Early Ultrasound Results

QUESTION

Dear Midwife,
I had my first ultrasound today. I'm not sure how pregnant I am. My last period was Nov 5th, but I have 35 day cycles, so I'm roughly 5 weeks. The doctor saw the gestational sac, but nothing else during today's sonogram.

Should I be concerned we didn't see a yolk sac or a baby at this stage? I'm a first time mom and very anxious.

Thanks.

ANSWER

It is possible that the pregnancy is perfectly normal, especially if the dates are uncertain. I'm assuming that they have scheduled a second ultrasound in about 2 weeks, which will tell for sure. Meanwhile, you can request serial hCGs to verify that the pregnancy seems to be progressing normally. Good luck, and congratulations!

--Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.