Use of ultrasounds during pregnancy continues to increase and there is much debate as to what the best practice is regarding their use, for what types of patients, at what volume level. Current evidence suggests, the extended routine use of ultrasound technology should be for all women that present complications to screen for structural anomalies during pregnancy. However, others have suggested that excessive ultrasound use may be both unnecessary, costly and potentially harmful. Evidence further suggests that mothers find the use of technology to be security enhancing during pregnancy and through the process of care, and that ultrasound use is important for boding with their unborn baby. Here, I examine the impact of ultrasound use on care satisfaction in a panel of women who have given birth in the northeast through a retrospective survey. Findings suggest that ultrasound use is not a driver of care satisfaction overall, however physicians may be acting on this differently with the coming implications of health care reform