Pregnant woman having an ultrasound scan, with her partner watching the monitor

At a glance, by trimester: first trimester — early scan if needed, dating scan, NT scan/NIPT; second trimester — the morphology scan; third trimester — further scans only if there's a specific reason.

Scan schedules aren't identical everywhere — the UK, US, and Australia each offer scans a little differently, and your own provider may adjust things based on your history. But underneath those differences, most low-risk pregnancies follow a broadly similar pattern: one or two scans early on, one essential scan in the middle of pregnancy, and further scans only if there's a specific reason to look closer. This guide walks through each one.

Scan Typical weeks Routine or as-needed What it checks
Early / viability scan6–9 weeksAs-needed onlyConfirms the pregnancy is developing in the uterus, checks for a heartbeat, and looks for twins
Dating scan8–14 weeksCommon, but not everyone needs oneEstimates your due date and confirms early development
NT scan (combined screening)11–14 weeksOffered as a choiceScreens for chromosomal conditions alongside a blood test
NIPT10+ weeksOffered as a choiceBlood test alternative to the NT scan; more sensitive, often not covered by insurance
Morphology / anatomy scan18–22 weeksRoutine — the essential scanDetailed check of your baby's organs and development, placenta position, and fluid; can reveal sex
Third-trimester growth scan28–32 or 34–36 weeksOnly if there's a reasonChecks growth, position, placenta, and fluid when a specific concern comes up

Exact timing and what's offered as routine varies by country and provider — this table shows typical ranges, not a guaranteed schedule.

Early scan (around 6 to 9 weeks)

This isn't a routine scan for most people — it's usually only offered if there's a specific reason to look early, such as bleeding or pain, uncertainty about your dates, a history of ectopic or early pregnancy loss, or a pregnancy conceived through IVF. It can help confirm the pregnancy is developing inside the uterus, check for a heartbeat, and identify a twin or multiple pregnancy.

Dating scan (usually 8 to 14 weeks)

This is usually the first scan most people have, though not everyone needs one — if your cycle is regular and your dates are clear, your provider may decide it isn't necessary. When it is done, a sonographer measures your baby — typically the crown-rump length at this stage — to estimate your due date, which is generally more accurate than dating from your last period alone, especially if your cycle is irregular. It also confirms your baby's heartbeat and checks how many babies you're carrying.

NT scan and combined first-trimester screening (11 to 14 weeks)

The nuchal translucency (NT) scan measures a small pocket of fluid at the back of your baby's neck. The measurement can be combined with a blood test and other information as part of combined first-trimester screening, to estimate your baby's chance of having a chromosomal condition such as Down syndrome, Edwards' syndrome, or Patau's syndrome.

Screening is not diagnosis

NIPT, combined first-trimester screening, and NT measurements can estimate the chance of certain conditions, but they don't diagnose them. A higher-chance result means your provider can discuss further options, such as a diagnostic test like CVS or amniocentesis — it isn't a confirmed diagnosis on its own.

Ultrasound and screening tests aren't the same thing

It's easy to blur these together, so it's worth being clear: an ultrasound uses sound waves to create images of your pregnancy, and some ultrasounds (like the NT scan) are also used for screening. Screening tests like NIPT use a blood sample instead, with no imaging involved at all. Diagnostic tests — CVS or amniocentesis — are different again, and are the only ones that can confirm a chromosomal condition rather than estimate the chance of one.

NIPT: a blood-test alternative to the NT scan

Worth knowing about here even though it isn't an ultrasound: NIPT is a blood test that screens for the same kinds of chromosomal conditions as the NT scan, generally with greater sensitivity, from around 10 weeks. It's often not covered by insurance or Medicare and can be a meaningful out-of-pocket cost. We cover it properly, along with the related RhD NIPT test, in our antenatal tests guide.

Morphology or anatomy scan (18 to 22 weeks)

This is the one scan consistently recommended across the UK, US, and Australia. Often called the anomaly scan, morphology scan, or anatomy scan, it's a detailed, top-to-toe look at your baby's brain, heart, spine, limbs, kidneys, and other organs, along with the placenta's position, your cervix length, and the amount of amniotic fluid. Depending on your baby's position, you may be able to find out their sex at this scan, if you want to know. It's thorough, but not exhaustive — ultrasound can't detect every possible condition, and a clear scan is reassuring without being an absolute guarantee.

Third-trimester growth scan (28 to 32 or 34 to 36 weeks, if needed)

Here's something worth knowing: major medical guidance in the UK, US, and Australia all agree that a routine ultrasound late in pregnancy hasn't been shown to improve outcomes for low-risk pregnancies, so it generally isn't offered to everyone. Where it is used, it's because there's a specific reason to check further — concerns about your baby's growth, reduced movements, bleeding, twins, gestational diabetes, or a previous pregnancy complication. Being offered one doesn't necessarily mean something is wrong; it usually just means your provider wants a closer look at something specific.

Other scans you might be offered

Depending on your pregnancy, you might also have a presentation scan near term (around 36 weeks) if it's unclear whether your baby is head-down, or Doppler studies that check blood flow through the umbilical cord if growth restriction is a concern. These are targeted scans for a specific question, not part of a standard schedule.

Why antenatal scan schedules differ by country

If you've compared notes with someone overseas and your schedules don't match, that's not unusual. The UK's NHS offers two routine scans to everyone — a dating scan and the anomaly scan. US guidance from a multi-specialty consensus of obstetric and radiology bodies treats the mid-pregnancy anatomy scan as the one essential examination, while first-trimester scanning is more provider- and situation-dependent. Australian guidance follows a pattern closer to the UK's. The common thread across all three: the mid-pregnancy scan is considered essential everywhere, and none of them recommend a routine scan late in pregnancy for a low-risk pregnancy.

Scans are only part of the picture — see our antenatal tests guide for blood, urine, and swab tests. Once you know your due date, put together your birth plan, look at your birthing options, and start on your hospital bag.

Questions you can ask at your scan

Frequently Asked Questions

For a low-risk pregnancy, most people have two routine scans: one in the first trimester (dating, sometimes combined with an NT scan) and the morphology scan around 18 to 22 weeks. Exactly how many you're offered depends on your country, your provider, and your individual pregnancy — some people need more, and that's usually about getting a clearer picture, not a sign something is wrong.
Different health systems set their own guidance based on the evidence available to them and how care is organized locally. The UK's NHS offers two routine scans to everyone. US guidance considers the mid-pregnancy anatomy scan the one essential scan, with first-trimester scanning more provider-dependent. Australian guidance follows a similar pattern to the UK. All three agree that a routine ultrasound late in pregnancy isn't necessary for a low-risk pregnancy.
Both are screening tests for chromosomal conditions like Down syndrome, not diagnostic tests. An NT scan is an ultrasound measurement combined with a blood test, done at 11 to 14 weeks. NIPT is a blood test alone, done from about 10 weeks, that's generally more sensitive than the NT scan but isn't always covered by insurance or Medicare. Either can be followed by a diagnostic test like CVS or amniocentesis if a result comes back higher risk.
Not routinely, if your pregnancy is low-risk. Major medical bodies in the UK, US, and Australia agree that a routine ultrasound late in pregnancy hasn't been shown to improve outcomes for low-risk pregnancies. A third-trimester scan is offered when there's a specific reason to check further, such as concerns about growth, reduced movements, bleeding, or a twin pregnancy.
No. The morphology or anomaly scan is a thorough check of your baby's development, but ultrasound can't detect every possible condition, and finding nothing doesn't guarantee your baby doesn't have one. It's a valuable screening tool, not a complete guarantee.

Sources & methodology

This page draws on NHS guidance (UK), the American College of Obstetricians and Gynecologists alongside the multi-specialty consensus of ACR, AIUM, SMFM, and SRU (US), and Pregnancy, Birth and Baby, an Australian Government health information service. Scan availability, timing, and cost vary by country, provider, and individual pregnancy — always confirm your own schedule with your doctor or midwife.

This page provides general information and is not a substitute for personalized medical advice. Scan schedules, availability, and cost vary by country and provider — confirm your own schedule with your doctor or midwife.

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