12-Week vs 20-Week Pregnancy Scans: What Are We Looking For?

The short answer

Your 12-week scan (around 11 to 13 weeks) confirms your baby's heartbeat, screens for chromosomal conditions and locks in your due date, while the 20-week scan (around 18 to 22 weeks) is a detailed, head-to-toe anatomy check that can also reveal your baby's sex.

Few moments in pregnancy feel as big as seeing your baby on the screen for the first time. Your 12-week and 20-week scans are the two milestones most parents count down to, and it's completely natural to wonder how they differ and what we're actually looking at.

At Athena Women's Clinic in Bentley, we understand exactly how much you want to know what's happening. This simple guide walks you through what our sonographers look for during your pregnancy ultrasounds in Perth, so you can walk in feeling calm and prepared.

An infographic comparing a 12-week dating ultrasound and a 20-week anatomy ultrasound side-by-side. It shows a pregnant woman receiving scans with screens displaying different fetal development stages for dating versus growth assessment.
At a glance12-week scan20-week scan
Also known asNuchal Translucency (NT) scanMorphology (anatomy) scan
Usual timing11 to 13 weeks18 to 22 weeks
Main focusHeartbeat, chromosomal screening, early anatomy and your due dateDetailed head-to-toe anatomy, growth, fluid and placenta position
Bladder prepVery full — two large glasses of waterModerately full — one glass of water

Your 12-Week Scan: What Are We Looking For?

This scan usually happens between 11 and 13 weeks, and you may hear it called the Nuchal Translucency (NT) scan. For most parents it brings enormous reassurance: the very first thing we do is confirm your baby's heartbeat, and then we look closely at their early physical development.

Here's what our sonographers focus on at this early stage:

  • Chromosomal screening: We gently measure the fluid at the back of your baby's neck, which helps us assess the risk of conditions like Down syndrome.
  • Early anatomy: We check the brain, limbs and abdominal wall.
  • Placenta and due date: We locate the developing placenta and confirm your official due date using precise measurements.
By this stage, your baby already looks like a fully formed, miniature human.

Your 20-Week Anatomy Scan: The Detailed Check

We usually carry out this detailed scan between 18 and 22 weeks — you might know it as the "morphology scan." It's a comprehensive, head-to-toe check, and because your baby has grown so much by now, we can see even the tiny details very clearly.

So what are our sonographers examining this time?

  • Detailed anatomy: We carefully examine the heart chambers, brain structures, kidneys and spine.
  • Growth and fluid: We measure your baby's head, abdomen and thigh bone, and check the exact volume of amniotic fluid around them.
  • Placenta position: We check that the placenta sits safely away from your cervix, keeping a clear path for delivery.
  • Gender reveal: Would you like to know the sex of your baby? Our sonographers can usually tell you at this stage — just let us know your preference before we begin.

How to Prepare for Your Pregnancy Scans

A little preparation goes a long way, and it changes slightly between the two appointments — mainly when it comes to your bladder.

  • For the 12-week scan: You'll need a very full bladder, so drink two large glasses of water an hour before your appointment and don't empty your bladder beforehand. The water gently lifts your uterus for a perfect view.
  • For the 20-week scan: Your baby takes up much more space by now, so you only need a moderately full bladder — just one glass of water before you arrive.
Good to know

Wear comfortable two-piece clothing to both appointments — we simply need easy access to your tummy.

Part of the Athena group in Bentley

Athena Women's Clinic works alongside our sister clinics. For regenerative skin, hair & body treatments see Athena Wellness; for pregnancy & pelvic imaging see Athena Women's Ultrasound.

Frequently Asked Questions

When is the 12-week scan usually done?
It is usually scheduled between 11 and 13 weeks, and you might hear it called the Nuchal Translucency (NT) scan. It's the appointment where we confirm your baby's heartbeat and check their early physical development.
When is the 20-week anatomy scan done?
We usually perform this detailed scan, often called the morphology scan, between 18 and 22 weeks. By then your baby has grown enough for us to see the tiny details very clearly.
Can I find out my baby's sex at the 20-week scan?
Yes — our sonographers can usually tell you the sex of your baby at the 20-week scan. Just let us know your preference before we begin.
How full does my bladder need to be?
For the 12-week scan you need a very full bladder, so drink two large glasses of water an hour before and don't empty your bladder — the water lifts your uterus for a clear view. For the 20-week scan a moderately full bladder is enough, so just one glass of water before you arrive.

Book Your Pregnancy Ultrasound in Perth

Do you have a referral for your 12-week or 20-week scan? Our state-of-the-art imaging suite in Bentley eagerly awaits you. We offer comfortable, GP-led care with highly experienced female sonographers.

Secure your appointment today. We happily accept all valid referrals from any clinic, and we provide the reassurance and expertise you deserve during this special time.

Call us on (08) 6116 1285 today. You can also use our secure online booking system to schedule your scan instantly. Contact us for more information.

Have a question about your own situation?

This guide was prepared by the GP-led team at Athena Women's Clinic, Bentley. For advice tailored to you, call (08) 6116 1285.

This article is general information for women in Perth and is not a substitute for personal medical advice. Please speak with your GP about your individual circumstances.

Ready to See Your Baby?

Book your 12-week or 20-week scan with the GP-led team and experienced female sonographers at Athena Women's Clinic in Bentley.

Call (08) 6116 1285Book online

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Please contact the clinic directly to book an ultrasound appointment.

If you have a referral or anticipate needing an ultrasound in Perth, please reach out to our team to arrange your booking.

Call us on (08) 6116 1285 or email reception@athenawomensclinic.com.au.

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