Pregnancy week 11: the NT scan window opens

This week opens the one test that can never be rescheduled — the NT scan, in a window under three weeks long. Meanwhile the baby is a fully assembled little person, palm-sized.
A three-week window
Most pregnancy tests can shift a little. One cannot — the NT scan, possible only between week eleven and 13 weeks 6 days, because the membrane it measures dissolves afterwards.
NT — nuchal translucency — is a thin fluid layer at the back of every baby's neck at this age. Its thickness, a blood test (the double marker), and your age combine into an estimate of chromosomal risk (Down syndrome among them).
Note the word — estimate, not diagnosis. This test says whether further testing is worth it. For most families its result is a single sentence: low risk, and a long exhale.
Your baby this week
The baby is lemon-sized — about five centimetres, seven-eight grams. The head is still large; the body is catching up fast.
Fingers are fully free and growing nails; twenty tooth buds are seated in the gums. The skin is still glass-clear, veins visible beneath.
Movement is now free and constant — rolls, kicks, even hiccups; all on scan, none felt. The diaphragm is forming and breathing practice is beginning — underwater, as lung exercise.
Read next
Changes in your body
For most women this stretch is the turn — nausea's grip loosening, appetite hinting at return. If yours hasn't turned yet, weeks twelve-fourteen remain the commonest relief point.
The extra blood is starting to show — a flush for some, warmth and sweat for others. Bleeding gums and a stuffy nose ride the same tide.
A slight lower-belly curve may appear — especially in second pregnancies. Nothing showing in a first is exactly as normal.
What to do this week
NT scan + double marker, inside the window — date fixed today if not already. If told to arrive with a full bladder, comply; it sharpens the picture.
File every scan paper — each next visit asks for the previous ones. Dates onto the MCP card as they happen.
As nausea lifts, rebuild food gently — the first week light. Lead the comeback with iron and calcium: dal, greens, curd, gud-chana.
Settle into an exercise rhythm now — the daily thirty-minute walk is the easiest. A pregnancy-yoga class works too — taught by someone actually trained in pregnancy.
Week 11 at a glance
The week's essentials in one place. Your doctor may adjust these for your situation.
| Item | In week 11 |
|---|---|
| Main event | NT window opens — shuts at 13+6 |
| Baby's size | Lemon — about 5 cm, 7-8 g |
| Baby is doing | Rolls, kicks, hiccups, breathing practice |
| Possible symptoms | Nausea easing, stuffy nose, bleeding gums |
| The test | NT + double marker — estimates, doesn't diagnose |
| On the plate | Iron and calcium lead the appetite's return |
| Keep going | Folic acid, the walk, MCP card entries |
When to see a doctor at once
Bleeding or worsening pain — the standing same-day rule. Fever, urinary burning, nothing staying down — same list.
If the NT result reads 'high risk', hold the first fact hard: it is not a diagnosis. Further tests (NIPT or amniocentesis) clarify, and that decision is made calmly with the doctor — not in panic.
This article is general information only and no substitute for personal medical advice. The person who can advise you knowing your health, your medicines and your previous pregnancies is your obstetrician, or the doctor at your nearest health centre.
Work out your due date
Enter the first day of your last period and your cycle length — your estimated due date, this week's count and the anomaly scan window all appear right here.
It is only an estimate — most babies aren't born on the exact date. A first-trimester scan dates a pregnancy more accurately; in the end, your doctor's date is the one that counts.
Frequently asked questions
Is the NT scan compulsory?
It's a consent-based choice — but one that must be made this week, because the window doesn't reopen. Most doctors advise taking it.
Why the blood test too
isn't the scan enough? — Together they compute the estimate; alone, each is half a picture.
The scan showed the baby bouncing, but I feel nothing
why? — The baby is too small and too cushioned for its movements to reach the wall yet. First movements are felt at eighteen-twenty weeks on average.
My nausea never left
when's my turn? — Some women carry it to fourteen-sixteen weeks, a few beyond. If water stays down and weight holds, it's exhausting but not dangerous. If not — the doctor; medicine exists.
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)Backs the recommendation of first-trimester combined screening (nuchal translucency ultrasound plus biochemical markers) for chromosomal risk estimation, and the general antenatal care framework referenced throughout the page.
- NICE. Antenatal care (NG201) (2021)Supports the NT scan window of 11 weeks to 13 weeks 6 days, the use of combined first-trimester screening (NT measurement plus double/triple marker blood test) for Down syndrome risk estimation, and that a high-risk result is not a diagnosis but an indication for further testing such as NIPT or amniocentesis.
- RCOG. Amniocentesis and Chorionic Villus Sampling (Green-top Guideline No. 8) (2021)Supports the page's statement that a high-risk screening result warrants calm discussion of further diagnostic options (NIPT or amniocentesis) with the clinician rather than treating the screen result as a diagnosis.
- MoHFW. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) and Maternal Health Guidelines (2016)Supports the page's references to filing scan records on the MCP (Mother and Child Protection) card and attending scheduled antenatal visits, consistent with India's national antenatal care protocol.
- ICMR. ICMR-NIN Recommended Dietary Allowances and Estimated Average Requirements for Indians 2020 (2020)Supports the dietary advice to prioritise iron and calcium through foods such as dal, leafy greens, curd, and jaggery-chana as the diet is rebuilt after first-trimester nausea.
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





