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45
Language
English
Published
MM/DD/YYYY
Author
Global Ultrasound Institute (GUSI)

About the Guide

The GUSI OB Essentials POCUS Pocket Guide is a compact, easy-to-use reference designed to support clinicians providing prenatal and postpartum care. Whether you’re in family medicine, obstetrics, midwifery, or emergency medicine, this guide provides quick access to essential obstetric ultrasound protocols and best practices.

Covering the complete spectrum of obstetric ultrasound from first trimester dating to third trimester assessment, biophysical profile scoring, and postpartum evaluation, it helps ensure accurate image acquisition and interpretation for fetal wellbeing, pregnancy dating, placental location, amniotic fluid assessment, and common pregnancy complications.

Developed by the Global Ultrasound Institute (GUSI), this pocket guide is the perfect companion to GUSI’s OB Essentials Course, reinforcing your learning and helping you confidently integrate obstetric ultrasound into your clinical practice.

What You’ll Discover

✅ Complete Big Five assessment protocols (fetal number, presentation, placental location, heart rate, amniotic fluid)
✅ First trimester dating using crown-rump length and mean sac diameter
✅ Second and third trimester biometry (Biparietal Diameter, Head Circumference, Abominal Circumference, and Femur Length) with quality checks
✅ Biophysical profile scoring for fetal wellbeing assessment
✅ High-quality ultrasound images with labeled anatomical structures
✅ Postpartum hemorrhage assessment and IUD placement verification
✅ Clinical pearls and scanning tips for optimal image acquisition
✅ Troubleshooting guidance for difficult scans
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What’s Inside the Guide

Book Overview

01
OB SCAN BASICS

Master fundamental scanning techniques for first, second, and third trimester ultrasound including transabdominal probe positioning, systematic uterine and adnexal evaluation, and optimizing image quality for maternal body habitus.

02
THE BIG FIVE

Systematically assess fetal number (singleton vs multifetal gestation with chorionicity), fetal presentation (cephalic, breech, transverse), placental location (anterior, posterior, fundal, low-lying, previa), fetal heart rate (normal 110-160 bpm), and amniotic fluid assessment (Amniotic Fluid Index and Maximum Vertical Pocket measurements).

03
FETAL DATING & BIOMETRY

Accurately date pregnancy using first trimester crown-rump length (CRL) and mean sac diameter (MSD), and perform second/third trimester biometry measurements (biparietal diameter, head circumference, abdominal circumference, femur length) with proper anatomic landmarks and quality control.

04
BIOPHYSICAL PROFILE

Perform comprehensive fetal wellbeing assessment using the biophysical profile scoring system, evaluating fetal breathing movements, gross body movements, fetal tone, non-stress test heart rate patterns, and amniotic fluid volume for risk stratification.

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What Makes This OB Pocket Guide Special

Portable, practical, and proven. Designed by obstetric ultrasound experts for clinicians who want to deliver better prenatal and maternal-fetal care.

Point-of-Care Prenatal Assessment

Evaluate fetal wellbeing and pregnancy progression in real-time during prenatal visits. Reduce the need to send patients for outside imaging. Assess fetal growth, placental location, amniotic fluid, and cardiac activity immediately.

The Big Five Framework

Systematically assess the five critical components of every obstetric scan: fetal number, fetal presentation, placental location, fetal heart rate, and amniotic fluid volume for comprehensive prenatal evaluation.

Accurate Pregnancy Dating

Master first trimester dating with crown-rump length measurements and mean sac diameter calculations. Learn proper technique for second and third trimester biometry to confirm gestational age and assess fetal growth.

Primary Care Focused

Specifically designed for family medicine physicians, midwives, OB/GYNs, and emergency medicine clinicians who want to integrate obstetric ultrasound into everyday prenatal care practice.

Biophysical Profile Scoring

Complete guidance for performing and interpreting biophysical profiles to assess fetal wellbeing, including fetal breathing, movement, tone, heart rate patterns, and amniotic fluid volume.

Early Pregnancy Evaluation

Quick-reference criteria for identifying normal intrauterine pregnancy, recognizing ectopic pregnancy risk, evaluating threatened miscarriage, and assessing early pregnancy complications.

GUSI-Tested Protocols

Developed by Global Ultrasound Institute educators who’ve trained thousands of healthcare professionals in practical, evidence-based obstetric ultrasound techniques aligned with ACOG and AIUM guidelines.

Course Integration

Perfectly complements GUSI’s OB Essentials Course, providing a hands-on reference that bridges online learning with bedside application for comprehensive maternal-fetal care.

Trusted by Clinicians Delivering Better Prenatal Care

Hear from family physicians, midwives, and OB providers who've transformed their prenatal practice with GUSI's evidence-based obstetric ultrasound training.

Lively, engaging and thought-provoking.

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Davis Mukoyani Wanyonyi
Internal / Hospital Medicine
Webinar Attendee

An excellent seminar — I hope to continue with GUSI.

Read More
Dr Nagda Thabet Abdullah Alhissni
Obstetrics & Gynecology
Webinar Attendee

Focused lectures followed by immediate hands-on application.

Read More
Kaitlyn Szekalski
Course Participant

Great hands-on with instructors who make you comfortable.

Read More
Steve Swain
Course Participant

Lectures with real-time MSK scanning.

Read More
Pasha Jackson
Course Participant

Can’t ask for better training and setups.

Read More
Myungja Mia Lee
Course Participant

Excellent engagement from amazing instructors.

Read More
Tiffany Purvis
Course Participant

Engaging, knowledgeable and wonderful instructors.

Read More
Rebecca Roach
Course Participant

An incredible, must-have instructor and presenter.

Read More
Ian O’Sullivan
Course Participant
A Global Health Initiative

See What's Inside: A Quick Walk-Through

Take a 2-minute tour of the GUSI OB Essentials Pocket Guide and discover how it can transform your approach to prenatal and maternal-fetal care.

From cover to cover, this pocket guide is designed with one goal: to make obstetric ultrasound accessible and actionable in everyday prenatal practice. Watch this brief overview to see how the Big Five assessment protocols are organized, explore sample pages with annotated ultrasound images showing normal fetal anatomy and common pregnancy complications, and learn how this resource integrates with GUSI’s comprehensive obstetric ultrasound training.

Whether you’re confirming pregnancy dates, evaluating fetal presentation before delivery, or assessing fetal wellbeing with biophysical profile scoring, having evidence-based scanning protocols at your fingertips enables same-visit diagnosis and improved prenatal care planning. See for yourself how this portable guide delivers exactly what you need to confidently incorporate obstetric ultrasound into your practice.

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Frequently Asked Questions

Yes! All protocols in this guide follow evidence-based practices consistent with American College of Obstetricians and Gynecologists (ACOG) and American Institute of Ultrasound in Medicine (AIUM) guidelines for obstetric ultrasound in clinical practice.

While this guide focuses on essential obstetric ultrasound skills for routine prenatal care, it includes guidance for recognizing common complications such as placenta previa, low-lying placenta, polyhydramnios, oligohydramnios, abnormal fetal heart rates, and signs of pregnancy failure. Complex high-risk conditions should be referred to maternal-fetal medicine specialists.

This pocket guide is the perfect companion to GUSI’s OB Essentials online course. While the course provides comprehensive video instruction and scanning techniques, this guide serves as your portable reference during actual prenatal visits, helping you recall proper probe positioning, anatomical landmarks, and measurement techniques when you need them most.

Not at all! This guide is specifically designed for family physicians, midwives, OB/GYNs, and emergency medicine clinicians who want to integrate obstetric ultrasound into practice. The clear protocols and labeled images make it accessible for beginners while remaining valuable as a reference for experienced practitioners.

The guide provides comprehensive coverage of essential prenatal ultrasound including the Big Five assessment (fetal number, presentation, placental location, heart rate, amniotic fluid), first trimester dating with CRL and MSD, second/third trimester biometry (BPD, HC, AC, FL), biophysical profile scoring, early pregnancy evaluation for ectopic pregnancy and miscarriage, and postpartum assessment including RPOC and IUD placement verification.

FAQ's

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Join 12,000+ Learners

Ready to Elevate Your Prenatal Care Skills?

Join 18,000+ clinicians worldwide who trust GUSI for evidence-based ultrasound education.

The GUSI OB Essentials POCUS Pocket Guide puts comprehensive prenatal assessment protocols at your fingertips, helping you deliver faster, more accurate evaluation of fetal wellbeing and pregnancy progression. Whether you’re dating a first trimester pregnancy, evaluating placental location before delivery, or performing a biophysical profile for post-term pregnancy, this portable reference ensures you have the guidance you need, exactly when you need it.

Stop referring patients for imaging you could perform yourself. Start providing same-visit pregnancy dating, fetal wellbeing assessment, and complication screening that improves patient satisfaction and prenatal outcomes. Empower expectant mothers with immediate answers and visual confirmation of their baby’s health.

Designed by experts, tested in real clinical settings, and trusted by healthcare professionals across 250+ institutions worldwide. This is more than a pocket guide. It’s your confidence in prenatal care, portable.

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“Lively, engaging and thought-provoking.”

It was very lively, engaging and thought provoking. Clear and precise presentation.

“An excellent seminar — I hope to continue with GUSI.”

The seminar was excellent, and I hope to continue with you.

“Focused lectures followed by immediate hands-on application.”

I really liked the focused lecture material followed by immediate hands on application

“Great hands-on with instructors who make you comfortable.”

Hands on was great. Instructors make you feel / Comfortable.

“Lectures with real-time MSK scanning.”

I really enjoyed the lectures that incorporate real time scanning (MSK)

“Can’t ask for better training and setups.”

Can’t ask for better training and setups. Especially very enthusiastic experienced & fun instructors.

“Excellent engagement from amazing instructors.”

Excellent course. Excellent engagement and knowledge base from some amazing instructors. Thank you!!

“Engaging, knowledgeable and wonderful instructors.”

Sabi, Laura, Ben and the IM doc (lung) were incredible. So engaging, knowledgeable and wonderful!

“An incredible, must-have instructor and presenter.”

Sally Graglia was incredible, absolutely must have instructor and presenter

“”