The 8-week ultrasound: what changes from last week

At eight weeks the embryo has doubled again, limb buds are visible, and the first flickering movements can sometimes be seen on screen.
What is visible
A fetal pole of roughly 14 to 20 mm — about the size of a rajma bean — with a clearly separate head and body beginning to form.
A strong heartbeat, typically around 150 to 170 beats per minute at this stage, which is faster than an adult's and faster than it will be later.
Limb buds for arms and legs, and sometimes small flickering movements — the embryo does move at this stage even though you will not feel anything for months.
The yolk sac is still present and will gradually disappear as the placenta takes over.
What the scan is for
Confirming location, heartbeat and number, and refining the due date. Dating at eight weeks remains highly accurate.
Checking for a subchorionic haematoma if there has been bleeding, and looking at the ovaries and uterus.
In a twin pregnancy, confirming chorionicity — whether the twins share a placenta — which is best established now and drives the whole monitoring plan.
One thing applies to every scan in India: determining or disclosing the sex of the fetus is a criminal offence under the PCPNDT Act, for the doctor, the clinic and the person who asks. The sonographer will not tell you, and asking puts them at risk of losing their registration.
Between now and the next scan
The next routine scan is usually the NT scan at 11 to 14 weeks, so this is often the last look for a month — which many women find hard.
Nausea is typically at or near its peak around now, and its presence or absence tells you nothing reliable about the pregnancy.
Keep taking folic acid, register the pregnancy if you have not, and get the booking bloods done if they are still pending.
When to see a doctor
Go to hospital immediately for heavy bleeding, severe or one-sided abdominal pain, fainting or dizziness, shoulder-tip pain, or fever with pelvic pain. Call 108 if you cannot travel quickly.
Same-day: bleeding, severe or one-sided pain, fever, vomiting that keeps nothing down, or burning urination — urinary infections are common in pregnancy and need prompt treatment.
This article is general information, not medical advice, and is no substitute for personal medical advice. For any decision about your or your child's health, please consult your doctor.
Frequently asked questions
The heart rate was 172. Is that too fast?
No. Early pregnancy heart rates run high and peak around 9 to 10 weeks before settling. Your doctor reads it in context.
My dates moved by a week after the scan.
Normal. Early scan dating is more accurate than period-based dating, and the new date becomes the official one.
Can I have a scan without a doctor's referral?
In India, diagnostic ultrasound in pregnancy is regulated under the PCPNDT Act and requires proper documentation at a registered centre. Go through your obstetrician.
Should I be worried if I feel nothing?
Movements are not felt until roughly 16 to 22 weeks. Nothing at eight weeks means nothing at all.
Sources
Every clinical figure on this page is taken from the guidelines below. Where our numbers and your doctor's differ, ask which guideline they follow.
- WHO. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience (2016)Supports the recommendation to confirm gestational age by early ultrasound dating, the value of first-trimester scanning for confirming location and number, and antenatal registration.
- NICE. Antenatal Care (NG201) (2021)Supports early ultrasound dating being more accurate than last-menstrual-period dating, routine booking blood tests, and the first-trimester nuchal translucency scan offer at 11–14 weeks.
- RCOG. Diagnosis and Management of Ectopic Pregnancy (Green-top Guideline No. 21) (2016)Supports the red-flag advice to seek immediate care for severe or one-sided abdominal pain, shoulder-tip pain, and fainting or dizziness, and the clinical relevance of confirming intrauterine location on scan.
- NIH. Embryonic Heart Rate (MedlinePlus / NCBI Bookshelf: Embryology reference) (2023)Supports the statement that embryonic heart rate is elevated in early pregnancy, peaking around 9–10 weeks, which contextualises the page's figure of 150–170 bpm at 8 weeks and the FAQ response about a rate of 172 bpm.
Reviewed by
- Nakul Phatak — CEO, theAsianparent India & IndonesiaHead of theAsianparent India; father of one
- Roshni Chugani — Head of Marketing, theAsianparent India & Singapore12 years in the mother-and-baby space; mother of two
Published by: theAsianparent editorial team




