Pregnancy

Your pregnancy appointments and tests, by trimester

The check-ups, tests and scans of each trimester, in week order. Each one links to a plain guide and to its week.

Checked against ACOG, Group B Strep Support, MedlinePlus Genetics and 3 more · How we source

Your doctor or midwife sets your own schedule. This page shows the week each test or scan is scheduled around in our guides, and the source behind each line is listed at the end.

First trimester, weeks 1 to 13

  1. Week 4Choose an OB-GYN or antenatal care provider.
  2. Week 5Schedule first prenatal visit.
  3. Week 10What is NIPT (a blood test that screens your baby's DNA), and what can it tell me?NIPT is a blood test. It looks at tiny bits of your baby's DNA in your blood.
  4. Week 12What is the combined first-trimester screening test?The combined test is a blood test plus an ultrasound scan, done around the same time, to estimate the chance of Down's syndrome and similar conditions.
  5. Week 12What is the dating scan, my first pregnancy ultrasound?The dating scan uses sound waves (not X-rays) to check how many weeks pregnant you are.
  6. Week 12What is the haemoglobin (Hb) test, and what counts as anaemia in pregnancy?The Hb (haemoglobin) test checks the level of oxygen-carrying protein in your blood.
  7. Week 12What is the NT (nuchal translucency) scan?The NT scan checks the fluid at the back of your baby's neck, using ultrasound.

The tests and scans section of each week page:Week 8Week 9Week 10Week 11Week 12Week 13

Second trimester, weeks 14 to 27

  1. Week 14Plan second trimester checkups.
  2. Week 18What is the quad (quadruple) marker test?The quad marker test is a blood test that measures four substances to screen for Down's syndrome, Edwards' syndrome and neural tube defects.
  3. Week 18Week 20Week 24What tests and scans happen in the second trimester?In the second trimester, most people have the anomaly scan, a detailed check of your baby's body.
  4. Week 20What is the anomaly scan, and when does it happen?The anomaly scan is a detailed ultrasound. It checks your baby's body, organs and growth.
  5. Week 20What does the anomaly scan check for, condition by condition?The anomaly scan checks for a named list of conditions. In the NHS schedule, that's 11 of them.⁠
  6. Week 27Start third trimester checkup schedule.

The tests and scans section of each week page:Week 15Week 16Week 17Week 20Week 21Week 22Week 24Week 25Week 26

Third trimester, weeks 28 to 42

  1. Week 28Start bi-weekly checkups.
  2. Week 32Growth scan, if recommended by your doctor.
  3. Week 36Group B Strep (GBS): why does the US test for it and India/UK usually don't?GBS (Group B Strep) is a common germ. Carrying it usually causes you no symptoms.
  4. Week 38Continue weekly doctor visits.
  5. Week 41NST (Non-stress test) if recommended.

The tests and scans section of each week page:Week 28Week 29Week 30Week 36Week 37Week 38

Understanding tests and results

Related guides

Sources (15)
  1. 1. NHS (UK), Screening for Down's syndrome, Edwards' syndrome and Patau's syndromeOpen source
  2. 2. American College of Obstetricians and Gynecologists (ACOG), Prenatal Genetic Screening Tests (Patient FAQ)Open source
  3. 3. NHS (UK), Pregnancy ultrasound scansOpen source
  4. 4. American College of Obstetricians and Gynecologists (ACOG), Ultrasound Exams (Patient FAQ)Open source
  5. 5. World Health Organization (WHO), Maternal and fetal assessment update: imaging ultrasound before 24 weeks of pregnancy (2022)Open source
  6. 6. World Health Organization (WHO), Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity (VMNIS)Open source
  7. 7. Ministry of Health & Family Welfare, Govt of India (Anemia Mukt Bharat), Anemia Mukt Bharat Training ModuleOpen source
  8. 8. MedlinePlus Genetics (NIH/National Library of Medicine), Noninvasive prenatal testing (NIPT)Open source
  9. 9. NHS, Your antenatal appointmentsOpen source
  10. 10. NHS (UK), 20-week scanOpen source Back to text
  11. 11. Ministry of Health & Family Welfare, Govt of India (National Health Mission), Diagnosis & Management of Gestational Diabetes Mellitus — Technical and Operational Guidelines (2018)Open source
  12. 12. American College of Obstetricians and Gynecologists (ACOG), Group B Strep and Pregnancy (Patient FAQ)Open source
  13. 13. Group B Strep Support (charity summary of UK NICE guidance), Key points for health professionalsOpen source
  14. 14. ACOG, routine third-trimester ultrasound is not universalOpen source
  15. 15. ACOG, Practice Bulletin 146 (via AAFP summary)Open source