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Please empty your bladder 1 hour before your appointment, drink 2 glasses of water and try not to empty your bladder again until after your appointment. Not all women need to have an ultrasound in this early part of the pregnancy. Assess the number of babies. The yolk sac lies within the gestation sac and looks like a little round circle inside the pregnancy sac. A first trimester ultrasound will usually include each of the following components however some ultrasounds may focus more on particular areas. Your doctor may have concerns that your pregnancy is located in the fallopian tube ectopic pregnancy.