First Trimester of Pregnancy - What to Expect

The moment you get the news that you are pregnant, you will be filled with lots of emotions and most likely a flood of questions too. The first trimester is the earliest phase of pregnancy. It starts from first day of last menstrual period- before you are actually pregnant and lasts until the end of 12 th week. Knowing what to expect will help you get ready for the months ahead.

Book an online appointment with Dr. Archana Singh for Pregnancy & Gynecology related issues.

Pregnancy is different for every woman. Some women glow with good health during first 3 months, but maximum women feel miserable. Some changes that women feel during first 3 months are:

  • Breast tenderness- It is triggered by hormonal changes, which are getting your milk ducts ready to feed your baby. Buy some comfortable bras to support breasts.
  • Constipation- during pregnancy, high levels of hormone progesterone slow down the muscle contractions that normally move food through system . eat more fiber and drink extra fluids to keep things moving more smoothly. If your constipation is really bothering you, talk to your doctor.
  • Excessive tiredness- your body is working hard to support a growing baby. Take rest when you need to during the day
  • Nausea and vomiting- morning sickness is quite common during early pregnancy.
  • Excessive urination- due to pressure of growing uterus on bladder , you may have urge to pass urine frequently
  • Heart burn- you may feel more of heart burn during early pregnancy. To avoid burns – eat a few small meals throughout the day, don’t lie down right after you eat.
  • Mood swings- it’s ok to cry, but if you feel overwhelmed, try to find someone who can talk to you, be it your partner, a friend, a family member or even a professional

Also Read : 1st-Trimester Screening

As soon as you come to know that you are pregnant, consult your doctor. They will do one blood test beta HCG to confirm the diagnosis. If beta hcg is less , they might tell you to repeat the test to see increase in the level, folic acid is the essential medicine that needs to be started prior to conception only. If you are not taking folic acid prior to conceiving , no worries, you have to start as soon as you know you are pregnant. Early pregnancy scan – also known as dating scan should be done between 6- 7 weeks. NT scan should be done between 11- 14 weeks. This scan is done as a screening for Down’s syndrome. If NT scan + Double marker shows low risk, then 90% it is confirmed that baby doesn’t have Down’s syndrome

Some routine blood tests – TSH, Blood sugar , CBC, Blood group and Rh typing should be done . urine routine and microscopy should also be done.

When to visit the hospital:

Severe abdominal pain, bleeding or spotting in the vagina, and excessive vomiting.

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Frequently Asked Questions

What are good signs in the first trimester?

The common normal pregnancy signs in the first trimester are nausea, fatigue, breast tenderness, food cravings, sensitivity to smell and increased vaginal discharge.

What to avoid in pregnancy in the first trimester?

During the first trimester, you must avoid drinking alcohol and eating raw or undercooked meat, processed meats, raw eggs, unpasteurised dairy products and fish rich in mercury, as they may potentially harm the growth of the fetus. Also, it is highly recommended to avoid specific medications, refrain from strenuous activities and exposure to harmful chemicals.

How will I feel during the first trimester of pregnancy?

Most pregnant women experience physical and emotional changes during the first trimester of pregnancy. The sudden surge in pregnancy hormone can make you feel nauseous, fatigued and experience mood swings. However, you may not feel the same, as every pregnancy is unique.

What is the hardest week of the first trimester?

Every pregnant woman experiences or feels varying symptoms, so it is not possible to determine the hardest week. Usually, women find it challenging to manage during the 9th and 10th week of the first trimester as the hormone responsible for pregnancy is at its peak, intensifying the common pregnancy symptoms, such as nausea, fatigue, morning sickness and mood swings.

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