First Scan
“ Happiness is the first Pregnancy Ultrasound “
The first scan is usually during your early pregnancy, around 6 – 9 weeks is called the ‘early pregnancy’ or the ‘dating’ or the ‘viability’ scan.
To confirm the location of the pregnancy, to find out whether it is a singleton/ multiple pregnancy,
To confirm the presence of fetal heart activity
To confirm the age of the pregnancy to allocate an estimated due date.
ULTRASOUND: A TRIMESTER-BY-TRIMESTER GUIDE
During an ultrasound your doctor or a skilled technician uses a plastic transducer to transmit high-frequency sound waves through your uterus. These sound waves send signals back to a machine that converts them into images of your baby.
- Check that your baby has a heartbeat.
- Say whether you’re pregnant with one baby or twins or more.
- Detect an ectopic pregnancy, where the embryo implants outside the womb, usually in the fallopian tube.
- Find out the cause of any bleeding you may be having.
- Accurately date your pregnancy by measuring your baby.
- Assess your baby’s risk of Down’s syndrome by measuring fluid at the back of your baby’s neck at 11 weeks to 13 weeks plus six days (nuchal translucency (NT) scan).
- Find out why a blood screening test was abnormal.
- Help with diagnostic tests, such as CVS or amniocentesis, by showing the position of the baby and placenta.
- Examine your baby to see if all his organs are normal.
- Diagnose most abnormalities, such as spina bifida.
- Assess the amount of amniotic fluid you have and find out where the placenta lies.
- Measure your baby’s rate of growth over several scans
The sonographer will put some gel on your tummy and move a hand-held device (transducer) over your skin to pick up images of your baby.
If you’re having a scan in early pregnancy, you’ll need to drink a few glasses of water beforehand. A full bladder helps the ultrasound echoes to reach your womb, giving the sonographer a good view of your baby.
If your baby’s still deep in your pelvis, or if you’re overweight, the image won’t be very clear. In this case, your sonographer may suggest a vaginal scan. This will give a much clearer picture of your baby, especially if you’re at an early stage of pregnancy.
Why it’s important
Your ob-gyn listens for your baby’s heartbeat and estimates his age by measuring his length from head to bottom. From this test, your doctor will be able to determine
- A more accurate due date
- Track milestones during your pregnancy.
- Your ob-gyn will also rule out a tubal (ectopic) pregnancy, which is when the fetus grows in the fallopian tube instead of the uterus. (Don’t worry: This occurs only 1 percent of the time.)
- Your ob-gyn will also be able to tell if you’re pregnant with multiples.
Why it’s important
This is the most thorough checkup your baby will have before she is born.
The doctor will check your
- Baby’s heart rate
- Look for abnormalities in her brain, heart, kidneys, and liver.
- Count your baby’s fingers and toes,
- Check for birth defects,
- Examine the placenta
- Measure the amniotic fluid level.
Why it’s important
Most Expecting mothers don’t need an ultrasound in the third trimester, but if you’re over age 35 or your doctor wants to closely monitor your baby’s growth, you may get one or more before baby is born.
Other reasons for third-trimester ultrasounds include
- Low levels of amniotic fluid
- Bleeding
- Pre-term contractions.
