Scan Clarity

Private vs. Public Pregnancy Scans: Key Differences

Maria Birch

Maria Birch

— 4 min read
Private vs. Public Pregnancy Scans: Key Differences

If you’re feeling confused or overwhelmed about your pregnancy scans, you’re not alone. Many expectant parents—especially first-time parents—find themselves unsure about what to expect from NHS or public hospital ultrasounds, and whether a private scan is worth considering.

You might be asking:

  • Is there a difference?
  • Do I need both?
  • Am I missing something important if I only go public—or only go private?

This post will walk you through the key differences in plain English. Whether you’re in the UK navigating NHS scans, in the US with insurance options, or in the UAE looking at public vs. private clinics, I’ll help you feel informed and calm about your choices.

What’s the difference between private and NHS ultrasounds?

NHS (or public hospital) scans are the routine scans offered free as part of your maternity care. In the UK, this typically includes:

  • Dating scan around 11–14 weeks
  • Anomaly scan around 20 weeks

These scans are clinically focused. The sonographer is looking for specific things—gestational age, anatomical development, growth, and abnormalities. The appointments are often quick, and due to time constraints, there may not be much opportunity to talk through concerns, if any, in detail.

Private pregnancy scans, on the other hand, are optional and paid for out-of-pocket. You can book one at any stage for a range of reasons:

  • Early reassurance
  • Gender reveal
  • 3D/4D bonding experience
  • Growth checks
  • Second opinion

Private clinics often allow more time, flexibility of appointments, and sometimes more personalised attention. But they aren’t a replacement for the essential medical scans in your NHS or public healthcare.

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For a complete overview of all available scans, see our Ultimate Guide to Pregnancy Ultrasound Scans.

Do private scans check for the same things as NHS scans?

Not always. It depends on the clinic and the type of scan you book.

  • Some private scans are non-diagnostic, meaning they’re focused on bonding and obtaining keepsake images and videos, not medical checks.
  • Others—like early reassurance scans or well-being scans—do include medical checks, but you’ll need to confirm what's included with individual providers.
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Example: A private scan might show your baby is moving and has a heartbeat, but it may not include a detailed check of the brain, heart, or limbs unless you specifically book a diagnostic anomaly scan.

Always check:

  • Is the sonographer qualified and registered?
  • Is the equipment up to medical standards?
  • Will the scan include clinical checks, or is it for bonding only?

Why do people get private scans?

You’re not “extra” for wanting more information or reassurance. Here are the most common reasons people book private scans:

  • Anxiety while waiting for NHS scans (especially in early pregnancy)
  • Previous loss or complicated pregnancies
  • Desire to bond with baby through clearer images, more dedicated time or 4D scans
  • Needing more explanation than you received at your NHS scan
  • Wanting family members to attend, which some public services limit

If you’ve ever left a scan with unanswered questions, you’re not alone.

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You may also find our article 5 Signs You Should Get a Private Scan or Second Opinion helpful in making your decision.

Can I get both NHS and private scans?

Absolutely. Many parents do.

It’s common to have your routine NHS scans, then book private scans in between for peace of mind or bonding. Just make sure your private provider is qualified, registered and reputable, and always follow up with your midwife or doctor if something feels off.

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If you're wondering when those scans typically happen, see When to Get Each Pregnancy Scan.

Are private scans safe to have alongside NHS scans?

Yes, when performed by trained professionals using appropriate equipment, private scans are considered safe.

There’s no known harm from ultrasound when it’s used appropriately—whether public or private. However, more scans aren’t always better. The key is making informed decisions based on your personal needs, anxiety levels, and clinical indications.

Calm Answers to Common Questions

Are private scans more accurate than NHS scans?

Not necessarily. NHS scans are performed by highly trained sonographers using top-quality machines. Private scans can offer clearer images or more time, but medical accuracy depends on the provider.

Will I get a report or results with a private scan?

That varies. Some private clinics offer formal reports, while others provide verbal reassurance only. Ask beforehand.

Can a private scan replace the anomaly scan?

Usually not. The NHS anomaly scan includes a detailed, systematic check of fetal anatomy following national guidelines. Most private scans do not go into the same depth unless specifically booked as a private anomaly scan with a qualified sonographer.

Is it normal to feel anxious about relying only on NHS scans?

Yes. Many women feel worried between routine appointments, especially after loss or IVF. You’re not alone, and it’s okay to seek extra reassurance.

What if I don’t understand what the sonographer said?

This is a common concern. You can always ask for clarification, or follow up with your midwife. If you're still unsure, it’s okay to seek a second opinion or scan review.

Final Thoughts from a Registered Sonographer

There’s no one “right” scan path—it depends on your circumstances, your history, and how much reassurance you need. What matters is that you feel calm, supported, and informed along the way.

Whether you’re choosing NHS scans alone, mixing in private ones, or still unsure what’s best for you, remember this: your pregnancy journey is personal, and it's okay to ask for more clarity.