How many weeks is the first trimester in pregnancy
First trimester | Pregnancy Birth and Baby
First trimester | Pregnancy Birth and Baby beginning of content5-minute read
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From the moment you get the news that you are pregnant, you will probably be filled with a rush of emotions – and most likely a flood of questions too. While the first trimester of pregnancy is filled with a host of changes for you and for your baby, many will be invisible to the outside world. Read on to find out what happens to your body and how to stay healthy.
What is the first trimester?
A full-term pregnancy lasts around 9 months, and most people (including your doctors and midwives) will break this up into 3 ‘trimesters’. Although you are pregnant from the moment of conception – when a male sperm fertilises your ovum (egg) – the first trimester of pregnancy is counted from the first day of your last period through to week 12. This is because most women who conceive naturally won’t know the date of conception.
Trimesters are a helpful way to think about pregnancy because the changes that happen to you and your baby fall into the 3 broad categories of early, middle and late pregnancy, called first, second and third trimesters.
What happens to your body?
For some women, the first trimester is characterised by nausea (often called ‘morning sickness’, although it can occur at any time of day). But remember that every pregnancy is different and while some women have food cravings, others experience food aversions, and some have no change in appetite at all.
Other changes in the first trimester include changes to your breasts as they become tender, larger and heavier, while your uterus will grow and put pressure on your bladder so that you need to urinate more often.
Your emotions
You might feel a range of emotions during your first trimester. Hormone changes may make you feel moody or irritable, and tiredness is common in the early months. These feelings are normal, so discuss how you feel with you partner or with a close friend. If you feel down or anxious, speak with your doctor or midwife.
What happens to the baby?
Through the first trimester, your baby goes from being a fertilised ovum to a fetus of about 6cm in length at 12 weeks. By the end of the first trimester, your baby’s heart is starting to beat, and the brain, stomach and intestines are developing. There are little bumps known as 'buds' where arms and legs are starting to grow.
What can be expected from the doctor and midwife?
Your antenatal (pregnancy) health checks might be with your GP, a midwife or an obstetrician, depending on where you will give birth. During your first antenatal health check, you will probably have your pregnancy confirmed with a urine or blood test. These are more reliable than home pregnancy tests. First trimester antenatal health checks usually happen every 4 to 6 weeks, but this can vary, based on your health and how your baby develops.
Many women are offered an ultrasound scan at around 12 weeks – you might hear the baby’s heartbeat at this scan. This ultrasound will also show if you are having a multiple birth (e.g. twins) and can help estimate the baby’s size and due date, as well as check for some health conditions.
Other health checks during the first trimester include:
- urine tests to detect urinary infections, a common but manageable condition that if left untreated can trigger pre-term labour
- blood tests to check your blood type (particularly Rh status), iron levels, blood sugars (for gestational diabetes), rubella (German measles) immunity, and other infections such as HIV, hepatitis B and syphilis
- general maternal health and wellbeing checks, including a discussion of concerns you might have about your pregnancy or general health, and a medication review (including natural or alternative medicines) to check for safety during pregnancy
How to stay healthy
Staying healthy is doubly important during pregnancy. If you are a smoker, this is a great time to quit – speak with your doctor or pharmacist for support.
It is safest not to drink any alcohol while you are pregnant, since even low-level drinking, particularly in the first trimester of pregnancy, can have long-term negative effects on your baby.
Try to eat a variety of nutritious foods during pregnancy since this will help meet your baby’s nutritional requirements, as well as your own. While the amount of food you need to eat during your first trimester won’t increase by much, you will need more of some nutrients. Most women will also need folic acid and iodine supplements because it's difficult to get enough of these from food alone.
It’s important to keep up regular physical activity during your pregnancy because of the many benefits both for you and your baby. If you experience any discomfort or complications, speak to your doctor or midwife.
Things to consider in the first trimester
- Book your antenatal appointments for the whole trimester – they are important for tracking your health and your baby’s growth.
- Get support – ask your partner, a friend or a family member to go with you to health checks.
- Are your vaccinations up to date? Immunisation is important, and several vaccines are funded for pregnant women under the National Immunisation Program. Speak to your doctor for guidance.
- Your doctor or midwife can help you access a range of support services, not just for medical concerns - for example, if you feel you are at risk of violence or you are feeling vulnerable during your pregnancy.
Your pregnancy journey
Follow your pregnancy week-by-week to find out how your baby is growing and what is happening to your body.
Sources:
NSW Health (Having a baby), Royal Women's Hospital (Pregnancy and birth), Raising Children Network (Pregnancy week-by-week), Women's and Children's Health Network (The first 3 months of pregnancy: the first trimester), Better Health Channel (Pregnancy - prenatal tests)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: May 2021
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Related pages
- Pregnancy week-by-week
- Third trimester
- Second trimester
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Pregnancy - week by week
The unborn baby spends around 38 weeks in the womb, but the average length of pregnancy (gestation) is counted as 40 weeks. This is because pregnancy is counted from the first day of the woman’s last period, not the date of conception, which generally occurs two weeks later.
Pregnancy is divided into three trimesters:
- First trimester – conception to 12 weeks
- Second trimester – 12 to 24 weeks
- Third trimester – 24 to 40 weeks.
Conception
The moment of conception is when the woman’s ovum (egg) is fertilised by the man’s sperm. The gender and inherited characteristics are decided in that instant.
Week 1
This first week is actually your menstrual period. Because your expected birth date (EDD or EDB) is calculated from the first day of your last period, this week counts as part of your 40-week pregnancy, even though your baby hasn’t been conceived yet.
Week 2
Fertilisation of your egg by the sperm will take place near the end of this week.
Week 3
Thirty hours after conception, the cell splits into two. Three days later, the cell (zygote) has divided into 16 cells. After two more days, the zygote has migrated from the fallopian tube to the uterus (womb). Seven days after conception, the zygote burrows itself into the plump uterine lining (endometrium). The zygote is now known as a blastocyst.
Week 4
The developing baby is tinier than a grain of rice. The rapidly dividing cells are in the process of forming the various body systems, including the digestive system.
Week 5
The evolving neural tube will eventually become the central nervous system (brain and spinal cord).
Week 6
The baby is now known as an embryo. It is around 3 mm in length. By this stage, it is secreting special hormones that prevent the mother from having a menstrual period.
Week 7
The heart is beating. The embryo has developed its placenta and amniotic sac. The placenta is burrowing into the uterine wall to access oxygen and nutrients from the mother’s bloodstream.
Week 8
The embryo is now around 1.3 cm in length. The rapidly growing spinal cord looks like a tail. The head is disproportionately large.
Week 9
The eyes, mouth and tongue are forming. The tiny muscles allow the embryo to start moving about. Blood cells are being made by the embryo’s liver.
Week 10
The embryo is now known as a fetus and is about 2.5 cm in length. All of the bodily organs are formed. The hands and feet, which previously looked like nubs or paddles, are now evolving fingers and toes. The brain is active and has brain waves.
Week 11
Teeth are budding inside the gums. The tiny heart is developing further.
Week 12
The fingers and toes are recognisable, but still stuck together with webs of skin. The first trimester combined screening test (maternal blood test + ultrasound of baby) can be done around this time. This test checks for trisomy 18 (Edward syndrome) and trisomy 21 (Down syndrome).
Week 13
The fetus can swim about quite vigorously. It is now more than 7 cm in length.
Week 14
The eyelids are fused over the fully developed eyes. The baby can now mutely cry, since it has vocal cords. It may even start sucking its thumb. The fingers and toes are growing nails.
Week 16
The fetus is around 14 cm in length. Eyelashes and eyebrows have appeared, and the tongue has tastebuds. The second trimester maternal serum screening will be offered at this time if the first trimester test was not done (see week 12).
Week 18-20
An ultrasound will be offered. This fetal morphology scan is to check for structural abnormalities, position of placenta and multiple pregnancies. Interestingly, hiccoughs in the fetus can often be observed.
Week 20
The fetus is around 21 cm in length. The ears are fully functioning and can hear muffled sounds from the outside world. The fingertips have prints. The genitals can now be distinguished with an ultrasound scan.
Week 24
The fetus is around 33 cm in length. The fused eyelids now separate into upper and lower lids, enabling the baby to open and shut its eyes. The skin is covered in fine hair (lanugo) and protected by a layer of waxy secretion (vernix). The baby makes breathing movements with its lungs.
Week 28
Your baby now weighs about 1 kg (1,000 g) or 2 lb 2oz (two pounds, two ounces) and measures about 25 cm (10 inches) from crown to rump. The crown-to-toe length is around 37 cm. The growing body has caught up with the large head and the baby now seems more in proportion.
Week 32
The baby spends most of its time asleep. Its movements are strong and coordinated. It has probably assumed the ‘head down’ position by now, in preparation for birth.
Week 36
The baby is around 46 cm in length. It has probably nestled its head into its mother’s pelvis, ready for birth. If it is born now, its chances for survival are excellent. Development of the lungs is rapid over the next few weeks.
Week 40
The baby is around 51 cm in length and ready to be born. It is unknown exactly what causes the onset of labour. It is most likely a combination of physical, hormonal and emotional factors between the mother and baby.
Where to get help
- Your doctor
- Obstetrician
- Midwife
Things to remember
- Pregnancy is counted as 40 weeks, starting from the first day of the mother’s last menstrual period. Your estimated date to birth is only to give you a guide. Babies come when they are ready and you need to be patient.
- The gender and inherited characteristics of the baby are decided at the moment of conception.
1st trimester of pregnancy: what happens to the fetus
1st trimester of pregnancy: what happens to the fetus - Private maternity hospital Ekaterininskaya Clinics1st trimester: 1st-12th weeks
The gestational age is calculated from the first day of the last menstruation, since it is difficult to determine the exact day of conception. Since conception usually occurs in the middle of the menstrual cycle, you are not actually pregnant during the first two weeks, but this period is counted as the beginning of pregnancy.
As soon as the fertilization of the egg takes place around the 3rd week, the hormones begin to produce changes in your body little by little. As a result, you may experience some of the following symptoms:
- Morning sickness. As a result of rising levels of hormones characteristic of pregnancy, up to 80% of women in the 1st trimester experience morning sickness with symptoms such as nausea and vomiting. The idea that such malaise is observed only in the morning is a common misconception. In fact, symptoms can appear at any time of the day or night. Up to 1 in 5 women experience morning sickness in the 2nd trimester of pregnancy and can sometimes persist throughout pregnancy.
If you experience morning sickness, avoid foods that make you sick, eat little and often, avoid fatty and spicy foods, drink more water. If you experience severe symptoms or symptoms that bother you, see your doctor.
- Breast changes. The mammary glands will begin to increase in size, soreness may appear. The nipples will increase in size, become darker and more protruding.
- Fatigue. High levels of the hormone progesterone can make you feel tired and sleepy. Rest as often as possible in a horizontal position with your legs up and eat as well as possible, which is not easy if you are experiencing morning sickness!
- Increased emotionality. A higher level of emotionality, manifested as a result of an increase in hormone levels, is normal. Understanding and patience on the part of your partner and loved ones is very important here.
- Food likes and dislikes. You may find yourself intolerant of one food and addicted to another. This is usually not a problem, unless you feel like eating weird foods like chalk. If you are concerned about the situation, contact your doctor.
- Frequent urination. As your fluid levels increase and your uterus puts pressure on your bladder, you will become more likely to visit the toilet. Go to the toilet as soon as you feel the need - this minimizes the pressure on the bladder.
- Feeling of dizziness. Sometimes you may feel a little dizzy (this is due to hormonal changes). Try not to stay on your feet for a long time and slowly rise from a sitting or lying position. If you experience severe dizziness, contact your doctor immediately.
- Heartburn and constipation. Your digestive system will slow down to give you more time to digest your food. This can lead to heartburn and constipation. To help manage heartburn, try to eat small meals at regular intervals and avoid fried or spicy foods and carbonated drinks. Constipation is helped by eating a diet rich in fiber, maintaining physical activity and drinking plenty of water.
1st trimester milestones
- Approximately 7 days after fertilization, the embryo implants in the uterine wall. The placenta, umbilical cord and amniotic sac will begin to form to provide nourishment and protection to the embryo.
- By the end of the first 12 weeks of pregnancy, the uterus is palpable through the wall of the abdomen, the abdomen will begin to grow.
Child development in the 1st trimester of pregnancy
By the end of the 1st trimester:
- All the main organs of the baby are formed, the circulatory system works.
- The development of the sexual organs has begun.
- Fingers are formed on the hands and feet, nails have appeared.
- Facial features have formed.
- The length of the baby's body is about 6 cm from the head to the lower part of the body, he is already recognizable. The baby moves in the amniotic sac, but you don't feel it move yet.
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1st trimester of pregnancy: everything you need to know | Mamovedia
The average gestation period is 40 weeks, counted from the date of the last menstrual period and measured in trimesters, months and weeks
The first trimester of covers the period from the 1st to the 12th week of pregnancy, which is approximately three months of the solar calendar. The second trimester starts at 13 weeks and ends at 27 weeks of pregnancy.
Finally, the third trimester covers the period from 28 weeks to the due date.
The first trimester of pregnancy is the most important for the development of your future baby.
During this period, the embryo (as the fetus of the first 8 weeks of life is defined) develops until it weighs from 14 to 28 grams, and growth, on average, from 7.5 to 10.5 centimeters.
Until the 20th week, the length of the embryo (and then the fetus) is usually measured from the head to the end of the spine. After that, its length is measured from head to toe.
The growth of the fetus in length will occur during the third, fourth and fifth months, and the increase in its weight will fall on the last two months of pregnancy.
What are the most common symptoms of pregnancy in the first trimester?
Usually the first symptoms accompanying pregnancy are nausea, vomiting, frequent urination, fatigue, breast tenderness . Many women begin to experience these symptoms even before a missed period or a positive pregnancy test result.
As your pregnancy progresses, you may begin to experience other symptoms such as mood swings, headaches, cramps, constipation, indigestion, bloating, food cravings or aversion, and an incredibly strong sense of smell: the latter often makes nausea worse.
Most of these symptoms, including mood swings and emotional outbursts, are believed to be caused by elevated levels of estrogen and progesterone.
If during this period you feel severe pain in the lower back, you have bleeding, severe nausea, it is recommended to consult a gynecologist, as these may be symptoms of a miscarriage.
First trimester weight gain
- Fetus. The weight gain of the fetus in the first trimester is negligible: at the end of the first trimester, it is actually the size of a peach.
- Expectant mother. Although the growth rate of the fetus is very subjective, the weight gain of the expectant mother by the end of the first three months should be about 1-2 kg.
During the first three months of motherhood, you can follow your regular diet and you don't have to eat for two!
Examinations and screenings during this period
As soon as you know you are pregnant, schedule your first appointment with your OB/GYN. The first examination is usually never done before the 8th week of pregnancy unless there is a risk of complications such as a history of abortion or a family history of hereditary genetic diseases. This visit is required for:
- check for any abnormalities in the growing embryo;
Testing for HIV, syphilis, rubella, hepatitis B, as well as asymptomatic bacteriuria, chlamydia, toxoplasmosis is generally recommended for all women.
Ultrasonography as part of prenatal screening for genetic chromosomal risks should be performed between weeks 9 and 12 , along with a biochemical blood test for beta-hCG, PAPP-A and PIGF (optional) with a geneticist's conclusion. The woman must be informed of the abnormalities that may be found in order to have the choice of whether to continue the pregnancy or not.
What does the baby look like in the 1st trimester?
At the end of the 1st month the embryo reaches the size from 2 to 5 millimeters . The heart and stomach are being formed in him, the sensory apparatus and the structure from which the nervous system will originate begin to develop. In addition, cavities for the eyes are formed and the very first sketches of future upper limbs appear.
By the end of the second month of embryonic development, the contours of the head and face begin to be drawn; nostrils, mouth, bronchi and lungs begin to form; brain grows; the very first sketches of the lower extremities appear; the upper limbs lengthen, acquiring the shape of a scoop. At this stage, the retina also begins to develop. At the end of the 2nd month, the embryo reaches a size of 2.3 centimeters and a weight of 15 grams . The heart of the embryo makes 110 beats per minute.
By the end of the third month, the elbows begin to bend, the eyelids and outer ear are defined, the corpus callosum appears in the brain between the two hemispheres, the formation of bones, nerves, muscles and great vessels continues. The growth of the body is observed.
Formed liver produces red blood cells and bile fluid; sketches of future external genital organs (penis in men; clitoris and labia majora in women) begin to develop, which is why it is possible to predict the future sex of the child at an early stage. Nails appear on the fingers; the intestine passes into the abdominal cavity; teeth are laid; the pancreas begins to produce insulin.
At the end of the 3rd month, the fetus measures 6.5 centimeters and weighs about 73 grams .
Things to remember in the 1st trimester of pregnancy
Most of the development of your unborn baby's nervous system occurs during the 1st trimester of pregnancy.