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19 Sep 2025

When Should You Book Your First Pregnancy Scan?

Finding out you’re pregnant can be one of the most exciting moments of your life — but it can also bring plenty of questions. One of the first is: when should I book my first pregnancy scan? While every pregnancy is unique, knowing the right timing for your first scan can help reassure you and provide important information about your baby’s development.

What is an Early Pregnancy Scan?

An early pregnancy scan, sometimes called a viability scan, is an ultrasound carried out in the first trimester. It can be done either trans-abdominally (on your tummy) or trans-vaginally (an internal scan that gives clearer detail in very early pregnancy).

The scan confirms that your pregnancy is progressing as expected and provides valuable information that isn’t always available from symptoms or home pregnancy tests alone.

The Ideal Timing for Your First Scan

Most women book their first pregnancy scan between 6 and 8 weeks after their last period. At this stage, an ultrasound can usually:

  • Confirm that the pregnancy is in the womb (ruling out ectopic pregnancy).
  • Show a visible gestational sac and yolk sac.
  • Detect a heartbeat, usually from around 6–7 weeks.
  • Estimate gestational age and due date more accurately than by dates alone.

If you book before 6 weeks, the scan may show a pregnancy sac but not a heartbeat, which can cause unnecessary worry. That’s why waiting until at least 6 weeks is generally recommended.

If you’re anxious or have had previous complications, a private early pregnancy scan can offer reassurance and medical guidance at the right stage.

Why You Might Need an Earlier Scan

Some women benefit from booking an early pregnancy scan sooner than 6 weeks. You may be advised to come in earlier if you have:

  • A history of ectopic pregnancy
  • Severe pain or bleeding in early pregnancy
  • Previous miscarriages
  • Fertility treatment such as IVF
  • Uncertainty about your last period date

In these cases, your gynaecologist may combine the scan with blood tests for hormone levels (such as hCG and progesterone) to monitor the pregnancy more closely.

The Role of the 12-Week Scan

Even if you’ve had an early scan, most women are advised to have another one at around 12 weeks. This is the standard time for the first NHS scan, which checks:

  • Baby’s development and growth
  • Presence of multiple pregnancies (twins, triplets)
  • Early signs of chromosomal conditions (via nuchal translucency measurement)

Many women choose a private early pregnancy scan first, then follow up with the routine 12-week scan for a complete picture.

What to Expect at Your Appointment

An early pregnancy scan is a straightforward and safe procedure. You will usually:

  1. Have a consultation with your clinician to discuss symptoms and medical history.
  2. Undergo either a trans-vaginal or abdominal ultrasound depending on how far along you are.
  3. Receive results immediately, along with images if desired.
  4. Get advice on next steps, whether that means reassurance, follow-up scans, or further tests.

The whole process usually takes less than 30 minutes and provides answers that can ease anxiety during those first few weeks.

Why Early Scans are Reassuring

Pregnancy can be an emotional time, especially if you’ve experienced complications in the past. An early scan gives you:

  • Reassurance that the pregnancy is developing normally
  • Early detection of potential problems so treatment can be offered quickly
  • A more accurate due date
  • Peace of mind when symptoms feel confusing or concerning

Final Thoughts

Your first pregnancy scan is more than just a chance to see your baby — it’s an important step in confirming a healthy pregnancy and setting your mind at ease. For most women, the best time is around 6–8 weeks, but if you have risk factors or symptoms, it may be advised sooner.

If you’re considering an early pregnancy scan

book an appointment with our private gynaecology clinic for fast access, expert care, and the reassurance you need during this special time.

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