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Why Is Ultrasound Essential in Confirming Viability of Pregnancy?

When you receive a positive pregnancy test, it confirms the presence of a pregnancy hormone, human chorionic gonadotropin (hCG), but it does not tell the whole story about the health or development of the pregnancy. One of the most important early steps in pregnancy evaluation is confirming whether the pregnancy is viable, meaning it is developing and progressing as expected. A viability assessment helps protect your health and supports informed, thoughtful care moving forward.

At Albemarle PRC, we offer free, confidential pregnancy testing and limited obstetric ultrasounds to help you understand the status of your pregnancy. Scheduling a private appointment can provide clear information that supports your decisions with confidence.

Connect with a trained team member today.

What “Viability” Means in Early Pregnancy

In early pregnancy, viability refers to whether the embryo or fetus is developing in a way that suggests the pregnancy is likely to continue. An ultrasound evaluates several key markers that help clinicians determine viability, including the presence of a gestational sac, a fetal pole, and most importantly, a fetal heartbeat. These markers are typically detectable by ultrasound around 6–7 weeks of gestation.

The detection of a heartbeat is a significant indicator of pregnancy progression. Studies show that once cardiac activity is identified in early pregnancy, the likelihood of continuation through the first trimester increases substantially, although no outcome can ever be guaranteed. 

Why Ultrasound Matters for Viability

An ultrasound does more than confirm that a pregnancy exists. It provides insight into whether it is developing normally or requires follow-up care. For example:

  • The presence of an embryonic heartbeat greatly reduces the likelihood of early pregnancy loss compared with pregnancies where cardiac activity is not detected
  • If a gestational sac is visible without a fetal heartbeat at an expected size, repeat imaging may be recommended to determine whether development is delayed or has stopped
  • Ultrasound can identify ectopic pregnancy, which occurs in approximately 1–2% of pregnancies and requires immediate medical attention

Without this information, decisions may be made based on assumptions rather than clear medical facts. Ultrasound helps ensure that understanding of pregnancy progression is grounded in direct observation rather than timing estimates alone.

Your Next Step: Medical Clarity

At Albemarle PRC, we provide compassionate, confidential ultrasound services to help confirm viability and support your health. Our trained team explains findings, answers questions, and helps you think through next steps with reliable information. 

If you would like to gain a clearer understanding of your pregnancy’s progress, contact us today to schedule a private appointment.

Albemarle PRC does not provide or refer for abortions.

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