The Seasoned Sonographer

When Ultrasound Changes the Delivery Plan: Timing Birth Based on What We See

In this episode, Lynn Flamm, RDMS, interviews Rachel Wernsman, CNM about how ultrasound findings influence delivery timing and planning. Topics include fetal growth restriction, Doppler studies, amniotic fluid abnormalities, placental conditions, aneuploidy concerns, and Maternal Fetal Medicine referrals. The episode also discusses how co-morbidities such as diabetes, hypertension, IVF, and multiple gestation impact ultrasound surveillance and clinical decision making. Special emphasis is placed on the role of the sonographer and the importance of patient counseling when delivery plans change.   © 2026 Sono Techniques Academy, LLC. All rights reserved. The Seasoned Sonographer Podcast and all associated materials are the intellectual property of Sono Techniques Academy, LLC. This content is for educational purposes only and does not replace clinical judgment. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbGNDZkUyV0ZIMGVMT3VYX2dfNTJsc1ZkR2M3QXxBQ3Jtc0tuc3RBVldyV3ZwYzJ6WnR3VkNlcm1mQ0RSQmJNUU5fNnRjZmF5Tkc4YXhNWnd0RjY2NXQwWDF1Zm1kMko3eDNvRjh6TGxFalpmNnpBSGtDR1ZGdGFseWpxbUh5X01ENG1JMjVnYjRoNElzVXAzQTZNdw&q=https%3A%2F%2Fwww.facebook.com%2Fprofile.php%3Fid%3D61574057043515]  and Instagram instagram.com/sonotechniquesacademy [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbjJUbTY5Vng2VnNIQlJFWnR4MHRiblJBd2lQUXxBQ3Jtc0tuUFlWZkxIUXU2d3ZidFpQTExtWk55N0JfLWFIWEhzaGdIWHZqX1h1RHRnUzI0OG8zZ28xMFpYYW9DNllNbFJQWGNzZ1BjeENlUzd0RjV6Tk0xRi1lY2dMRzhaNG5fMi1iRHk5MHpMcnpFU19Ed19FWQ&q=https%3A%2F%2Fwww.instagram.com%2Fsonotechniquesacademy%2F]  or send me an email at lynn@sonotechniquesacademy.com.   DISCLAIMER: THE INFORMATION PROVIDED IN THIS PODCAST AND ANY ACCOMPANYING MATERIALS IS FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. IT IS NOT INTENDED AS A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. WHILE EVERY EFFORT IS MADE TO ENSURE ACCURACY, THE CONTENT IS PROVIDED “AS IS” AND WITHOUT WARRANTIES OF ANY KIND. > Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making. > > The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use. > > Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Umbilical Artery Doppler & FGR: Understanding Placental Physiology

In this episode we discuss: * Definition of FGR (EFW <10% or AC <10%) * Early asymmetric FGR and the significance of abdominal circumference * Causes of FGR * Fetal circulation and placental resistance * Proper umbilical artery Doppler technique * S/D ratio, PI, RI * Absent and reversed end-diastolic flow * ACOG-aligned monitoring and delivery principles * When sonographers should add UA Dopplers * Why UA Dopplers are clinically valid after 24 weeks gestation Referenced guidance: American College of Obstetricians and Gynecologists Practice Bulletin on Fetal Growth Restriction © 2026 Lynn Flamm, RDMS Founder & CEO, Sono Techniques Academy, LLC Host, The Seasoned Sonographer Podcast For educational purposes only. Clinical management should follow current ACOG guidance and physician direction. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbGNDZkUyV0ZIMGVMT3VYX2dfNTJsc1ZkR2M3QXxBQ3Jtc0tuc3RBVldyV3ZwYzJ6WnR3VkNlcm1mQ0RSQmJNUU5fNnRjZmF5Tkc4YXhNWnd0RjY2NXQwWDF1Zm1kMko3eDNvRjh6TGxFalpmNnpBSGtDR1ZGdGFseWpxbUh5X01ENG1JMjVnYjRoNElzVXAzQTZNdw&q=https%3A%2F%2Fwww.facebook.com%2Fprofile.php%3Fid%3D61574057043515]  and Instagram instagram.com/sonotechniquesacademy [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbjJUbTY5Vng2VnNIQlJFWnR4MHRiblJBd2lQUXxBQ3Jtc0tuUFlWZkxIUXU2d3ZidFpQTExtWk55N0JfLWFIWEhzaGdIWHZqX1h1RHRnUzI0OG8zZ28xMFpYYW9DNllNbFJQWGNzZ1BjeENlUzd0RjV6Tk0xRi1lY2dMRzhaNG5fMi1iRHk5MHpMcnpFU19Ed19FWQ&q=https%3A%2F%2Fwww.instagram.com%2Fsonotechniquesacademy%2F]  or send me an email at lynn@sonotechniquesacademy.com.   DISCLAIMER: THE INFORMATION PROVIDED IN THIS PODCAST AND ANY ACCOMPANYING MATERIALS IS FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. IT IS NOT INTENDED AS A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. WHILE EVERY EFFORT IS MADE TO ENSURE ACCURACY, THE CONTENT IS PROVIDED “AS IS” AND WITHOUT WARRANTIES OF ANY KIND. > Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making. > > The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use. > > Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Pain Management During Gynecologic Procedures: It's Time To Do Better

Pain during gynecologic procedures has long been minimized — but it doesn’t have to be that way. In this episode of The Seasoned Sonographer, Lynn Flamm, RDMS, talks with OB/Gyn physician Dr. Kenzie Glassburn about modern approaches to pain management during in-office gynecologic procedures. Together, they explore how ultrasound guidance, cervical blocks, local anesthesia, and trauma-informed care can dramatically improve the patient experience. We discuss: Common gynecologic procedures performed under ultrasound Which procedures benefit most from pain management Why women’s pain has historically been dismissed How ultrasound plays a key role in safer, more comfortable care What needs to change — culturally and clinically Because being a woman should never mean “just tolerate it.” Copyright © 2026 Sono Techniques Academy, LLC. All rights reserved. No portion of this podcast episode may be reproduced, distributed, or transmitted in any form without prior written permission from Sono Techniques Academy, LLC. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbGNDZkUyV0ZIMGVMT3VYX2dfNTJsc1ZkR2M3QXxBQ3Jtc0tuc3RBVldyV3ZwYzJ6WnR3VkNlcm1mQ0RSQmJNUU5fNnRjZmF5Tkc4YXhNWnd0RjY2NXQwWDF1Zm1kMko3eDNvRjh6TGxFalpmNnpBSGtDR1ZGdGFseWpxbUh5X01ENG1JMjVnYjRoNElzVXAzQTZNdw&q=https%3A%2F%2Fwww.facebook.com%2Fprofile.php%3Fid%3D61574057043515]  and Instagram instagram.com/sonotechniquesacademy [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbjJUbTY5Vng2VnNIQlJFWnR4MHRiblJBd2lQUXxBQ3Jtc0tuUFlWZkxIUXU2d3ZidFpQTExtWk55N0JfLWFIWEhzaGdIWHZqX1h1RHRnUzI0OG8zZ28xMFpYYW9DNllNbFJQWGNzZ1BjeENlUzd0RjV6Tk0xRi1lY2dMRzhaNG5fMi1iRHk5MHpMcnpFU19Ed19FWQ&q=https%3A%2F%2Fwww.instagram.com%2Fsonotechniquesacademy%2F]  or send me an email at lynn@sonotechniquesacademy.com.   DISCLAIMER: THE INFORMATION PROVIDED IN THIS PODCAST AND ANY ACCOMPANYING MATERIALS IS FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. IT IS NOT INTENDED AS A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. WHILE EVERY EFFORT IS MADE TO ENSURE ACCURACY, THE CONTENT IS PROVIDED “AS IS” AND WITHOUT WARRANTIES OF ANY KIND. > Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making. > > The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use. > > Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Ultrasound Then vs Now: The Stories, Standards, and Lessons That Shaped OB/Gyn

WHAT YOU’LL HEAR IN THIS EPISODE: * What OB/Gyn ultrasound looked like when Dr. Bishop began practicing * The early workflow: documentation then vs now * How clinical decisions were made before today’s detailed imaging * How the physician–sonographer relationship evolved * The moment ultrasound became protocol-based * How AIUM standards increased specificity and consistency: * required documentation elements * standardized biometric measurements * placenta, fluid, cervix expectations * anatomy requirements becoming more detailed and structured * heart expectations expanding beyond 4-chamber * Doppler use then vs now * Leadership perspective: quality standards as a Medical Director * Real-life lessons from 30+ years in women’s healthcare * Where he is today, practicing in a modern group practice © 2026 Sono Techniques Academy / The Seasoned Sonographer Podcast. All rights reserved.   I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbGNDZkUyV0ZIMGVMT3VYX2dfNTJsc1ZkR2M3QXxBQ3Jtc0tuc3RBVldyV3ZwYzJ6WnR3VkNlcm1mQ0RSQmJNUU5fNnRjZmF5Tkc4YXhNWnd0RjY2NXQwWDF1Zm1kMko3eDNvRjh6TGxFalpmNnpBSGtDR1ZGdGFseWpxbUh5X01ENG1JMjVnYjRoNElzVXAzQTZNdw&q=https%3A%2F%2Fwww.facebook.com%2Fprofile.php%3Fid%3D61574057043515]  and Instagram instagram.com/sonotechniquesacademy [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbjJUbTY5Vng2VnNIQlJFWnR4MHRiblJBd2lQUXxBQ3Jtc0tuUFlWZkxIUXU2d3ZidFpQTExtWk55N0JfLWFIWEhzaGdIWHZqX1h1RHRnUzI0OG8zZ28xMFpYYW9DNllNbFJQWGNzZ1BjeENlUzd0RjV6Tk0xRi1lY2dMRzhaNG5fMi1iRHk5MHpMcnpFU19Ed19FWQ&q=https%3A%2F%2Fwww.instagram.com%2Fsonotechniquesacademy%2F]  or send me an email at lynn@sonotechniquesacademy.com.   DISCLAIMER: THE INFORMATION PROVIDED IN THIS PODCAST AND ANY ACCOMPANYING MATERIALS IS FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. IT IS NOT INTENDED AS A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. WHILE EVERY EFFORT IS MADE TO ENSURE ACCURACY, THE CONTENT IS PROVIDED “AS IS” AND WITHOUT WARRANTIES OF ANY KIND. > Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making. > > The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use. > > Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Beyond the Four Chambers: Understanding the Depth of Fetal Echocardiography with Dr. Caroline Lee

This episode covers: When and why a fetal echocardiogram is indicated What makes a fetal echo different from the standard anatomy scan heart views The additional ultrasound views included in a comprehensive fetal echo The role of Doppler and M-mode for assessing cardiac function and rhythm Common technical challenges and optimization tips How to counsel families when cardiac abnormalities are detected Collaboration between sonographers, MFMs, and pediatric cardiologists 🎧 A must-listen episode for anyone passionate about prenatal imaging, fetal heart anatomy, and compassionate patient care. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbGNDZkUyV0ZIMGVMT3VYX2dfNTJsc1ZkR2M3QXxBQ3Jtc0tuc3RBVldyV3ZwYzJ6WnR3VkNlcm1mQ0RSQmJNUU5fNnRjZmF5Tkc4YXhNWnd0RjY2NXQwWDF1Zm1kMko3eDNvRjh6TGxFalpmNnpBSGtDR1ZGdGFseWpxbUh5X01ENG1JMjVnYjRoNElzVXAzQTZNdw&q=https%3A%2F%2Fwww.facebook.com%2Fprofile.php%3Fid%3D61574057043515]  and Instagram instagram.com/sonotechniquesacademy [https://www.youtube.com/redirect?event=channel_description&redir_token=QUFFLUhqbjJUbTY5Vng2VnNIQlJFWnR4MHRiblJBd2lQUXxBQ3Jtc0tuUFlWZkxIUXU2d3ZidFpQTExtWk55N0JfLWFIWEhzaGdIWHZqX1h1RHRnUzI0OG8zZ28xMFpYYW9DNllNbFJQWGNzZ1BjeENlUzd0RjV6Tk0xRi1lY2dMRzhaNG5fMi1iRHk5MHpMcnpFU19Ed19FWQ&q=https%3A%2F%2Fwww.instagram.com%2Fsonotechniquesacademy%2F]  or send me an email at lynn@sonotechniquesacademy.com.   DISCLAIMER: THE INFORMATION PROVIDED IN THIS PODCAST AND ANY ACCOMPANYING MATERIALS IS FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. IT IS NOT INTENDED AS A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. WHILE EVERY EFFORT IS MADE TO ENSURE ACCURACY, THE CONTENT IS PROVIDED “AS IS” AND WITHOUT WARRANTIES OF ANY KIND. > Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making. > > The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use. > > Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.