What to Expect at Your 12-Week Scan?

The 12-week pregnancy scan is a routine and significant milestone in prenatal care, offering expectant parents an early glimpse into their baby’s development. This ultrasound examination, typically conducted between 11 and 14 weeks of gestation, is a common part of the pregnancy journey. It provides healthcare providers with important information about the pregnancy’s progression.

Purpose of the 12-Week Scan

The 12-week scan, often called a dating scan, serves several primary objectives for monitoring pregnancy. It accurately determines gestational age and establishes an estimated due date, which is more precise than estimations based solely on the last menstrual period. The scan also identifies if there is more than one baby, such as twins or triplets, and assesses whether they share a placenta, which influences subsequent monitoring.

The scan includes an initial assessment of the baby’s development and confirms the presence of a heartbeat. A key component is the nuchal translucency (NT) measurement, part of a combined screening test for chromosomal conditions like Down syndrome, Edwards’ syndrome, and Patau’s syndrome. This measurement, along with a blood test, helps assess the probability of these conditions. The scan checks for major abnormalities visible at this stage.

Preparing for Your Scan

Preparing for your 12-week scan involves a few practical steps to ensure clear imaging. You will be asked to arrive with a full bladder, as the fluid enhances sound wave transmission through the abdominal cavity, making it easier to visualize the uterus and baby. To achieve this, empty your bladder about 90 minutes before the appointment, then drink 300-500 ml of water approximately an hour prior.

Wearing comfortable, two-piece clothing is advisable for easier access to your abdomen during the procedure. Eating before the scan is generally acceptable, but confirm any specific dietary instructions with your healthcare provider. Bringing relevant hospital notes or documents can also streamline the check-in process.

What Happens During the Scan

Upon arrival, you will check in and be called into the examination room. You will lie on your back on an examination couch, with your lower abdomen exposed. The sonographer will apply a clear, water-based gel to your abdomen. This gel helps ensure good contact between your skin and the ultrasound transducer, a device that emits harmless high-frequency sound waves.

The sonographer will move the transducer across your abdomen, adjusting its position to obtain views and measurements of the baby. These sound waves convert into real-time images displayed on a screen, which you can often view yourself. The scan duration is typically between 20 to 30 minutes, though it might take longer if the baby’s position makes it challenging to get the necessary images.

Understanding Your Scan Findings

During the 12-week scan, the sonographer observes and measures several aspects of your baby’s development. The crown-rump length (CRL), the length from the top of the baby’s head to its bottom, is used to confirm or refine gestational age and estimated due date. The sonographer also confirms the number of fetuses present and assesses the placenta’s location.

The scan involves measuring the nuchal translucency (NT), the thickness of the fluid-filled space at the back of the baby’s neck. A normal NT measurement at 12 weeks typically ranges from 0.8 mm to 1.9 mm. This measurement, combined with blood test results, helps calculate the individual risk for chromosomal conditions like Down syndrome; an increased NT measurement may suggest a higher chance of such conditions, though it is not a diagnosis. The sonographer visualizes early organ development, checking structures like the brain, limbs, stomach, and bladder, and confirms a strong heartbeat, an important indicator of proper fetal growth. If any concerns arise from the findings, your healthcare provider will discuss them and outline any recommended follow-up tests or consultations.