Early Ultrasound Expectations

If you think you are  pregnant and  thinking about getting an  ultrasound you probably have questions. We want to answer your questions so you know what to expect.

A few things to know about early ultrasound scans:

  • Ultrasounds at Pregnancy Counseling Center are free
  • Ultrasounds are safe
  • We can help you prepare - and you do not have to go alone
  • How early ultrasounds work and what they look like
  • Common reasons for an early ultrasound

If you have more questions after reading this article, we would love to talk with you. Schedule an appointment with us, below.

Are You Pregnant?

Find out for sure with a free test
Pregnancy Counseling Center

Get My Free Test

Thanks to our generous donors, we are able to provide you with a free ultrasound. You do not need insurance. We provide this as a service to you and your unborn baby. Our pregnancy clinic is a nonprofit organization, and we are here to support you. We keep your information completely confidential and do not profit from any decision you make. For more information about pregnancy centers, click here. (1)

Limited obstetrical ultrasounds are medical diagnostic procedures. An ultrasound machine is safe when used by a trained medical professional . If you schedule an ultrasound with us, we confirm your pregnancy test.

We understand if you are anxious to see your ultrasound image and we are happy to show you images from your ultrasound scan. Keeping that in mind, the reason for an early ultrasound is to help you know understand  the development of  your baby. For that reason, we encourage you to view this procedure as a medical process that serves you  and your baby’. There is more information about common reasons for early ultrasounds below.

There are a few things you might find helpful to know before scheduling an appointment with us. The first thing to know is that we may ask you to drink fluids and avoid urinating for a specific amount of time before the procedure. (More about this in the next section.)


We also want you to know that you do not have to come to your appointment alone. If you would like, you may bring your husband or boyfriend, a parent, or another supporter. It may be helpful for them to be aware of how things are developing with your pregnancy as well.

A fetal ultrasound, also called a sonogram, produces images of your baby in the womb by using high-frequency sound waves

Early ultrasounds are done in the first 12 weeks of pregnancy and show images of the baby’s early development stages. (3) Routine ultrasound images are typically black and white. They are usually somewhat fuzzy but are detailed enough to show us what we need to know about fetal growth. For this reason, it may not be easy for you to identify exactly what you are seeing on the screen. We’ll help you understand what we’re seeing and what it means. We will also give you the option of keeping a few printed images from the scan.

There are a few things you will notice when you look at the ultrasound screen. You will see a white image of your baby and umbilical cord, against a dark background. The  doctor will learn a lot of important information about your developing baby by observing these images.

For example, a 7-week old baby is just the size of a blueberry, but already has developed limb buds, outer ears, and nearly complete eyelids. At this stage, your baby also has an increased heart rate since the last week and cells that are developing muscles and a spinal column. (5)

We share more details about what we can learn together after we cover the two types of ultrasounds.

The transabdominal or standard ultrasound is what you’re probably picturing. (4) To prepare for transabdominal ultrasounds, we ask you to drink a few glasses of water a couple of hours before the procedure. This is because a full bladder helps the high frequency sound waves move more easily, to help provide a clear picture. (6)


This is a painless procedure and it usually takes about 20 minutes. To begin, we will ask you to lay on your back on an examining table. Next, we will apply a gel to your abdomen and move a scanner over it. The scanner is a small, hand-held device that is connected to a screen which instantly shows images.

A vaginal ultrasound is usually performed in an early pregnancy (usually less than 12 weeks).  After your bladder is emptied, a vaginal transducer is inserted into the vaginal canal, that helps provide a clear picture to obtain more accurate information.  This usually not painful.

One of the most common reasons for an early ultrasound is to confirm pregnancy. A vaginal ultrasound is usually performed in an early pregnancy (usually less than 12 weeks). After the bladder is emptied , a vaginal transducer is inserted into the vaginal canal. That helps provide a clear picture to obtain more accurate information. This is not painful.  . Other reasons include: checking if there is more than one baby and determining your baby's gestational age and location. Gestational age estimates the weeks of gestation to determine your baby’s due date.

When it comes to your baby’s health, we will be checking on your baby’s heartbeat. )

Location is something we will look for, because in certain cases a baby may be developing outside the main cavity of the uterus. This is called an ectopic pregnancy. Most ectopic pregnancies are in the fallopian tube and you can learn more here.

Your ultrasound test will be 2D, not 3D images or 4D ultrasound. However, there is a lot of useful information we can learn together from your pregnancy ultrasound.

It will also be helpful for you to know about a few things that an early ultrasound cannot determine. First, it cannot determine your baby’s sex. This is because early ultrasounds are done in the first trimester, and a baby’s gender can only be determined after the second trimester, after 18 to 21 weeks of pregnancy. (3) 

Second trimester ultrasounds look for more specific information regarding the development of your baby.

What we learn from your limited obstetrical ultrasound will help you make decisions that are best for you both. This is the first step in the process and we would love to go on the journey with you.

Ready to See Your Baby?

Book a Free Ultrasound with Us at Pregnancy Counseling Center

Get My Free Ultrasound




(1) Care Net. What is a pregnancy center?: Care net pregnancy centers. Pregnancy Centers.


(2) Mayo Foundation for Medical Education and Research. (2020, November 6). Fetal ultrasound. Mayo Clinic.


(3) March of Dimes. (2019, October). Ultrasound during pregnancy.  https://www.marchofdimes.org/pregnancy/ultrasound-during-pregnancy.aspx


(4) Riley, L., & Isidro-Cloudas, T. (2019, December 2). What to expect at your first ultrasound. Parents. https://www.parents.com/pregnancy/my-baby/your-babys-first-ultrasound/


(5) Riley, L., & Gough, K. J. (2009, November 5). Week 7 ultrasound: What it would look like. Parents. https://www.parents.com/pregnancy/week-by-week/7/your-growing-baby-week-seven/


(6) Better Health Channel. (2014, August, 31). 
Pregnancy tests - ultrasound.


(7) Harris, N., & O'Brien, T. (2022, June 14). Pregnancy ultrasounds week by Week. Parents. https://www.parents.com/pregnancy/stages/ultrasound/ultrasound-a-trimester-by-trimester-guide/


(8) March of Dimes. (2017, October). Ectopic pregnancy. https://www.marchofdimes.org/complications/ectopic-pregnancy.aspx


(9) American Pregnancy Association. (2022, February 11).
Ultrasound: Sonogram.