7 Weeks Pregnancy Ultrasound

What to Expect

Whether you’re just beginning your pregnancy journey or nearing the end, you’re probably very eager to see your baby. An ultrasound is always something most women look forward to because even though you can’t see much, it gives you a glimpse of your baby. Typically, the first ultrasound you’ll have is around 10 or 11 weeks, known as the dating ultrasound. However, in some cases, an ultrasound is performed as early as 7 weeks.

Viability Ultrasound

An ultrasound at 7 weeks is an early ultrasound known as a viability ultrasound. This ultrasound is not routine and is only performed if there is a medical indication for it or in some cases, upon your request. The viability ultrasound is done to confirm your pregnancy and is only covered by insurance if there is a medical necessity. If you really want this early ultrasound, you can also arrange it through us, but you’ll be responsible for the costs.

A Beating Heart?

A viability ultrasound can be performed starting from 6 weeks, but it’s better to wait until you’re 7 weeks pregnant. At that point, it’s possible to see the baby’s heartbeat. If the heartbeat isn’t visible on this ultrasound, it could mean that you’re not as far along in your pregnancy as expected, and the ultrasound will be repeated a week later. Unfortunately, it could also indicate that the heartbeat has already stopped, which would be considered a miscarriage.

Transvaginal Ultrasound

The 7-week ultrasound is almost always done transvaginally. The embryo is still too small to be seen with an external ultrasound. The viability ultrasound is performed to determine if the embryo has implanted properly and if it’s alive, meaning if the heartbeat is present.

Indications for a 7-Week Ultrasound

A 7-week ultrasound is typically performed only when there is a medical necessity. Reasons to have a viability ultrasound may include:

  • Vaginal bleeding in the early weeks of pregnancy
  • Severe abdominal pain
  • A history of previous miscarriage, ectopic pregnancy, or molar pregnancy
  • Symptoms suggestive of an ectopic pregnancy
  • Pregnancy following fertility treatments
  • A medical condition associated with an increased risk of miscarriage, such as diabetes

What Can You See Now?

The viability ultrasound is mainly meant to confirm the pregnancy and assess its overall health, at least as much as can be determined at 7 weeks. However, the embryo is still very small, and any potential abnormalities may not become visible until later ultrasounds. Nevertheless, it’s possible to see if the embryo has implanted properly and if there’s a heartbeat. You might also be able to discern the outline of a tiny head, but not much more. Your baby is only about 7 to 9 mm in size at this stage, roughly the size of a pea. If you want to learn more about your baby’s development from this point on, you can read our previous blogs where we discuss week-by-week development.

We’ll Handle It for You

If a 7-week ultrasound is necessary in your situation, we’ll make sure you can get one. We’ll document the medical indication for your insurance and schedule the ultrasound. If it’s urgent, we’ll also ensure it happens quickly. After the ultrasound, we’ll discuss the results with you so you’ll know exactly what was observed and what it means for your pregnancy.

Want to know more about ultrasounds during your pregnancy? Feel free to check our website or ask one of our midwives at our practice in Amsterdam-Zuid. We’re always here for you, and during a consultation, you can ask us any questions you may have.