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You might not be able to hear a baby’s heartbeat at your first ultrasound. Most commonly, this is because it’s too early in the pregnancy. This doesn’t necessarily mean there’s a problem. Your doctor may recommend you schedule another ultrasound 1 to 2 weeks later. Other reasons you might not hear the heartbeat include: - having a tipped uterus - having a large abdomen - being less far along than you thought If no heartbeat is detected, your doctor will check your fetal measurements.