All pregnant women should receive at least one ultrasound during pregnancy. An early ultrasound is often a routine part of prenatal care between 6 and 9 weeks of pregnancy, though it can happen anytime before week 14. But a first-trimester ultrasound isn’t standard practice because it’s still too early for your practitioner to see your baby in detail. Most practitioners wait until at least 6 weeks to perform the first pregnancy ultrasound. However, a gestational sac can be seen as early as 4 1/2 weeks after your last period, and a fetal heartbeat can be detected at 5 to 6 weeks (though that isn’t always the case). Midway through your pregnancy, between week 18 and week 22, a trained sonographer will perform a detailed anatomy scan called a level 2 ultrasound.

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