Early Pregnancy Scan (Dating & Viability) in Delhi
The first scan of the pregnancy — confirms a heartbeat, gives an accurate due date, and rules out an ectopic.
What early pregnancy scan involves
An early pregnancy scan is usually done between six and nine weeks, by the transvaginal route because the abdominal view at this stage is poor. It answers four questions: is the pregnancy inside the uterus, is there a heartbeat, how many are there, and how many weeks are you actually at.
The dating matters more than most people realise. Every later decision in the pregnancy — when the NT scan is due, whether the baby is growing on track, whether induction is needed — is measured against this date. A due date set by a crown-rump length at eight weeks is accurate to within three or four days; one calculated from a remembered period date often is not.
Who this is for
- Any positive pregnancy test, particularly after IVF or IUI
- Bleeding or pain in early pregnancy
- Previous ectopic pregnancy or miscarriage
- Uncertain dates, irregular cycles or no recollection of the last period
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Transvaginal scan
A thin probe gives a far clearer view at this gestation than an abdominal scan. It is quick and not painful.
Location and viability
We confirm the sac is inside the uterus and look for the fetal pole and heartbeat.
Dating
Crown-rump length sets the due date to within a few days.
Number and adnexa
Single or multiple, chorionicity if twins, and a look at the ovaries and tubes.
Your results, in writing
Whatever the outcome of early pregnancy scan, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: A due date that was ten days out
26, Saket · irregular cycles · first scan at 8 weeks
What she came in with
A positive test with cycles that ranged from 32 to 45 days. Her calculated due date from the last menstrual period placed her at nine weeks and five days.
What the workup showed
The transvaginal scan showed a single intrauterine sac with a fetal pole and a clear heartbeat, but a crown-rump length corresponding to eight weeks and two days — ten days behind the dates. She had ovulated late, which long cycles make likely.
What we did
The due date was reset to the scan measurement, which is accurate to within three to five days at this gestation. All subsequent scan timings were recalculated from the corrected date.
Outcome
The NT scan was booked in the correct window, the anomaly scan was done at the true 19 weeks, and growth was plotted against the right gestation. She laboured spontaneously at what was genuinely 40 weeks.
The point of this case
A due date ten days out does not sound serious until the baby is called growth-restricted at a gestation it has not reached, or induction is advised a week and a half early.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Performed by Dr. Tiwari herself, with findings explained during the scan
Transvaginal route used where it gives the better view, rather than defaulting to abdominal
Same-day written report
Strictly PC-PNDT compliant — no sex determination at any gestation
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about early pregnancy scan
Is a transvaginal scan safe in early pregnancy?
Yes. It uses the same ultrasound energy as an abdominal scan and does not touch the pregnancy. It does not cause miscarriage or bleeding.
What if there is no heartbeat at six weeks?
It is often simply too early, particularly if your cycles are long. A repeat scan seven to ten days later usually settles it. We do not make a diagnosis of miscarriage on a single early scan.
Why is my due date different from the one I calculated?
Because ovulation does not always happen on day fourteen. The scan measurement is more reliable than the date arithmetic, and we go with the scan.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.