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Ultrasound Scans During Pregnancy

Written by London Pregnancy Clinic on 11. January 2024. Posted in Blog, early pregnancy scan, Obstetrics, Scans, Ultrasound. No Comments on Ultrasound Scans During Pregnancy

Ultrasound scans during pregnancy

Discovering the importance of ultrasound scanning to demystify it.

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Unravel the mysteries of ultrasound scans during pregnancy. Understand their significance, what to expect, and their role in ensuring a healthy pregnancy. Experience the joy and reassurance that comes with seeing your baby’s first images.

Embarking on the journey of pregnancy is a thrilling yet complex adventure, filled with excitement, anticipation, and a myriad of questions. Among the most common queries we encounter at our clinic is the significance of ultrasound scans during this special time. Understanding the importance of these scans, often shrouded in mystery, can profoundly change perceptions, transforming them from just a clinical procedure into an invaluable and cherished part of the pregnancy experience. These scans can be done from week 6, as this is when we reach the first major developmental milestone.

The Role of Ultrasound in Pregnancy

Ultrasound scans, a window to your womb, offer a non-invasive peek at your developing baby. Ultrasound technology has revolutionised prenatal care since its inception. Initially utilised in the 1950s for gynaecological purposes, its application in monitoring fetal development during pregnancy was a groundbreaking discovery that has shaped modern obstetrics. The development of the first contact B-mode scanner opened a new window into the womb, allowing for the visualisation of the fetus and transforming prenatal care.

This innovation marked the beginning of using ultrasound to monitor the baby’s development, detect potential abnormalities, and even predict birth weight discordance in twin pregnancies. Today, ultrasound scans are a routine and indispensable part of prenatal care. Most women are offered at least two standard scans during their pregnancy. The first scan, usually conducted between 10 and 13 weeks, is crucial for confirming the due date and checking the baby’s heartbeat. The second scan, typically between 18 and 21 weeks, focuses on assessing the baby’s growth and anatomy in more detail.

What to Expect During an Ultrasound

Understanding what happens during an ultrasound can ease any apprehensions and make the experience more enjoyable. At London Pregnancy Clinic, we encourage patients to ask questions and see this as an opportunity to educate them about the wonders of ultrasound and pregnancy.

Procedure: You’ll recline on a comfortable bed in our serene scanning room. While ‘internal’ and ‘external’ aren’t official medical terms, they are commonly used to describe ultrasound methods. An internal scan, often a transvaginal ultrasound, involves a probe inserted into the vagina for detailed pelvic images. Whereas, the external scan is an abdominal ultrasound, where a transducer glides over the abdomen to visualise the baby and internal organs. Our specialists excel in both types of ultrasounds, providing thorough care and support throughout your pregnancy.

Scanning: While our specialists move the transducer, you may feel slight pressure, but it’s generally a painless process. Traditional 2D ultrasounds provide clear images of your baby’s structure, while advanced 3D and 4D technologies can offer more detailed views, such as facial features or specific organs.

Duration: A standard ultrasound typically lasts about 20 minutes. However, at London Pregnancy Clinic our scans, are more comprehensive and may take up to 30/45/60 minutes. Occasionally, obtaining clear ultrasound images can be challenging. Factors like the baby’s position, movement, body composition, or higher body weight might affect image clarity. However, this is usually no cause for concern. To enhance image quality, we might ask you to take a short walk. This can encourage the baby to shift position.

Results: At LPC we use Tricefy to share the images and reports with you. It’s important to note that ultrasounds are safe, with no known risks to either the baby or the mother. However, they are an important diagnostic tool, providing valuable information for any potential medical decisions.

What is an Ultrasound Probe

An ultrasound probe, or transducer, directly contacts your body during an ultrasound. It plays a crucial role in both sending and receiving sound waves to create clear images of your baby. Here are the key details you should know:

Piezoelectric Crystals Inside: These crystals change electrical energy into sound waves and back, enabling the probe to send and receive signals.

Varied Shapes and Sizes: Probes differ based on their use. They range in frequency and field of view. Lower frequencies (2.5-7.5 MHz) penetrate deeper, making them ideal for viewing internal structures. Higher frequencies (above 7.5 MHz) offer better resolution for closer, superficial areas.

Different Types for Different Uses: There are external, internal, and endoscopic probes. External ones glide over the skin, internal ones go inside body cavities, and endoscopic ones, attached to a tube, are inserted into the body for closer examination.

Handling with Care: Dropping or improper cleaning can damage probes. They require careful handling to maintain their precision and effectiveness.

In summary, ultrasound probes are essential for generating and receiving sound waves that provide us with valuable images of the internal body structures of your or your baby. Check out our YouTube video on ‘What are Ultrasound Probes‘.

NHS Ultrasound Scans

In England, the NHS provides crucial ultrasound scans during pregnancy at key stages. Hospitals in England offer at least two ultrasound scans, conducted by fetal medicine practitioners, which include the following:

12-Week Scan (Dating Scan): Offered between 11 and 14 weeks, this scan estimates your due date. It may include a nuchal translucency (NT) scan (this is an NHS scan not to be confused with our private Nuchal Scan), part of the combined screening test for Down’s syndrome (Trisomy 21). This screening includes a blood test and an ultrasound scan. The scan measures the fluid at the back of the baby’s neck, also known as nuchal translucency. However, unlike Non-Invasive Prenatal Testing (NIPT), it is not considered the most advanced and modern way to screen for Down’s and other chromosomal syndromes.
20-Week Screening Scan (NHS Anomaly Scan): Conducted between 18 and 21 weeks, this scan, also known as the anomaly or mid-pregnancy scan, checks for 11 physical conditions in the baby. These include Spina Bifida, Anencephaly, Cleft Lip, Diaphragmatic Hernia, Exomphalos, Serious Cardiac Abnormalities, Bilateral Renal Agenesis, Lethal Skeletal Dysplasia, Edwards’ Syndrome (Trisomy 18), Patau’s Syndrome (Trisomy 13), and Acrania.

LPC Ultrasound Scans

Following the essential scans offered by the NHS, the London Pregnancy Clinic presents a spectrum of specialised ultrasound scans for expectant mothers. While we endorse the significance of NHS scans, our clinic provides additional, detailed insights into your baby’s development. We are renowned for our proficiency in early anomaly detection but we offer an extensive scan list designed by Dr Fred Ushakov:

Viability Scan (6-9 week scan): First scan that can be done. Confirm pregnancy, check for heartbeat and check for vital signs of fetal development.
10 Weeks Scan and NIPT (10-11 week scan): In-depth screening for chromosomal and 10 main structural abnormalities.
Early Fetal Scan (12-16 weeks): Assess fetal growth and development before the NHS anomaly scan. Aims to exclude 100 anomalies.
Anomaly Scan (20-25 weeks): Works alongside the NHS anomaly scan for a more comprehensive analysis.
3rd Trimester Anomaly Scan (26-29 weeks): Detailed check on the baby’s growth in the later stages of pregnancy. Reassurance after your last NHS scan.
Wellbeing Scan (30-35 weeks): Monitors the overall health and wellbeing of the fetus.

Our clinic’s dedication to fetal medicine is evident in our use of the latest imaging technologies, including 2D, 3D, and 4D scans. These technologies allow us to screen various aspects of your baby’s growth and development, providing reassurance and a deeper connection with your baby throughout your pregnancy journey.

Ultrasound scans during pregnancy FAQs

Difference between internal and external ultrasound scans

Internal Scan (transvaginal scan) – involves inserting a specially designed probe into the vagina. Provides high-resolution images of the pelvic organs, including the uterus, ovaries, and in early pregnancy, the developing fetus. Commonly used in early pregnancy stages for clearer and more detailed images. In an abdominal ultrasound, a sonographer applies a water-soluble gel to your belly and uses a transducer to glide over the skin, sending sound waves that create images of the baby.

External Scan (abdominal scan) – this method involves moving a transducer over the abdomen’s surface. It captures images of internal organs, including the developing baby, placenta, and uterus during pregnancy. Used throughout pregnancy, especially in the second and third trimesters, to monitor the baby’s growth and development. In a transvaginal ultrasound, a longer and thinner transducer is gently inserted into the vagina to get closer to the uterus, offering detailed images, especially in early pregnancy.
How many ultrasound scans can I have during pregnancy?
During pregnancy, the number of ultrasound scans you can have varies:
- NHS Scans: Standard NHS care includes two scans. These check the baby’s size, detect abnormalities, determine the due date, and monitor growth.
- London Pregnancy Clinic Options: We offer additional scans for more comprehensive screening and reassurance:
  - Early Fetal Reassurance: Includes 2 early scans for early health screening.
  - NHS Complementing Scan: Features 3 scans alongside the standard NHS 12-week and 20-week scans.
  - Comprehensive Scan Package: Provides 6 scans, ideal for high-risk, IVF pregnancies, or those after a miscarriage.
While you can theoretically have as many scans as you wish, it’s about balancing the benefits with your time and energy. Our packages at London Pregnancy Clinic are designed to complement NHS care, providing peace of mind throughout your pregnancy journey.
Can an ultrasound scan harm me or my unborn baby?

Patients are often concerned about whether or not ultrasound scans harm the fetus during its development. Currently, there are no known side effects and it is widely accepted that ultrasound scans are a procedure safe for pregnancy. There are no known risks to the baby or the mother from having an ultrasound scan, but you must consider carefully whether to have the scan or not.
Why scan in early pregnancy?
We are specialists in early pregnancy scans. Undergoing an ultrasound scan early in pregnancy not only provides essential health information but also plays a vital role in future decision-making. If the scan reveals any anomalies or concerns, it can be a challenging time for you and your partner. Having this knowledge at an early stage allows you both more time to understand the situation, consider your options, and make informed decisions. It’s a process that requires care, support, and thoughtful consideration, and our team at the clinic is committed to providing compassionate guidance every step of the way. An ultrasound scan in early pregnancy is crucial for several reasons:
- Confirmation of Pregnancy: It confirms the existence of an intrauterine pregnancy, ensuring the pregnancy is developing in the right place.
- Establishing Gestational Age: It helps determine the gestational age of the fetus, which is key for calculating the estimated due date.
- Detection of Multiple Pregnancies: Ultrasound can reveal if you’re expecting twins, triplets, or more, which is important for managing a healthy pregnancy.
- Assessing Pregnancy Health: It checks the health of the pregnancy, including the heartbeat of the fetus, and can identify potential issues early on.
- Screening for Chromosomal Abnormalities: Early scans can be part of screening for chromosomal abnormalities like Down syndrome.
- Reassurance: An early scan provides reassurance, especially for those with a history of miscarriage, IVF, or fertility issues.
- Planning for Future Care: The information gathered assists healthcare providers in planning appropriate care throughout the pregnancy.
Why should I do a private ultrasound scan on top of my NHS scans?
Choosing to have a private ultrasound scan at the London Pregnancy Clinic, in addition to your NHS scans, offers several benefits that complement your comprehensive pregnancy care:
1. Early Reassurance: Our private scans can start as early as 10 weeks, providing early reassurance about the health and development of your baby. This early insight reduces the waiting time typically associated with NHS scans.
2. Comprehensive Anomaly Screening: We offer detailed and comprehensive screening for fetal anomalies. These in-depth scans supplement the standard NHS checks, offering a more thorough examination.
3. Post-20-Week Scans: After the standard 20-week NHS scan, our clinic provides additional scans to monitor your baby’s position, growth, and overall development. These scans can offer reassurance during the later stages of pregnancy.
4. Availability of NIPT: Non-Invasive Prenatal Testing (NIPT), a valuable screening for chromosomal abnormalities, is more readily available in our clinic. While the NHS offers NIPT under certain conditions, our clinic provides more accessible options for all expectant mothers.
5. Flexibility and Personalisation: Private scans offer increased flexibility with appointment scheduling, allowing you to choose the most convenient times and dates. This flexibility ensures that your appointments fit seamlessly into your lifestyle.
6. Comfortable and Personal Experience: We pride ourselves on creating a patient-centred experience, ensuring each visit is as comfortable and reassuring as possible.
It’s important to continue with your scheduled NHS scans for a complete overview of your pregnancy’s progress. Private scans at the London Pregnancy Clinic are designed to enhance and complement the care you receive through the NHS, offering additional peace of mind and a more tailored approach to your prenatal care journey.
How to prepare for a pregnancy scan?

Some people think it’s a silly question but we don’t think so! For us preparing for a pregnancy scan is as straightforward as:

Being Comfortable: Wear loose, comfortable clothing like a top with trousers or a skirt. This choice aids in easy access for abdominal scans and comfort during transvaginal scans. Avoid dresses for pelvic ultrasounds. Instead, choose separates that can be easily adjusted or removed as needed.

Bringing a Partner: You’re welcome to bring your partner for support during the scan.

Conclusion

Understanding the importance of ultrasound scans demystifies this crucial aspect of prenatal care. It’s more than just a medical procedure; it’s a journey of discovery and connection with your baby. For more information or to schedule your ultrasound, visit our scans page. Our team at London Pregnancy Clinic is here to guide and support you every step of the way, ensuring a healthy and joyful pregnancy experience.

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Minimalist flat design illustration of a 6-week fetus resembling a small tadpole next to a large yolk sac, representing an ultrasound image for a private early pregnancy scan at the specialist London Pregnancy Clinic, capturing the essence of a 6 weeks pregnant ultrasound.

Week 6 of Pregnancy

Written by London Pregnancy Clinic on 3. January 2024. Posted in Blog, early pregnancy scan, Obstetrics, Pregnancy Breakdown, Ultrasound. No Comments on Week 6 of Pregnancy

Week 6 of your Pregnancy

Discovering your baby’s progress since week 5

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Having progressed from the foundational moments of Week 5, Week 6 ushers in a new chapter of pregnancy. It’s a time when your little one, just past the size of an apple seed, shows the first signs of a heartbeat, symbolising vibrant growth and transformation. This period marks an exciting phase of development, building upon the crucial milestones of Week 5.

Welcome to Week 6 of your pregnancy journey, an exhilarating time filled with significant milestones. This week often marks the first opportunity for mothers-to-be to witness the wonders of their growing baby through early scans. As the heartbeat begins and the baby continues to develop, understanding the changes and knowing what to expect can provide comfort and excitement during this special time.

Key Concepts: fetal heartbeat

The First Beat: Around 6 weeks, your baby’s heart begins to beat with a rhythm that will continue to guide their growth throughout the pregnancy. This is a critical milestone in cardiac development, indicating healthy progression.

Observing the Heartbeat: During a 6 week ultrasound, often called a Viability/Dating Scan, you might be able to see the fetal heartbeat for the first time. It’s a profound moment for many parents, symbolising the new life growing inside.

Understanding the Rate: A fetal heartbeat at 6 weeks can range between 90-110 beats per minute and will increase in the coming weeks. This rapid rate supports the fetus’s growing need for oxygen and nutrients as development accelerates. The heart rate is a vital indicator of fetal health. A strong and clear heartbeat offers reassurance of the pregnancy’s viability and normal development.

Pregnancy Checklist at 6 Weeks

If you haven’t already, now is the time to schedule your first private early pregnancy scan. This will confirm the pregnancy’s viability and provide valuable information about the baby’s development. You can read more on what to expect during your ultrasound scan here.
Continue focusing on nutrition, especially foods rich in folic acid, iron, and calcium. Stay hydrated and get plenty of rest to support your body’s increased needs.
Be aware of common symptoms such as morning sickness, fatigue, and breast tenderness. Find strategies that help manage these symptoms, whether it’s through dietary changes, rest, or gentle exercise.
As your body continues to change, consider comfortable clothing options and start planning for future needs. Also, begin to think about discussing your pregnancy with your employer to understand any potential work adjustments or benefits. Sharing your news will come naturally when you’re ready, but taking care of yourself and planning ahead? Now that’s just blooming smart!

Developmental Milestones: Week 6

As you enter Week 6, your baby is rapidly growing and developing. Here are some of the key milestones:

Embryonic Growth: The baby, now about the size of a sweet pea, is growing quickly. The length may be around a quarter of an inch or 3-4mm. At this stage of pregnancy, the baby will continue to grow at a pace of 1mm a day. This is a critical period for organ formation. The brain, heart, and other vital organs begin to take shape and grow.

Yolk Sac Development: At 6 weeks of pregnancy, the yolk sac plays a pivotal role in the development of your baby. During this time, it’s normal for the yolk sac to be slightly larger than the fetus. Typically, it continues to grow, usually in a linear fashion until around 10 weeks of gestation. It’s responsible for providing nutrients to the developing fetus and assisting in blood cell formation until the placenta is fully developed and ready to take over this role.

Heart Development: One of the most monumental moments in early pregnancy occurs — the detection of the fetal heartbeat. While it might still be early, and not all scans will reveal a heartbeat at this stage, many parents can witness the rhythmic flickering of their baby’s tiny heart on the ultrasound screen.

Baby Features Development: Tiny indentations where the eyes will develop and small buds that will grow into ears start forming, laying the foundation for your baby’s face. Likewise, limb buds begin to emerge, signaling the future development of arms and legs. These developments are subtle yet signify a period of rapid and complex growth as the basic structures and organ systems start forming.

What is seen on the Ultrasound: Week 6?

As you progress into Week 6 of your pregnancy, the ultrasound experience evolves, bringing new developments into view. Building upon the foundational observations of Week 5, the Week 6 ultrasound typically offers a more detailed glimpse into your baby’s development.

The gestational sac continues to house and protect your developing baby and its increased size from the previous week is a positive indication of ongoing growth and development. Moreover, the yolk sac will still be visible and may have increased in size, mirroring the embryo’s growth. It continues to perform its vital role until the placenta is ready to take over.

One of the most significant and emotional moments that happens when you are doing the 6 weeks pregnant ultrasound is the detection of the heartbeat. Unlike Week 5, where the embryo and its heartbeat are usually not yet visible, the viability scan often provides the first visual confirmation of the baby’s heartbeat. This is seen as a rhythmic flickering on the ultrasound screen.

In addition to the heartbeat, you might also start to see the fetal pole, which represents the early development of your baby. The fetal pole often referred to interchangeably with “embryo” in early pregnancy. Visible as a small structure near the yolk sac during an ultrasound, the fetal pole’s presence and size provide important information about the pregnancy’s progress.

Gestational sac and yolk sac at 5 weeks of pregnancy as seen on ultrasound scan.
Gestational sac, fetal pole and yolk sac at 6 weeks of pregnancy as seen on ultrasound scan.

Thinking ahead: Week 7?

Looking ahead to Week 7, anticipate more pronounced development in your baby’s structure and form. This week, the embryo continues to grow and refine its features, including the brain and facial characteristics. Your body will also adapt further to pregnancy, with symptoms evolving and deepening. As you prepare for this next stage, consider discussing upcoming screenings (we offer free counselling during our Viability Scan for NIPT) and nutritional adjustments with your healthcare provider to support this critical growth phase.

Week 6 of Pregnancy FAQs

Is no heartbeat at 6 weeks normal?

At 6 weeks, not detecting a heartbeat can be quite common, often due to the limitations of ultrasound technology. At London Pregnancy Clinic, we utilise the latest technology to enhance detection rates. Sometimes, a lack of heartbeat might simply indicate an early scan, possibly within the 5th week of pregnancy rather than the 6th. Early pregnancy ultrasounds might not be sensitive enough to pick up the heartbeat of a very small embryo. In such early stages, a transvaginal ultrasound, being more sensitive than a transabdominal one, is usually preferred. Typically, cardiac tissue begins to pulse at around 5–6 weeks of pregnancy, appearing as a heartbeat on the ultrasound, even though the heart itself is not fully formed.
Why is there bleeding at 6 weeks of pregnancy?

Experiencing light bleeding or ‘spotting’ at 6 weeks of pregnancy can be quite normal. This is often just implantation bleeding, occurring as the embryo embeds itself in the womb lining, typically around the time your period would have been due. Changes to the cervix due to pregnancy hormones might also lead to light bleeding, particularly after intercourse.

However, it’s crucial to distinguish between harmless spotting and more severe conditions like miscarriage or ectopic pregnancy, which require immediate medical attention. If you’re experiencing severe symptoms, contact your nearest A&E. Remember, while light spotting can be part of a normal pregnancy, always consult with your healthcare provider for any concerns.
At 6 weeks pregnant where is the baby located?

During week 6 of pregnancy, an ultrasound scan will typically show the gestational sac, yolk sac, fetal pole, and perhaps the heartbeat – these will all be part of your 6 week scan photos. Physically, your 6-week pregnant bump might not be noticeable to others, but you might start feeling some changes like cramping and bloating, making your belly feel a bit larger.
What does 6 weeks pregnant look like?

Your little one is in the early stages of development, assuming the classic fetal position, curled up with leg buds folded inward. Looking somewhat like a tiny tadpole, complete with a small tail, the fetus is nestled securely in the uterus, not ready to move any time soon.
What to do when you’re 6 weeks pregnant?

When you’re 6 weeks pregnant, focus on nutrition that’s rich in calcium, iron, and folate. Include foods like dairy, dark leafy greens, fortified cereals, and beans in your diet. Steer clear of potential hazards like raw meats, deli meats, raw seafood, and raw eggs. If you’re experiencing light bleeding or discomfort, consider booking a viability scan from around 6 weeks to check for any issues and confirm the ongoing health of your pregnancy. The ideal time for this scan is at 7 weeks, but earlier scans might be necessary for some women to ensure everything is progressing as it should.

Conclusion

As you prepare for your first private early pregnancy ultrasound, remember that seeing your baby’s heartbeat for the first time is a special milestone — one of many you’ll experience in your journey through pregnancy. It’s a time of celebration and joy, as well as a reminder of the incredible journey that lies ahead. To calculate when the best time for your scan use our pregnancy calculator.

Stay tuned on what your baby’s week-by-week growth will look like on our blog.

Week 5 of
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Graphic of Early Fetal Anomaly Scan. An illustration of a mother thinking about the normal development of her baby's brain.

Early Fetal Scan Explained

Written by London Pregnancy Clinic on 19. December 2023. Posted in Blog, Scans, Ultrasound. No Comments on Early Fetal Scan Explained

Early Fetal Scan Explained

Miss Shaz Khojasteh on why scanning at 12-16 weeks is important for Mothers.

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The early stages of pregnancy are a time of wonder and crucial development. At London Pregnancy Clinic, we offer a thorough Early Fetal Scan to nurture early prenatal care and provide expectant parents with detailed insights into their baby’s early development.

When I joined the London Pregnancy Clinic, the importance of the Early Fetal Scan became vividly clear through experiences with expectant parents. This critical scan, offering a glimpse of their baby’s developing heartbeat and form, goes beyond just a medical check-up; it’s an early, reassuring window into the baby’s well-being and a vital tool for detecting potential anomalies. At the clinic, we do more than just scans; we provide a journey of reassurance, care, and emotional support, making each early pregnancy scan a crucial, heartwarming step in the beautiful journey of parenthood.

The Basics of Early Fetal Scan

Performed between the crucial 12-16 week mark, the Early Fetal Scan is an essential part of your prenatal care regimen. It provides a detailed look at your baby’s development, including their physical structure, heart rate, and movement. This scan also assesses the health of the placenta, which is vital for your baby’s nourishment and growth.

Importance of Early Fetal Scan

Early Detection of Anomalies: This scan plays a critical role in the early detection of over 100 different structural abnormalities. These include severe heart defects, early brain anomalies, spina bifida, lethal skeletal dysplasias, and other serious structural conditions. The scan even has the precision to detect minute details such as missing fingers, providing a comprehensive view of the baby’s development.

Beyond Structural Analysis: While this scan is adept at identifying structural abnormalities, it’s important to note that ultrasound alone cannot detect chromosomal conditions. A baby may appear structurally normal but still have chromosomal defects like Down’s syndrome (Trisomy 21). If you haven’t already done this with an earlier pregnancy scan like our 10 Week Scan, we strongly recommend doing a non-invasive prenatal test (NIPT). Complementing our 12-16 week pregnancy scan with NIPT will help identify such chromosomal syndromes and is currently the best screening option available and it is part of our signature Ultrasound plus NIPT Dual Approach.

12-16 week Ultrasound Images of the baby

Here are some of the pictures you can get of your baby at 12 to 16 weeks of pregnancy using our state-of-the-art Voluson ultrasound machine.

13 weeks of pregnancy

Captured via ultrasound at 13 weeks, this image showcases the incredible clarity of our scanning technology, revealing even the tiny fingers of the baby in amazing detail.
14 weeks of pregnancy

3D ultrasound image of a 14-week-old fetus, showcasing clear features and a serene pose often described by patients as the ‘sucking of the thumb in the womb’.

Your Experience with Early Fetal Scans

We achieve the best results by combining external (transabdominal) and optional internal (transvaginal) scans, adapting to factors like womb position, fetal position, and maternal abdominal wall thickness. While our high-resolution transducers often suffice with transabdominal scans, around 10% of women with a retroflexed uterus may benefit more from a transvaginal scan. We ensure you’re fully informed and comfortable with your scanning choices. You can read more about what to expect during a pregnancy scan here.

Your frequently asked questions about Early Fetal Scan:

When should I do this early pregnancy scan?

Schedule Scan at 14-16 Weeks: Post 10 Week Scan and NIPT for a detailed anomaly check, as the baby’s advanced development at this stage allows for more comprehensive screening.

Early Scan at 12-13 Weeks for First-Time Checks: If no early anomaly scan was performed by 10 weeks, opt for this ultrasound scan combined with NIPT for effective Down’s syndrome screening.

Address Unclear NHS 12 week scan Findings with Echocardiography: For inconclusive first trimester results, like increased NT, our Early Baby Heart Scan provides an in-depth heart evaluation and a thorough early baby scan.

Can an early fetal scan detect all fetal anomalies? While no single test can diagnose all fetal anomalies, our early baby scan at London Pregnancy Clinic identifies many, particularly severe abnormalities that might lead to disability or require early intervention. However, certain anomalies, especially those affecting late brain or heart development, may not be detectable at 12-13 weeks. We recommend follow-up scans at 20-22 weeks and 28-29 weeks for comprehensive monitoring, alongside maintaining your NHS scan schedule, to ensure the best care for your pregnancy

London Pregnancy Clinic Scan Overview

London Pregnancy Clinic Scan Overview
Why we need 12 to 16 week private pregnancy scan?

Why we need 12 to 16 week private pregnancy scan?
What is Early Fetal Scan?

What is Early Fetal Scan?
Why do Early Fetal Scan?

Why do Early Fetal Scan?
Best time for EF Scan?

Best time for EF Scan?
Get in touch

Get in touch

Conclusion

The Early Fetal Scan is a pivotal part of your pregnancy journey, offering invaluable insights for peace of mind and informed decision-making. At London Pregnancy Clinic, we’re committed to providing detailed, compassionate care during this vital phase of your pregnancy.

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An illustration for a blog post about a London Pregnancy Clinic event, depicting a serene winter scene with a doctor holding a snowflake wand beside a giant, glowing snow globe. Inside the globe, a peaceful foetus is curled up, akin to a budding flower on a tree branch, symbolising the clinic's nurturing approach to prenatal care.

Innovations in Pregnancy Care

Written by London Pregnancy Clinic on 14. December 2023. Posted in Blog, Fertility, Ultrasound. No Comments on Innovations in Pregnancy Care

Innovations in Pregnancy Care

An evening dedicated to LPC’s commitment towards “Innovative Pregnancy Care”

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London Pregnancy Clinic’s recent “Innovative Pregnancy Care” event was a confluence of expertise and insight, shaping the future of prenatal care. Leading professionals gathered to discuss breakthroughs in early diagnostics and patient education, emphasising LPC’s forward-thinking approach.

A December evening at Spitalfields Market was transformed into a hub of medical expertise during the London Pregnancy Clinic’s event. The focus was on pioneering approaches in prenatal care, particularly the 10 Week Scan, Non-invasive prenatal testing (NIPT), and pre-eclampsia diagnosis.

Advancing the 10 Week Scan

The evening began with Ms. Shaz Khojasteh, LPC’s clinical lead, greeting each attendee with a warmth that matched her expertise. Her introduction was not just an opening speech but a heartfelt welcome to LPC’s family. She shared with the audience our signature 10 Week Scan, which isn’t just a routine check. It’s a comprehensive examination of the baby’s anatomy, providing vital developmental insights at a crucial early stage, thereby enriching the information gathered before conducting NIPT.

Demystifying NIPT – Dr Fred Ushakov’s Perspective

The spotlight then shifted to Dr. Fred Ushakov, whose speech was not only insightful but also visionary. He spoke passionately about his mission, in collaboration with the London School of Ultrasound and UCLH, to train the next generation of doctors and sonographers. His goal is to equip them with the skills and knowledge necessary to leverage early pregnancy scans to their full potential, enhancing patient care and pregnancy outcomes. This mission, he explained, is vital in ensuring that every pregnancy is approached with the utmost care and precision.

Dr Ushakov then addressed a common misunderstanding about NIPT. He emphasised that while NIPT is effective, it’s not all-encompassing. Patients may misinterpret it as a guarantee against all prenatal issues, not realising that conditions more severe than Down’s syndrome can occur and cannot be detected by NIPT. He further highlighted the importance of the dual approach (watch the explainer video here) that he instilled at LPC. Dr. Ushakov’s call for broader education and comprehensive scanning techniques underscored the need for a more informed approach to prenatal care.

Advocacy for Pre-eclampsia Awareness

Next, we were captivated by Dr. Daniel Stott, whose talk about pre-eclampsia was as enlightening as it was heartfelt. It was clear from his words and the energy in his voice just how dedicated he is to this topic. Dr. Stott walked us through the workings of a groundbreaking blood test for pre-eclampsia. With an approachable manner, he explained how this test isn’t just for identifying pre-eclampsia; it’s a crucial tool in carefully guiding expectant mothers through the rest of their pregnancy.

Conclusion

As the expert talks wrapped up, the event naturally transitioned into festive networking. It was a perfect opportunity for attendees to connect, exchange experiences, and build professional ties in a holiday atmosphere. The evening emerged as a crucible of innovative ideas and shared goals for advancing prenatal care. Leaving the market, we carried with us the night’s insights and a renewed hope for the future of prenatal health. The event proved to be not just a confluence of minds but a beacon of hope for prenatal care’s future.

A special thank you to our sponsors Eurofins.

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Week 5 of Pregnancy

Written by London Pregnancy Clinic on 7. December 2023. Posted in Blog, Fertility, Obstetrics, Pregnancy Breakdown, Ultrasound. No Comments on Week 5 of Pregnancy

Week 5 of your Pregnancy

Discovering your baby’s progress since week 4

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Having journeyed through the early whispers of Week 4, we now step into the heart of your pregnancy story: Week 5. It’s a chapter filled with vibrant growth and transformation. Imagine your little one, still as tiny as an apple seed, beginning a significant journey into the embryonic period.

Week 5 of pregnancy, it’s all about growth and transformation. Your little one is busy developing, cell by cell, quickly growing from the size of a poppy seed in week 4 (watch video here) to an apple seed. We’ll explore these changes together, learn how to take care of yourself during this time and get a peek into your baby’s development with early ultrasounds. So, let’s dive into Week 5, where every day brings something new and amazing in your pregnancy journey. So let’s navigate the changes unfolding, how to care for yourself, and what to expect from medical check-ups.

Key Concepts: embryonic period

During Week 5 of your pregnancy, a crucial phase begins as your baby, the size of an apple seed, enters the embryonic period. This week marks the foundation for major organs and systems. Hormonal changes, especially increases in progesterone and human chorionic gonadotropin (hCG), are vital in supporting this stage. These hormones maintain the uterine lining and ensure the continuation of progesterone production, crucial for pregnancy health. As a result, you might notice early symptoms like fatigue and nausea. Understanding these changes is key to navigating the early stages of your pregnancy journey.

Pregnancy Checklist at 5 Weeks

While it’s still early in your pregnancy, there are some important steps you can take:

Confirm your pregnancy with a test if you haven’t already.
Schedule your first prenatal appointment to discuss your health and pregnancy. At London Pregnancy Clinic it’s called the Viability/Dating Scan. Use our pregnancy calculator to work out the best time for your scan.
Begin focusing on a pregnancy-safe diet and lifestyle, emphasising foods rich in folic acid and essential nutrients.

Developmental Milestones: Week 5

Growth of the Gestational Sac: This week, the gestational sac, housing your developing baby, continues to grow. It’s a clear sign of your pregnancy’s progression, providing a protective and nourishing environment for the embryo.

Yolk Sac Development: The yolk sac plays a crucial role at this stage, providing essential nutrients before the placenta is fully operational. It also contributes to the early stages of the circulatory system by producing blood cells, supporting the developing embryo’s needs. This process is essential for supporting the growing needs of your embryo and is closely tied to the growth of the gestational sac.

Heart Development: Now your baby’s heart begins its incredible journey. Initially emerging as a simple tube-like structure, it’s preparing to pulsate and evolve into a sophisticated four-chambered heart in the coming weeks. Although it’s not beating just yet, this early stage sets the stage for one of life’s most vital rhythms.

Brain and Spinal Cord Formation: Alongside the heart, the neural tube, which will become the brain and spinal cord, starts to take shape. This tube forms the bedrock of the entire nervous system, integral for everything from physical movements to cognitive functions. It’s a complex process that lays the foundation for your baby’s future mental and physical capabilities.

Emergence of Other Organs: Week 5 also marks the beginning of other organ formations. Organs like the kidneys and liver start to form, albeit in their very preliminary stages much like the heart.

What is seen on the Ultrasound: Week 5?

During the Week 5 ultrasound, expect to see the gestational sac (which has dramatically increased in size since Week 4), the first structure visible on an ultrasound, indicating your pregnancy is progressing well. This small, fluid-filled sac is where your baby will develop. Inside it, the yolk sac may also be visible, which is crucial for providing nutrients to the developing embryo and for blood cell production in these early stages. However, it’s important to remember that at this stage, the embryo itself and its heartbeat are usually not yet detectable.

It’s common not to see the embryo or hear a heartbeat during a Week 5 ultrasound. The embryo is still very small, and the heartbeat typically becomes detectable around the 6th or 7th week of pregnancy. While we know it’s tempting to have an early ultrasound, we at London Pregnancy Clinic recommend waiting until at least week 6 for your first scan. This crucial ultrasound provides a tangible glimpse into your pregnancy, offering reassurance and joy as you embark on this extraordinary journey.

Gestational sac at 4 weeks of pregnancy as seen on ultrasound scan.
Gestational sac and yolk sac at 5 weeks of pregnancy as seen on ultrasound scan.

Thinking ahead: Week 6?

Looking forward to Week 6, expect continued development of your baby’s facial features. You may also start experiencing more pronounced pregnancy symptoms like nausea and fatigue. It’s a time to start preparing both mentally and physically for these changes.

Week 5 of Pregnancy FAQs

How common is it for my baby to have a heartbeat at 5 weeks?
Your baby is an embryo (not a fetus just yet) and can have a heartbeat at 5 weeks of pregnancy, but it is not very common. The fetal heartbeat usually starts to beat between 5 and 6 weeks gestation, and it may be detectable via ultrasound around this time.

Here are some reasons why the heartbeat might not be detected on an ultrasound at 5 weeks:
- The embryo is too small.
- The heartbeat is too faint.
What if there is no yolk sac at 5 weeks?

Patients have asked us why is there no sac seen when 5 weeks pregnant. The yolk sac is usually visible on an ultrasound between 5 and 6 weeks gestation. If there is no yolk sac visible on an ultrasound at 5 weeks, it could be a sign of a miscarriage.

However, it could be a sign that the estimated gestational age is wrong. This could happen if your last menstrual period was inaccurate or if you were ovulating later than you thought.

In this case, we may recommend a follow-up ultrasound in a week or two to see if the yolk sac has developed.

Conclusion

Week 5 of your pregnancy is a time of rapid and incredible changes. While you might start feeling different physically and emotionally, remember, these are signs of your baby’s healthy development. Stay informed, take care of yourself, and prepare for the exciting journey ahead. If you have any concerns, our team at London Pregnancy Clinic is always here to guide you.

Stay tuned on what your baby’s week-by-week growth will look like on our blog.

Week 4 of
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Meet Diane Nzelu, our prenatal expert, committed to providing expectant mothers with exceptional care, tailored scans, and informed counselling for a healthy pregnancy journey.

Diane Nzelu Prenatal Expert

Written by London Pregnancy Clinic on 27. November 2023. Posted in Blog, Obstetrics, Ultrasound. No Comments on Diane Nzelu Prenatal Expert

Welcoming Ms Diane Nzelu

Our newest Expert Team member at London Pregnancy Clinic

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Discover the newest addition to our London Pregnancy Clinic team, Ms Diane Nzelu: Prenatal Expert. Learn about her expertise in prenatal care and how she’s set to enhance your pregnancy journey with compassionate, professional support.

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“I’m absolutely delighted to join the London Pregnancy Clinic team. It’s a real honour to continue working alongside Dr. Daniel Stott and Dr. Fred Ushakov, my esteemed colleagues from UCLH. I’m eager to bring my passion and expertise to the clinic, ensuring every mother-to-be receives the finest prenatal care.”

– Ms Diane Nzelu

At London Pregnancy Clinic, we’re thrilled to welcome Ms Diane Nzelu, a seasoned expert in prenatal care. Diane joins our team with a remarkable 13 years of expertise in fetal medicine. Her experience spans across extensive fetal scanning and handling medically intricate pregnancies. She’s always prioritised bespoke care, ensuring her advice and support are tailored to each expectant mother, actively involving them in their care journey.

Her academic pursuits are notable, with a keen focus on researching pregnancy-induced hypertension. This has led to numerous published works and presentations at both national and international fora. Beyond her UK-based work, Diane is actively engaged in global health projects, dedicated to advancing maternal health in various parts of the world.

Meet Ms Diane Nzelu: A Passion for Prenatal Care

Joining us with a wealth of knowledge and years of experience, Diane Nzelu: Prenatal Expert. She is a highly qualified prenatal specialist and her background in providing comprehensive care during pregnancy sets her apart. Diane’s passion for prenatal care stems from a deep commitment to ensuring the well-being of both mother and baby during this crucial time.

Enhancing Your Pregnancy Journey

Diane’s approach to prenatal care is both personal and professional. She understands that each pregnancy is unique and offers tailored advice and support to meet your individual needs. Whether it’s your first pregnancy or you’re adding to your family, Diane’s guidance will be invaluable in helping you navigate this special time with confidence and peace of mind.

A Commitment to Compassionate Care

At the heart of Diane’s practice is a strong commitment to compassionate care. She believes in creating a supportive and understanding environment for all her patients, ensuring that they feel heard, respected, and well cared for. Her empathetic approach not only enhances the quality of care but also strengthens the trust and relationship between practitioner and patient.

Conclusion

Join us in welcoming Diane Nzelu, Prenatal Expert, to our exceptional team at London Pregnancy Clinic. Ms. Nzelu brings a wealth of expertise and a heartfelt commitment to providing the best prenatal care. Whether you’re seeking a comprehensive 3rd Trimester Anomaly Scan, a detailed Week 20-25 Anomaly Scan, or a reassuring Wellbeing Scan, Diane is here to guide you with professional care and support. Don’t miss the opportunity to experience her unique approach to prenatal health. Schedule your appointment with Diane Nzelu today and embark on a pregnancy journey that’s not only medically sound but also emotionally supportive and enriching.

Publications

(1) “Validation of the BPro radial pulse waveform acquisition device in pregnancy and gestational hypertensive disorders” – Jakes, A., Wade, J., Vowles, Z., Seed, P. T., Shennan, A. H., Chappell, L. C. & Nzelu, D., 14 Jun 2021, (E-pub ahead of print) In: BLOOD PRESSURE MONITORING. p. 380-384 5 p.

(2) Chronic hypertension: first-trimester blood pressure control and likelihood of severe hypertension, preeclampsia and small for gestational age – Nzelu, D., Dumitrascu-Biris, D., Nicolaides, K. H. & kametas, N. A., 2 Jan 2018, (E-pub ahead of print) In: American Journal of Obstetrics and Gynecology.

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Graphic of Follicle Tracking Scan. An illustration of an egg in the uterus with sperm coming towards it.

Follicle Tracking Scan Explained

Written by London Pregnancy Clinic on 24. November 2023. Posted in Blog, Fertility, Ultrasound. No Comments on Follicle Tracking Scan Explained

Follicle tracking scan explained

Miss Shaz Khojasteh Explains Essential Insights for Expectant Mothers.

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Embark on a journey of understanding with our focused insight into Follicle Tracking Scans. This blog post explores three frequently asked questions, shedding light on the significance, process, and benefits of Follicle Tracking Scans. Ideal for expectant mothers seeking early reassurance in their pregnancy, these insights aim to demystify the process and enhance your prenatal experience. Join us as we delve into the world of Follicle Tracking Scans, explained by Shaz.

Pregnancy is a time of joy and anticipation, but it also brings a plethora of questions and concerns, especially for first-time mothers. A key component of early pregnancy monitoring is the follicle tracking scan. In this blog, we explain follicle tracking scans, addressing three common questions to help expectant mothers gain clarity and confidence in their early prenatal journey.

The Basics of Follicle Tracking

Follicle tracking scans are a type of ultrasound scan used primarily in the early stages of pregnancy and fertility treatments. These scans monitor the development of ovarian follicles, which are small sacs containing eggs. Understanding follicle development is crucial for determining the best time for conception and ensuring the health of the pregnancy in its initial stages.

Importance of Follicle Tracking in Early Pregnancy

Follicle tracking is essential for those undergoing fertility treatments or trying to conceive naturally. It helps in pinpointing the ovulation period, ensuring that the timing for conception is optimal. For early pregnancy, it reassures the health and development of the embryo, offering peace of mind to expectant mothers.

Your Experience with Follicle Tracking Scans

During a follicle tracking scan, you can expect a non-invasive and painless experience. The procedure involves an ultrasound, where a small probe is used to visualise the ovaries and the developing follicles. The scan provides real-time images, allowing the healthcare professional to assess and monitor follicle growth and health. You will be asked to use our facilities and have an empty bladder for your transvaginal ultrasound scan. During your appointment, you will be provided with a skirt cover to change into. There will be a private and separate area for you to get changed. If you have specific requirements, please ask, and our team will do their best to accommodate.

Your frequently asked questions about Follicle Tracking Scan:

What is a Follicle? A follicle is a small, fluid-filled sac located in the ovaries of the female. It plays a critical role in female fertility and the reproductive process. Each follicle contains an immature egg, or oocyte, which matures within the follicle.

Is the Follicle Tracking Scan painful? The procedure involves a qualified sonographer gently inserting a slender transvaginal ultrasound probe to obtain clear images of your ovaries. While some women might feel a slight sensation of pressure or mild discomfort, it is generally not painful.

Occasionally, mild cramping or a sense of discomfort may occur during the scan, often related to having a full bladder. This is because the bladder, when full, may exert pressure on the uterus. Rest assured, any discomfort is usually brief and tends to ease off promptly after the completion of the scan.

What affects the number of follicles? The number of ovarian follicles in women is influenced by genetics, age, medical conditions, and lifestyle factors. Genetics play a key role, as women are born with a finite number of follicles that diminish over time. Age further reduces this number, especially after the mid-30s. Medical conditions like PCOS can alter follicle count, often increasing it, which impacts ovulation and fertility. Additionally, lifestyle choices such as smoking and obesity, along with environmental toxin exposure, can negatively affect follicle numbers, potentially leading to decreased ovarian reserves and earlier menopause.

London Pregnancy Clinic Follicle Tracking Overview

London Pregnancy Clinic Follicle Tracking Overview
What is Follicle Tracking?

What is Follicle Tracking?
Follicle Tracking Details

Follicle Tracking Details
Best Time for Follicle Tracking

Best Time for Follicle Tracking
Purpose of Follicle Tracking

Purpose of Follicle Tracking
Next Steps After Follicle Tracking

Next Steps After Follicle Tracking
Specialist Sonographer

Specialist Sonographer

Conclusion

Understanding the role and process of Follicle Tracking Scans is a vital part of your pregnancy journey. These scans offer invaluable insights into the early stages of pregnancy, aiding in conception and providing reassurance. If you have more questions or need personalised advice, we invite you to contact the London Pregnancy Clinic for more information.

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Week 4 of Pregnancy

Written by London Pregnancy Clinic on 19. November 2023. Posted in Blog, Fertility, Obstetrics, Pregnancy Breakdown, Ultrasound. No Comments on Week 4 of Pregnancy

Week 4 of your Pregnancy

Your Baby’s Remarkable Beginning

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This blog post is part of a series that breaks down early pregnancy week by week. Today we will be talking about Week 4 of your pregnancy journey! Within this article, we’ll delve into the astonishing advancements occurring during this initial phase of pregnancy. Although your baby remains incredibly minuscule, measuring at no more than 1 millimeter (similar to a poppy seed), a realm of growth and transformation is already well underway.

Key Concepts: Gestational Weeks vs. Post-Conception Weeks

Understanding the difference between gestational weeks and post-conception weeks is crucial for accurately tracking the progress of your pregnancy.

Gestational Weeks: Gestational age refers to the age of the pregnancy and is measured from the first day of the mother’s last menstrual period (LMP). This is the standard method used by healthcare providers to track pregnancy. For example, at 4 weeks gestation, the embryo is about 2 weeks post-conception. Gestational age is crucial for determining the due date and monitoring the baby’s development.

Post-Conception Weeks: Post-conception age, also known as embryonic age, is measured from the time of conception. It provides a more precise timeline of the baby’s development. For instance, at 4 weeks post-conception, the embryo is undergoing significant developments, such as the formation of the placenta and the beginning of the amniotic sac.

Pregnancy Checklist at 4 Weeks

While it’s still early in your pregnancy, there are some important steps you can take:

During the initial 4 weeks of pregnancy, you may not experience noticeable symptoms. To verify your pregnancy, consider taking a pregnancy test.
Once you’ve confirmed your pregnancy you may think about your first prenatal visit with your doctor, even though it may not occur for another couple of weeks. With us, this would be our Viability/Dating Scan. During this visit, our specialists, like Miss Shaz Khojasteh, will check for single/multiple pregnancies, date the pregnancy and check the main structures of the gestational sac. We believe early pregnancy scans are essential for peace of mind and early reassurance for parents.
Focus on adopting healthy diet and lifestyle habits. Say goodbye to smoking and alcohol, opt for nutritious foods, and stay well-hydrated.
The NHS provides valuable recommendations for expectant mothers, including considering the importance of taking supplements during pregnancy. Additionally, it’s essential to recognise how emotional changes that often accompany pregnancy can impact your relationships.

Developmental Milestones: Week 4

By Week 4, your baby develops from being a single-cell zygote to a blastocyst. Rapid cell division shapes the future. At this stage, your embryo completes its journey from the fallopian tube to the uterus, burrowing into the uterine lining. Half becomes your future child, and the other forms the placenta—a vital nutrient carrier.

The amniotic sac, often called the “bag of waters,” forms around the embryo, along with the yolk sac, important for your baby’s digestive system.

Your embryo now consists of three unique cell layers:

The endoderm—nurturing your baby’s digestive system, liver, and lungs.
The mesoderm—laying the foundation for your baby’s heart, sex organs, bones, kidneys, and muscles.
The ectoderm—shaping your baby’s nervous system, hair, eyes, and outer skin layer.

What is seen on the Ultrasound: Week 4?

One of the common queries we receive at the London Pregnancy Clinic is whether having an ultrasound at 4 weeks gestation is a requirement. At this stage, around the fourth week of pregnancy, significant developments are occurring. The blastocyst is in the process of dividing into an embryo and placenta. However, it’s crucial to understand that an ultrasound of your uterus during this early stage will typically reveal what appears to be a minuscule dot known as the gestational sac, and it’s important to note that a heartbeat is not typically detectable at this early point of development. Detecting a more advanced pregnancy may require waiting until a later stage.

Thinking ahead: Week 5?

The next steps in your pregnancy journey involve preparing for your first ultrasound appointment. It’s completely normal to eagerly anticipate your first ultrasound, but it’s essential to be aware that at 4 and 5 weeks of gestation, the gestational sac is typically too small to be easily visible on the scan. For a clearer image of your pregnancy, it is generally advisable to wait until around 6 weeks or later, when the development progresses. However, it’s worth noting that in certain cases, skilled sonographers with extensive experience may be able to discern subtle indications of pregnancy by closely observing changes in the uterine lining. You can use our Pregnancy Calculator to work out your optimal scan date range by entering your Last Menstrual Period(LMP).

Week 4 of Pregnancy FAQS?

Is 4 weeks pregnant too early to test

At 4 weeks, it’s not too early to take a pregnancy test. Most home pregnancy tests are designed to be sensitive enough to detect the pregnancy hormone, human chorionic gonadotropin (hCG), in your urine by this time. This is typically around the time your period is due, which is when hCG levels are sufficiently high to indicate pregnancy.

While you can confirm pregnancy with a test and even start calculating your due date, it’s indeed too early for an ultrasound scan. At 4 weeks, the baby is very small, and significant developmental milestones like the heartbeat, which typically becomes detectable around 6 weeks of gestation, have not yet occurred. Therefore, while a home pregnancy test can provide early confirmation, an ultrasound scan at this stage wouldn’t offer much information. For more detailed and visual insights into your baby’s development, waiting until at least the 6th week or later is advisable when the heartbeat and other embryonic structures start to become visible.
What to do when you’re 4 weeks pregnant?
- Confirm Your Pregnancy: A home pregnancy test can confirm your suspicion of being pregnant. It’s best to take the test after you’ve missed your period for the most accurate result.
- Schedule a Doctor’s Appointment: Even though it’s early, getting in touch with a healthcare provider is a good idea. They can confirm your pregnancy through a blood test and start guiding you through prenatal care.
- Document Your Journey: Consider starting a pregnancy journal or diary to record your experiences, thoughts, and feelings. This can be a wonderful keepsake for the future.
- Rest and Relax: Early pregnancy can bring fatigue and other symptoms. Ensure you’re getting enough rest and practising stress-relief techniques.
What does 4 weeks pregnancy look like?

At 4 weeks of pregnancy, external changes to your body are typically minimal and not yet noticeable to others. However, internally, a remarkable series of events is unfolding. Your embryo, though only about the size of a poppy seed, is rapidly developing. This tiny cluster of cells is already beginning the incredible process of forming what will become vital organs and structures.

Conclusion

Week 4 of your pregnancy signifies the remarkable commencement of your baby’s journey. While ultrasound visuals may not reveal much at this early stage, rest assured that a realm of development is quietly unfolding within your body. Join us as we look forward to exploring the upcoming stages of your pregnancy journey, complete with the changes and milestones that await.

It’s crucial to remember that every pregnancy is unique. Therefore, we recommend consulting your healthcare provider for tailored guidance and attentive care during this special period. Our team is here to provide support throughout your exciting pregnancy journey!

Once again, heartfelt congratulations on your pregnancy. Stay tuned for further updates as we continue to monitor your baby’s week-by-week growth.

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Graphic of 10 week Scan. An illustration of a mother thinking about the normal development of her baby.

10 Week Pregnancy Scan Explained

Written by London Pregnancy Clinic on 8. November 2023. Posted in Blog, NIPT, Obstetrics, Ultrasound. No Comments on 10 Week Pregnancy Scan Explained

The 10-Week Scan

Answering your questions about the Earliest Anomaly Scan At 10 Weeks

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This blog post discusses the benefits of the 10-week scan, how it is done, and frequently asked questions. It also highlights that the 10-week scan is the best scan to combine with Non-invasive prenatal testing (NIPT), which is a blood test that can be done at 10 weeks to screen for common chromosomal abnormalities. At the London Pregnancy Clinic, We have a unique and individual approach in that we do not ‘leave any stone unturned’ – we provide the most comprehensive assessment of the development of your baby possible at each stage of pregnancy.

Understanding the 10-week Scan:

Typically, the 10-week scan is performed using either a transabdominal or transvaginal ultrasound. A skilled sonographer will place a transducer on your abdomen or within your vagina. This transducer emits sound waves into the uterus, bouncing off the fetus to create a real-time image on the ultrasound screen. The entire procedure generally lasts between 15 to 30 minutes.

Comprehensive Screening:

In the realm of prenatal care, knowledge is power. The 10-week pregnancy scan, often regarded as the earliest anomaly scan, holds a special place in the hearts of expecting parents. It’s an opportunity to unveil critical insights into your baby’s development, offering early detection of potential fetal anomalies and precise pregnancy dating. This pivotal examination, conducted through either a transabdominal or transvaginal ultrasound, is an indispensable tool in ensuring a smooth and informed journey towards parenthood.

Benefits of the 10-week Scan:

The advantages of the 10-week scan are numerous and profound:

Early Detection of Fetal Abnormalities: At the 10-week mark, this scan can identify up to 10 major fetal anomalies, providing parents with vital information to make informed choices about their pregnancy.

Accurate Pregnancy Dating: Precise dating of the pregnancy aids parents in planning for their baby’s arrival and arranging future prenatal appointments with confidence.

Reassurance for Parents: Pregnancy is a time of great joy but can also bring anxiety. The 10-week scan offers peace of mind, assuring parents that their pregnancy is progressing as expected.

Optimal Pairing with NIPT: When combined with NIPT, the 10-week scan offers the most accurate information on the baby’s health. NIPT, a blood test conducted at 10 weeks, screens for common chromosomal abnormalities, such as Down syndrome, trisomy 13, and trisomy 18, complementing the 10-week scan perfectly.

IS THE 10-WEEK SCAN FOR ME?

Many pregnant women in the UK are anxious about the health of their babies in the early weeks of pregnancy. This may be due to a number of factors, including:

Previous miscarriage
IVF pregnancy
Unintentional alcohol consumption
Missed doses of folic acid
Use of certain medications
Severe morning sickness
Bleeding
Unhealthy diet
Sudden loss of pregnancy symptoms

If you are concerned about any of these issues or others, our 10-week scan is the perfect solution for you. It is designed to provide early reassurance for expectant parents.

The 10-week scan is also ideal for any pregnant woman who wishes to have NIPT at the earliest possible stage. Many parents choose to screen for the risk of Down syndrome in the first trimester. This is now possible with a non-invasive blood test at 10 weeks. However, the majority of fetal abnormalities are structural (physical), and some of these may be more severe than Down syndrome.

Unfortunately, NIPT will miss all structural abnormalities. That is why we take the opportunity to conduct an early screening of the baby’s structures to rule out 10 major structural abnormalities before performing NIPT.

Should I Delay My NIPT until 12-14 Weeks, Post NHS NT Scan?

Opting to delay your NIPT until after your NHS (National Health Service) Nuchal Translucency (NT) scan at 12-14 weeks is an approach that is becoming increasingly outdated. We firmly believe that the most effective method is to perform both the dating scan at 10 weeks and the NIPT at 10-11 weeks. This approach offers several advantages, particularly regarding early testing.

Admittedly, some fetal structures and organs may not be fully visualized at the 10-week mark, and certain structural anomalies may remain undiagnosed due to the fetus’s ongoing development. However, the benefits of conducting both tests as early as technically feasible outweigh these limitations.

IVF pregnancy
Unintentional alcohol consumption
Missed doses of folic acid
Use of certain medications
Severe morning sickness
Bleeding
Unhealthy diet
Sudden loss of pregnancy symptoms

If you are concerned about any of these issues or others, our 10-week scan is the perfect solution for you. It is designed to provide early reassurance for expectant parents.

Your Frequently Asked Questions About 10-week Scan

Do I need a full bladder for the 10-week scan? No, a full bladder is not necessary for the 10-week scan.

What sets the 10-week scan apart from the nuchal translucency scan? In comparison to the nuchal translucency scan, the 10-week scan is more comprehensive. While both can measure the fluid at the back of the baby’s neck, the 10-week scan extends its scope to assess various aspects of the baby’s development, including the heart, brain, and spine.

Is the 10-week scan safe? Yes, the 10-week scan is a safe and well-established procedure. Ultrasound technology has been a trusted method for safely imaging babies in the womb for many years.

Conclusion

If you’re considering delaying your first scan or wish to explore further options, the London Pregnancy Clinic provides innovative Early Ultrasound Screenings. These include the Early Fetal Scan, conducted between 12 and 16 weeks, which can exclude more than one hundred serious anomalies. Moreover, our Early Fetal Echocardiography is designed to identify up to 80% of detectable severe fetal heart defects. We highly recommend this scan for all babies with increased nuchal translucency (NT) measurements, fetal anomalies, or other unusual findings detected at the 11-13 week scan.

In conclusion, the 10-week pregnancy scan is an essential early step in ensuring the health and well-being of your growing family. It empowers parents with valuable insights and peace of mind, setting the stage for a smooth journey into parenthood. And remember, at the London Pregnancy Clinic, we offer a range of pioneering early ultrasound screenings to cater to your specific needs, ensuring the best possible care for your precious one.

Book NIPT + Scan from £490

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Understanding NT’s 95th Percentile

Written by London Pregnancy Clinic on 31. October 2023. Posted in Blog, Nuchal Translucency (NT), Obstetrics, SMART TEST, Ultrasound. No Comments on Understanding NT’s 95th Percentile

Understanding NT’s 95th Percentile:

Nuchal Translucency (NT) Thickness Measurements in the 1st Trimester and What to Do if NT is Increased?

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Nuchal Translucency (NT), developed over 30 years ago in the early 1990s, remains a pivotal screening marker for evaluating early fetal well-being. Widely used, it screens for chromosomal and genetic conditions, as well as heart defects and other structural anomalies in the developing fetus. To get an understanding of NT’s 95th percentile we will discuss the importance of NT measurements, variations in cutoff values, and what to do if your baby’s NT measurement falls above the 95th centile but below the 3.5mm threshold.

The Significance of Nuchal Translucency Measurements:

NT refers to measuring the clear fluid space at the back of the baby’s neck during an ultrasound scan. According to NHS guidelines, it is measured between the 11th and 14th weeks of gestation. Presently, it is a cornerstone of the NHS Chromosomal Syndromes Screening Program conducted through Combined Screening Testing (CST). This program relies on the enduring significance of NT to assess the risk of chromosomal syndromes in the first trimester of pregnancy. Elevated NT measurements can indicate potential chromosomal abnormalities such as trisomy 21 (Down syndrome) and genetic conditions like Noonan syndrome, as well as heart defects and other structural anomalies. However, there is a significant level of uncertainty regarding what constitutes an abnormal NT measurement.

Variations in Cutoff Values:

One of the challenges with NT measurements is determining what constitutes an abnormal measurement. There is considerable variation in the cutoff values used by different research papers and guidelines. The majority of research studies and international society guidelines use the 95th centile as the threshold for abnormal NT measurements. This means that if your baby’s NT measurement falls below the 95th centile, it is considered normal. However, the NHS guidelines use a more conservative cutoff of 3.5mm. This 3.5mm cutoff is equivalent to the 99th percentile, representing a higher threshold for what is considered abnormal by NHS.

The Importance of Gestational Age:

It’s crucial to understand that the 95th centile for NT measurements varies with gestational age. Younger fetuses at 11 weeks tend to have naturally smaller NT measurements compared to those closer to 14 weeks. Therefore, determining whether your baby’s NT measurement is normal or not depends on both the absolute measurement and the gestational age.

Understanding NT’s 95th Percentile Measurements:

We understand that expectant parents might find it challenging to locate validated data concerning the 95th centile cutoff for their baby, as such data is not readily accessible online. To provide support, we have developed an NT thickness reference table based on highly esteemed international data from the study conducted by Wright et al in 2008¹. Additionally, we have cross-referenced data on normal NT measurements for the 10-11-week gestational period from Grande et al.’s publication in 2014², which closely aligns with Wright’s findings. Consequently, we have assembled a table that delineates the limit of an increased NT (95 centile) for each week from the 10th to the 14th week, utilising gestational age data recommended by the British Medical Ultrasound Society (2009)³.

Gestational Weeks 10+0 10+1 10+2 10+3 10+4 10+5 10+6 11+0 11+1 11+2 11+3 11+4 11+5 11+6 12+0 12+1 12+2 12+3 12+4 12+5 12+6 13+0 13+1 13+2 13+3 13+4 13+5 13+6 14+0 14+1

NT 95th centile mm 2.3 2.3 2.4 2.4 2.4 2.4 2.3 2.2 2.2 2.2 2.2 2.2 2.2 2.2 2.3 2.3 2.4 2.4 2.5 2.6 2.6 2.7 2.7 2.7 2.8 2.8 2.8 2.8 2.8 2.8

^{Our chart represents the distribution of increased NT measurements (> 95th centile) in relation to the gestational age. It’s important to note that, at every stage of gestation, normal NT measurements remain below 2.8 mm. Therefore, any NT measurement equal to or greater than 2.8 mm is considered elevated.}

What occurs when there is a significant elevation in NT measurements?

If NT thickness is 3.5mm or more (>99th centile) you will be referred to the fetal medicine unit (FMU) of your NHS hospital or FMU of a large regional NHS trust, where doctors will scan your baby to exclude structural anomalies associated with increased NT and offer further tests (CVS or NIPT). They will also offer fetal echocardiography at 16-20 weeks to exclude associated CHD.

What to Do if NT Measurement is Above the 95th Centile but Below 3.5mm (99th centile)?

The NHS adopts a conservative approach and does not acknowledge the 95th centile raised NT cutoff. Consequently, additional scans and tests are not scheduled for these babies before the routine 20-week anomaly scan conducted by the NHS. However, when the NT measurement surpasses the 95th percentile, it is advisable to proceed with further testing. In such instances, considering Non-invasive Prenatal Testing (NIPT) and an Early Fetal Anomaly Scan (Early Fetal Scan) are recommended.

SMART TEST – A Comprehensive Screening Option

For babies with elevated NT (between 95-99th centile), we have introduced the SMART TEST, which stands as the most advanced early reassurance package available. It comprises two expert early anomaly scans, Early Fetal Echocardiography, and the most comprehensive state-of-the-art NIPT panel. The SMART TEST can effectively rule out the majority of severe congenital heart defects (CHDs) and other structural anomalies associated with elevated NT, and reduce the probability of your baby being affected by chromosomal, genetic, or structural abnormalities.

While the SMART TEST is expensive, it is the most comprehensive early reassurance package available in the UK. For parents unable to afford the SMART TEST, there is a more affordable option of the Early Fetal Scan and an extended Panorama Test. The Early Fetal Scan screens for CHDs, but does not include a detailed examination of the fetal heart. You can further upgrade the scan and Panorama Test NIPT package to include eECHO.

If you have received concerning news about your baby’s increased nuchal translucency, we strongly recommend discussing the SMART TEST with one of our specialists.

Conclusion

Nuchal translucency measurements play a crucial role in assessing fetal well-being during the first trimester of pregnancy. Understanding the variations in cutoff values, gestational age, and available screening options is essential for making informed decisions if your baby’s NT measurement falls above the 95th centile but below the 3.5mm NHS threshold (99th centile). The SMART TEST, with its comprehensive NIPT panel and early fetal echocardiography, offers a valuable non-invasive screening option for parents seeking more information about their baby’s health. We are committed to offering you the best possible care, and you are always welcome to have a personal consultation with us to decide on the most suitable approach based on your individual circumstances.

Tag: ultrasound

Ultrasound scans during pregnancy

Discovering the importance of ultrasound scanning to demystify it.

The Role of Ultrasound in Pregnancy

What to Expect During an Ultrasound

What is an Ultrasound Probe

NHS Ultrasound Scans

LPC Ultrasound Scans

Ultrasound scans during pregnancy FAQs

Difference between internal and external ultrasound scans

How many ultrasound scans can I have during pregnancy?

Can an ultrasound scan harm me or my unborn baby?

Why scan in early pregnancy?

Why should I do a private ultrasound scan on top of my NHS scans?

How to prepare for a pregnancy scan?

Conclusion

Latest Stories

Week 6 of your Pregnancy

Discovering your baby’s progress since week 5

Key Concepts: fetal heartbeat

Pregnancy Checklist at 6 Weeks

Developmental Milestones: Week 6

What is seen on the Ultrasound: Week 6?

Thinking ahead: Week 7?

Week 6 of Pregnancy FAQs

Is no heartbeat at 6 weeks normal?

Why is there bleeding at 6 weeks of pregnancy?

At 6 weeks pregnant where is the baby located?

What does 6 weeks pregnant look like?

What to do when you’re 6 weeks pregnant?

Conclusion

Latest Stories

Early Fetal Scan Explained

Miss Shaz Khojasteh on why scanning at 12-16 weeks is important for Mothers.

The Basics of Early Fetal Scan

Importance of Early Fetal Scan

12-16 week Ultrasound Images of the baby

13 weeks of pregnancy

14 weeks of pregnancy

Your Experience with Early Fetal Scans

Your frequently asked questions about Early Fetal Scan:

London Pregnancy Clinic Scan Overview

Why we need 12 to 16 week private pregnancy scan?

What is Early Fetal Scan?

Why do Early Fetal Scan?

Best time for EF Scan?

Get in touch

Conclusion

Latest Stories

Innovations in Pregnancy Care

An evening dedicated to LPC’s commitment towards “Innovative Pregnancy Care”

Advancing the 10 Week Scan

Demystifying NIPT – Dr Fred Ushakov’s Perspective

Advocacy for Pre-eclampsia Awareness

Conclusion

Latest Stories

Week 5 of your Pregnancy

Discovering your baby’s progress since week 4

Key Concepts: embryonic period

Pregnancy Checklist at 5 Weeks

Developmental Milestones: Week 5

What is seen on the Ultrasound: Week 5?

Thinking ahead: Week 6?

Week 5 of Pregnancy FAQs

How common is it for my baby to have a heartbeat at 5 weeks?

What if there is no yolk sac at 5 weeks?

Conclusion

Latest Stories

Welcoming Ms Diane Nzelu

Our newest Expert Team member at London Pregnancy Clinic

Meet Ms Diane Nzelu: A Passion for Prenatal Care

Enhancing Your Pregnancy Journey

A Commitment to Compassionate Care

Conclusion

Publications

Latest Stories

Follicle tracking scan explained

Miss Shaz Khojasteh Explains Essential Insights for Expectant Mothers.

The Basics of Follicle Tracking

Importance of Follicle Tracking in Early Pregnancy