Most pregnancies have ultrasounds at 11–14 weeks and 18–22 weeks; extra scans are added only when a medical reason appears.
Your scan schedule doesn’t need to be a mystery. Below is a clean, week-by-week view so you know what’s coming, why each ultrasound matters, and when doctors add more images for safety. You’ll see the typical timing first, then the exceptions that call for extra checks.
At What Weeks Do You Get Ultrasounds During Pregnancy? — Quick Reference
The short version: one detailed scan happens in the second trimester (the “anatomy scan”), and many clinics also do an earlier check in the late first trimester. Early viability scans or later growth scans are ordered when there’s a clear clinical reason. That mix balances reassurance, accuracy, and privacy while keeping care focused on what helps outcomes.
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Typical Ultrasound Timeline By Week
| Window (Weeks) | Purpose | What You’ll See |
|---|---|---|
| 6–8 (if needed) | Confirm pregnancy in the uterus; check heartbeat if visible; date very early pregnancies with symptoms or risk factors | Gestational sac, yolk sac; sometimes a tiny embryo with early cardiac activity |
| 8–10 (clinic-dependent) | Dating and viability in practices that scan earlier; confirm single vs twins | Embryo with heartbeat; crown-rump length measurement for dating |
| 11–14 | First-trimester scan; may include nuchal translucency if offered; refine due date | Fetus with limbs and profile; measurements that align due date and screening |
| 18–22 | Comprehensive anatomy scan; placenta location; fluid check | Detailed views of brain, heart, spine, face, kidneys, limbs; placenta and cord |
| 28–32 (if indicated) | Growth, fluid, and blood-flow checks when needed | Estimated fetal weight, amniotic fluid, Dopplers if ordered |
| 32–34 (if placenta was low) | Re-check low-lying placenta or previa noted earlier | Placenta distance from cervix; plan for birth route |
| 36–38 (case-by-case) | Confirm head-down position; growth in selected cases | Presentation (head-down, breech); fluid; rough size estimate |
| 40+ (post-dates if needed) | Biophysical profile and fluid check if pregnancy goes past due date | Fetal breathing/movement/tone; fluid pockets; placenta look |
Getting Pregnancy Ultrasounds By Week: What To Expect
Each scan answers a different question. Early on, the goal is to confirm the pregnancy is in the uterus, set a due date that matches fetal size, and spot rare problems sooner. In the middle stretch, the anatomy scan looks carefully from head to toe. Later, scans focus on growth, position, and placenta checks if a past finding needs follow-up.
Early Viability (6–8 Weeks, Only If There’s A Reason)
Not everyone needs an ultrasound this early. Doctors tend to order it for pain, bleeding, past pregnancy loss, IVF conception, or uncertainty about dates. Results guide next steps—such as repeating labs or scheduling a follow-up.
First-Trimester Scan (11–14 Weeks)
This is a common point for the first look in routine care. The fetus is big enough for clearer measurements, yet early enough to refine dates. Some clinics include a nuchal translucency measurement as part of combined screening. Others use non-invasive blood tests and only add the NT when it changes management. Both paths aim at the same thing: better risk estimation with the fewest false alarms.
Anatomy Scan (18–22 Weeks)
This is the one scan almost every pregnancy gets. The sonographer takes a full set of images—brain structures, spine, face, heart views, abdominal organs, limbs, cord insertion, and placenta location. If any angle is hard to capture, a re-scan is usually scheduled soon after. That second visit isn’t a bad sign; it’s often about getting the last required view.
Growth And Follow-Ups (Third Trimester When Needed)
Late scans aren’t routine for everyone. They’re useful when there are risk factors such as high blood pressure, diabetes, a prior small baby, twins, a low-lying placenta earlier on, or size that doesn’t match dates at a prenatal check. The goal is targeted: confirm healthy blood flow, check fluid, review growth trends, and plan the safest timing for birth when needed.
Why The Schedule Looks Like This
Ultrasound works best when the question matches the timing. Early scans answer “Is it in the uterus?” and “How far along is this?” Mid-pregnancy answers “Do the organs look typical?” Later checks ask “Is growth on track?” and “Is the placenta safely out of the way?” That sequence gives the right view at the right time without over-scanning.
Accuracy Of Dating
First-trimester measurements are more precise for due dates than later ones, which is why many practices wait until 11–14 weeks for a standard scan. When a scan happens earlier or later, clinicians cross-check the size with your last period and prior results before changing the estimated due date.
Safety And Privacy
Diagnostic obstetric ultrasound is considered safe when used by trained professionals. Even so, the plan is “as needed, not endless.” That approach keeps attention on meaningful questions instead of casual keepsake imaging.
How Many Ultrasounds Do You Really Need?
Most pregnancies are well served by one detailed second-trimester anatomy scan, plus an earlier or later scan based on the clinic’s protocol or your medical picture. Some practices include a first-trimester scan as standard care. Others reserve it for certain cases. Both strategies aim to answer the right question at the right time.
Clinic Differences You May Notice
- Timing windows: One practice may favor 12–13 weeks for the first scan; another may prefer 11–12.
- Screening approach: Some combine nuchal translucency with blood tests; others lean on blood tests alone and reserve the neck measurement for specific situations.
- Follow-up policy: A “need more views” re-scan is common after the anatomy appointment. That’s about image completeness, not a hidden problem.
When Extra Scans Make Sense
Extra imaging is about risk management, not box-checking. Below are common situations that lead to more frequent looks. This is where decisions are personalized, and where your care team’s advice carries the most weight.
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National guidance backs this cadence. A major college of obstetricians recommends a standard second-trimester anatomy scan, with earlier or later imaging based on need; public health sites echo that routine care includes targeted ultrasounds when findings or risk factors warrant it. You can read the detailed practice bulletin on the ultrasound in pregnancy policy and a plain-language overview from the NHS on ultrasound scans.
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Common Reasons For Additional Ultrasounds
| Situation | Usual Timing (Weeks) | Why It’s Ordered |
|---|---|---|
| Vaginal bleeding or pain early on | 6–8, repeat as guided | Confirm location, check heartbeat, rule out ectopic or loss |
| Uncertain dates or irregular cycles | 8–14 | Set a reliable due date to steer later decisions |
| Twins or higher-order multiples | 11–14, then at set intervals | Monitor growth of each baby, fluid, and placenta details |
| Diabetes or high blood pressure | 28–36, interval varies | Track growth and blood flow; plan timing of birth if needed |
| Baby measuring small or large by fundal height | Any time after 24 | Confirm size trend with measurements, check fluid |
| Low-lying placenta earlier in pregnancy | 32–34 | See if the placenta moved clear of the cervix |
| Decreased fetal movements late in pregnancy | After 28 | Biophysical profile and fluid to assess well-being |
| Prior stillbirth or growth problems | Third trimester | Closer watch on growth, fluid, and Dopplers |
Inside The Appointment: How Scans Are Done
Transvaginal Vs Abdominal
Very early scans are often transvaginal for clarity. As the uterus rises, the probe moves to the abdomen with gel on the skin. Both methods are routine, quick, and safe.
What The Sonographer Measures
- Early: Crown-rump length to date the pregnancy; sac and yolk sac checks.
- Mid-pregnancy: Head and abdominal sizes, femur length, organ views, placenta, cord insertion, and amniotic fluid.
- Late: Growth trend, fluid, blood-flow studies (Dopplers) when needed, and presentation.
What Results Look Like
You’ll get a report with measurements and comments. If a view is incomplete, your team schedules another session. If a finding needs a closer look, a specialist can perform a detailed scan and talk through options. Most follow-ups end with reassurance and a normal plan.
Answers To Common “Is This Normal?” Moments
No Heartbeat At 6 Weeks
That can be normal. Timing varies, and small differences in ovulation make a big impact this early. Doctors usually re-scan in a week rather than jump to conclusions.
Breech At 28 Weeks
Plenty of time remains for the baby to turn. A late check near 36 weeks confirms position and helps plan if baby stays breech.
Placenta Low At 20 Weeks
Many move up with uterine growth. A re-scan around 32–34 weeks shows whether it cleared the cervix.
Your Role: Getting The Most From Each Ultrasound
- Bring timing details: Share your last period and any home test dates to help with dating.
- Ask purpose first: “What question are we answering today?” keeps the plan clear.
- Plan for repeats: If the sonographer needs another try for a specific view, schedule it soon so the full set gets done.
- Keep perspective: A request for “more images” usually reflects positioning, not a new problem.
How This Ties Back To Your Keyword
People often type “at what weeks do you get ultrasounds during pregnancy?” because they want a simple, reliable schedule. The baseline is an 11–14-week scan in many clinics and a universal 18–22-week anatomy scan, with extras only when clinical questions arise.
Using The Keyword In Real Life
Ask your care team to map the plan to your dates: “at what weeks do you get ultrasounds during pregnancy?” becomes “Which two or three dates apply to me, and why?” That keeps appointments purposeful and reduces noise.
Bottom Line: Weeks You’ll Most Likely Be Scanned
Expect a detailed anatomy scan at 18–22 weeks. Many practices also offer a first-trimester scan between 11–14 weeks. Early or late-pregnancy scans are added when symptoms, prior history, or earlier findings suggest they’ll help care. That’s the balance that gives clear answers without extra fuss.
