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The fetal pole is a thickening on the margin of the yolk sac of a fetus during pregnancy. It is usually identified at six weeks with vaginal ultrasound and at six and a half weeks with abdominal ultrasound. [1] However, it is not unheard of for the fetal pole to not be visible until about 9 weeks.
The mean sac diameter [3] can effectively estimate the gestational age [4] between 5 and 6 weeks, with an accuracy of about +/- 5 days. [ 5 ] The yolk sac and embryo should be readily identifiable when the gestational sac reaches a certain size — a yolk sac should be seen when the gestational sac is 20mm and a fetal pole should be seen when ...
With obstetric ultrasonography the gestational sac (intrauterine fluid collection) can be visualized at 4.5 to 5 weeks gestation, the yolk sac at 5 to 6 weeks gestation, and fetal pole at 5.5 to 6 weeks gestation. Ultrasound is used to diagnose multiple gestation, which cannot be diagnosed based on the presence of hCG in urine or blood. [15]
Transvaginal ultrasonography showing a gestational sac with a diameter of 28 mm, corresponding to a gestational age of approximately 7 weeks and 5 days. It contains a yolk sac (protruding from its lower part) but no embryo, even after scanning across all planes of the gestational sac, thus being diagnostic of an anembryonic gestation.
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The sex of the fetus may be discerned by ultrasound as early as 11 weeks' gestation. The accuracy is relatively imprecise when attempted early. [15] [16] [17] After 13 weeks' gestation, a high accuracy of between 99% and 100% is possible if the fetus does not display intersex external characteristics. [18]
The yolk sac starts forming during the second week of the embryonic development, at the same time as the shaping of the amniotic sac. The hypoblast starts proliferating laterally and descending. In the meantime Heuser's membrane, located on the opposite pole of the developing vesicle, starts its upward proliferation and meets the hypoblast.
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