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Pregnancy Scan & Test Timeline

A complete trimester-by-trimester guide to all ultrasound scans and blood tests during pregnancy. Know what to expect, when to book, and how to prepare.

T1

First Trimester (Weeks 1-12)

2 scans

T2

Second Trimester (Weeks 13-27)

2 scans

T3

Third Trimester (Weeks 28-40)

3 scans

Ultrasound Scan Timeline

Week 6 – 8

Dating / Viability Scan

The first ultrasound confirms pregnancy, checks heartbeat, determines the number of babies, and establishes the gestational age for accurate due date calculation.

What It Checks

  • Pregnancy confirmation
  • Fetal heartbeat
  • Gestational sac and yolk sac
  • Number of embryos (single/twins)
  • Ectopic pregnancy ruled out
  • Accurate due date calculation

Preparation

Full bladder required for early pregnancy scan. Drink 3-4 glasses of water 1 hour before.

Book Dating / Viability Scan
Week 11 – 14

NT Scan (Nuchal Translucency)

Critical

A critical screening scan that measures the fluid at the back of the baby's neck to assess risk of chromosomal abnormalities like Down syndrome. Best combined with the Double Marker blood test.

What It Checks

  • Nuchal translucency measurement
  • Nasal bone presence
  • Crown-rump length
  • Major structural abnormalities
  • Chromosomal risk assessment
  • Heart rate and movement

Preparation

No specific preparation. Can be done with empty or full bladder. Combine with Double Marker blood test for best results.

Book NT Scan
Week 18 – 22

Anomaly Scan (TIFFA / Level 2)

Critical

The most detailed scan of pregnancy. A comprehensive anatomy check examining all major organs and structures of the baby to detect any structural abnormalities.

What It Checks

  • Brain structure and ventricles
  • Face, lips, and palate
  • Heart chambers and valves
  • Spine alignment
  • Kidneys and bladder
  • Limbs, hands, and feet
  • Placenta position
  • Amniotic fluid volume
  • Umbilical cord

Preparation

No fasting required. Wear comfortable clothing. The scan may take 30-45 minutes.

Book Anomaly Scan
Week 24 – 28

Growth Scan + GCT

Monitors the baby's growth trajectory and checks if growth is appropriate for gestational age. Combined with the Glucose Challenge Test (GCT) to screen for gestational diabetes.

What It Checks

  • Baby's weight estimate
  • Head, abdomen, and femur measurements
  • Amniotic fluid level
  • Placenta position and health
  • Baby's presentation (position)
  • Growth comparison with expected range

Preparation

No specific preparation for ultrasound. For GCT: drink 75g glucose solution and get blood drawn after 1 hour.

Book Growth Scan + GCT
Week 28 – 32

Foetal Well-being Scan

Assesses continued growth, baby's position, and overall well-being. Important for detecting growth restriction or excess amniotic fluid.

What It Checks

  • Growth parameters
  • Amniotic fluid index
  • Baby's movements and breathing
  • Placental grade
  • Presentation (head down / breech)
  • Estimated fetal weight

Preparation

No specific preparation needed.

Book Foetal Well-being Scan
Week 32 – 34

Growth & Doppler Scan

Critical

Combines growth assessment with Doppler ultrasound to evaluate blood flow through the umbilical cord and baby's blood vessels. Critical for high-risk pregnancies.

What It Checks

  • Umbilical artery blood flow
  • Middle cerebral artery flow
  • Ductus venosus flow
  • Placental blood supply
  • Baby's growth trajectory
  • Amniotic fluid volume

Preparation

No specific preparation. Important for pregnancies with hypertension, diabetes, or growth concerns.

Book Growth & Doppler Scan
Week 36 – 40

Pre-delivery Scan

Final assessment before delivery. Confirms baby's position, estimates weight, checks amniotic fluid, and assesses readiness for delivery.

What It Checks

  • Baby's presentation (vertex/breech)
  • Estimated birth weight
  • Amniotic fluid index
  • Placental maturity
  • Cord around neck check
  • Cervical length (if indicated)

Preparation

No specific preparation. May be combined with NST (Non-Stress Test) for baby's heart monitoring.

Book Pre-delivery Scan

Blood Tests During Pregnancy

TestWhenPurpose
Blood Group & Rh TypeFirst visitIdentifies blood group and Rh compatibility
CBC (Complete Blood Count)Each trimesterChecks hemoglobin, WBC, and platelets
Blood Sugar (Fasting & PP)First visit + 24-28 weeksScreens for diabetes
Thyroid Profile (TSH)First trimesterThyroid function — critical for baby's brain development
Double Marker Test11-14 weeksChromosomal abnormality risk assessment
Urine RoutineEach visitChecks for infection, protein, and glucose
HIV, HBsAg, VDRLFirst visitScreens for infections that can affect baby
Quadruple Marker Test15-20 weeksAdditional chromosomal screening if NT not done
Glucose Tolerance Test (GTT)24-28 weeksDiagnoses gestational diabetes
Group B Streptococcus35-37 weeksScreens for GBS to protect baby during delivery

Calculate Your Pregnancy Week

Use our free pregnancy calculators to track your current week, trimester, and upcoming scans.

Frequently Asked Questions

How many scans are done during pregnancy?

A normal pregnancy typically involves 4-6 scans: dating scan (6-8 weeks), NT scan (11-14 weeks), anomaly scan (18-22 weeks), growth scan (28-32 weeks), Doppler scan (32-34 weeks), and pre-delivery scan (36-40 weeks). High-risk pregnancies may require additional monitoring.

Is the NT scan mandatory?

The NT scan is strongly recommended between weeks 11-14. It screens for chromosomal abnormalities like Down syndrome by measuring the fluid at the back of the baby's neck. Combined with blood markers (double marker test), it provides important risk assessment.

What is the anomaly scan and when is it done?

The anomaly scan (TIFFA/Level 2 scan) is a detailed ultrasound done between weeks 18-22. It checks the baby's anatomy including brain, heart, spine, kidneys, limbs, and other organs. It is one of the most important scans during pregnancy.

Are pregnancy scans safe for the baby?

Yes. Ultrasound scans use sound waves, not radiation, and are considered safe during pregnancy when performed by trained professionals. They have been used in obstetric care for decades with no known harmful effects to the mother or baby.

Can I get all pregnancy scans at Focus Diagnostics?

Yes. Focus Diagnostics offers all pregnancy scans including dating scan, NT scan, anomaly scan, growth scan, Doppler scan, and 3D/4D scans at multiple branches. Our experienced sonologists specialise in fetal medicine imaging. Book at 91213 77123.

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