception date were off. Please keep us posted. Ultrasound in Obstetrics & Gynecology. Lean on your friends and family members during this time if you can. This educational content is not medical or diagnostic advice. In between 5 to 6 weeks of pregnancy, the baby's heart starts to function and beats at a rate of 80 to 85 BPM (Beats Per Minute). When you have your first ultrasound, your doctor may talk about the presence or absence of the gestational sac. Healthline Media does not provide medical advice, diagnosis, or treatment. At this point, fatigue and nausea may be your most prominent symptoms. What is happening during the 8th week of pregnancy? 1 Sadly, the reverse is also true. Anyway just here for solidarity Bc my midwife is also like it could go either way but with the dates Im pretty certain about I feel like I need to emotionally prepare myself for a MMC. We'll tell you if it's safe. With the 8-weeks pregnant with twins ultrasound, you will be able to know if you are expecting twins and have the first real look at your babies. It's the most thorough check-up your baby will have before they're born. When you have a positive pregnancy test, contact a physician or healthcare professional to see if you need to come in for an ultrasound. But I am suppose to be 7 wks and 1 going from LMP. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. These sound waves send signals back to a machine that converts them into images of your baby. 2. When you have a migraine, you'd try anything to feel better. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. Doesnt seem like it, but then why the wait? What happens during the ultrasound at 8 weeks? Learn about early screening and test options for your pregnancy. The lower back part of its brain, called the hindbrain, may be starting to develop. If youre having your first pregnancy ultrasound at 6 weeks, there are some things you should be aware of. Typically, you'll have your first ultrasound when you're 8 weeks pregnant. If it does, the fetus will likely be assigned male at birth. But heres what you can expect. I do have a retroverted uterus(of course the doctor didn't mention it-i've had it since I remember having my first pap) and I am hoping that perhaps that is the case. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. I am 35 years old. The umbilical cord is now formed. (n.d.). So easy and delicious. Experts have found no links between ultrasounds and congenital anomalies or childhood cancers. Turns out at my second ultrasound I was only 6 weeks when they thought I was 8. But I dont wanna build up my expectations. My levels went up and the second ultrasound found a little something where there wasn't before and a heartbeat. Your health care provider may recommend fetal doppler ultrasound in the following circumstances: Handheld fetal heartrate monitors also utilize doppler technology. I don't want to lose hope, but my faith is definetely getting tried through all of this. Very common to have date wrong and no heartbeat at 6 weeks! This is when all of the core building blocks of their body are being developed. Has anyone experienced something similar? For example, these ultrasounds might be indicated if you have certain health conditions that warrant specific monitoring or if you have a procedure that uses ultrasound guidance. how to avoid border patrol checkpoints in texas,

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