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What to Expect: First Trimester of Pregnancy

Rachael Kirkwood

What to Expect: First Trimester of Pregnancy

Written by
Rachael Kirkwood

Congratulations! The first trimester of pregnancy is a period of profound changes, both physically and emotionally. It's a time filled with excitement, anticipation, and perhaps a touch of apprehension. Understanding what to expect and how to navigate this crucial phase can make the journey smoother for both you and your baby.

When does the First Trimester start and end?

The first trimester of pregnancy typically starts on the first day of the woman's last menstrual period (LMP) and lasts until the end of week 12 of pregnancy. This means that conception usually occurs around week 2 of the pregnancy, even though the woman is not technically yet pregnant at that time. Therefore, the first trimester encompasses approximately the first three months of pregnancy.

What to Expect During the First Trimester

In the UK, the first ultrasound, known as the dating scan, typically takes place around 10 to 14 weeks of pregnancy, with the aim of confirming the due date and assessing the baby's growth and development. This timing may vary slightly depending on the policies of the healthcare provider and the availability of appointments. It's an eagerly anticipated milestone for many expectant parents, as it provides the opportunity to see the baby for the first time and ensure that everything is progressing as it should.

If you have any specific questions or concerns about the timing of your pregnancy ultrasound, don't hesitate to reach out to your GP / healthcare provider for guidance and reassurance.

What are the early symptoms of pregnancy?

  • Fatigue: Your body is working overtime to support the growth and development of your baby, which can leave you feeling exhausted. Listen to your body and rest when needed. Incorporating gentle exercise, such as prenatal yoga or walking, can also help boost energy levels.

  • Morning Sickness: Nausea and vomiting, commonly known as morning sickness, can be one of the earliest signs of pregnancy. While it typically fades after the first trimester, it can be challenging to cope with during these initial weeks. Eating small, frequent meals, staying hydrated, and avoiding triggers can help alleviate symptoms. Check out some of the best morning sickness remedies that will relieve your symptoms.

  • Hormonal Changes: Hormonal fluctuations may lead to mood swings, heightened emotions, and increased sensitivity to smells. Be patient with yourself and communicate openly with your partner and healthcare provider about any concerns or emotions you're experiencing.

  • Physical Changes: You may notice early signs of pregnancy, such as breast tenderness, frequent urination, and mild cramping as your uterus expands. These changes are entirely normal and signify your body's preparation for the journey ahead.

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To-Do List for the First Trimester

  • Schedule Prenatal Care: Book your first prenatal appointment as soon as you confirm your pregnancy. Early prenatal care is essential for establishing a healthy foundation for you and your baby.

  • Start Taking Prenatal Vitamins: Folic acid, iron, and other essential nutrients play a vital role in fetal development. Begin taking prenatal vitamins as recommended by your healthcare provider to support your baby's growth and prevent birth defects.

  • Eat a Balanced Diet: Focus on consuming nutrient-rich foods, including fruits, vegetables, lean proteins, whole grains, and dairy products. Avoiding alcohol, caffeine, and raw or undercooked foods is crucial for your baby's safety.

  • Stay Hydrated: Drink plenty of water throughout the day to support your body's changing needs and prevent dehydration, which can exacerbate pregnancy symptoms.

  • Educate Yourself: Take time to educate yourself about pregnancy, childbirth, and newborn care. Attend prenatal classes, read reputable books, our blog, and don't hesitate to ask your healthcare provider any questions you may have.

fetal development week by week
Fetal Development Week by Week

Fetal Development Week by Week

During the first trimester of pregnancy, fetal development progresses rapidly, laying the foundation for the baby's growth and development. In the early weeks, the fertilized egg implants itself into the lining of the uterus and begins to develop into an embryo. By the end of the first month, the basic structures of the baby, such as the brain, spinal cord, and heart, have begun to form.

Throughout the first trimester, vital organs continue to develop and take shape, including the limbs, eyes, ears, and internal organs. By the end of the first trimester, the fetus has developed recognisable features, and its tiny heartbeat can often be detected through ultrasound.

While still incredibly small, measuring only a few inches in length, the baby's development during this trimester sets the stage for the remarkable growth that will occur in the second and third trimesters.

Pregnancy Weeks 1-4

  • Conception: The egg is fertilised by sperm, forming a single cell called a zygote.

  • Implantation: The fertilised egg implants itself into the lining of the uterus.

  • Formation of the Embryo: The zygote begins to divide rapidly, forming a cluster of cells called a blastocyst.

  • Development of the Placenta: Cells from the blastocyst form the placenta, which provides nutrients and oxygen to the developing embryo.

  • Confirmation of Pregnancy: Pregnancy tests may detect the presence of human chorionic gonadotropin (hCG), the hormone produced by the developing embryo.

Pregnancy Weeks 5-8

  • Heartbeat: The baby's heart begins to beat, often visible on ultrasound around 6 weeks.

  • Organ Development: Major organs and structures, such as the brain, spinal cord, heart, and limbs, start to form.

  • Limb Buds: Tiny buds emerge, which will eventually develop into arms and legs.

  • Facial Features: The baby's facial features, including eyes, nose, and mouth, begin to take shape.

  • Fetal Movement: While too small to feel, the baby starts making spontaneous movements.

  • Nausea and Other Pregnancy Symptoms: Many women experience morning sickness and other early pregnancy symptoms during this time.

Pregnancy Weeks 9-12

  • Fetal Growth: The baby undergoes rapid growth and development, increasing in size and weight.

  • Finger and Toe Development: The baby's fingers and toes become more defined.

  • External Genitalia: Sexual differentiation becomes apparent, although it may not be visible on ultrasound yet.

  • Formation of Bones: Cartilage starts to harden into bones, and the skeleton becomes more defined.

  • Completion of First Trimester: By the end of week 12, the first trimester comes to a close, marking the end of a critical period of development.

These milestones provide a glimpse into the incredible process of fetal development during the first trimester of pregnancy. While every pregnancy is unique, monitoring these milestones can offer insight into the baby's growth and progress. If you have any concerns or questions about your pregnancy, don't hesitate to consult with your healthcare provider for guidance and support.

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See NHS website for detailed pregnancy advice in the UK

For more pregnancy articles, freebies and information see our Pregnancy Hub

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