What to do at early stage of pregnancy

First Trimester Of Pregnancy: What To Expect

What is the first trimester of pregnancy?

Pregnancy has three trimesters or stages. Each trimester is about 13 weeks or three months long. A full-term pregnancy lasts 40 weeks or between nine and 10 months. Your healthcare provider will talk to you about fetal development in terms of weeks. Your first trimester of pregnancy lasts until the 13th week of pregnancy.

It may seem strange, but your pregnancy actually begins on the first day of your last menstrual period. This is called the gestational age of the pregnancy. A pregnancy care provider calculates your due date by adding 40 weeks to the first day of your last menstrual period. So this means, by the time you know you’re pregnant, you’re already about four weeks along. This can be very confusing!

Understanding weeks of pregnancy

The first two weeks of pregnancy are part of your normal menstrual cycle — the first week is your period and the second week is ovulation. Once you ovulate, your egg travels through your fallopian tube to your uterus. If it meets up with sperm, they combine and conception occurs (fertilization).

During the third week of pregnancy, the fertilized egg travels to your uterus. On its way down to your uterus, it divides into more cells. Once it reaches your uterus, it implants into your uterine lining. This triggers your body to recognize that you’re pregnant and a series of changes begin to happen. Most people miss their period and then get a positive pregnancy test.

How long is the first trimester?

The first trimester begins before you’re pregnant. It starts on the first day of your last menstrual period and goes until the 13th week of pregnancy.

What can I expect in my first trimester?

Your first trimester of pregnancy is full of many physical and emotional changes. It can be a very overwhelming time, and your mind may be racing with questions. Plus, your hormones are in overdrive. In fact, your body produces more estrogen during one pregnancy than it does during your entire life when you’re not pregnant. This surge in hormones can cause some unpleasant pregnancy symptoms. You may find yourself feeling moody, bloated and tired. While you may not see a prominent baby bump yet, your uterus is expanding and your blood volume is increasing.

It’s OK to feel both excited and nervous. Talking to your friends, partner or a healthcare provider may help you feel better as you navigate your pregnancy journey.

What should I do in my first trimester?

Your first trimester is very important. You might not look or feel pregnant, but lots of changes are happening.

If you don’t have a healthcare provider or a pregnancy care provider, you should find one as soon as possible. Getting early pregnancy care can help you avoid any potential complications. Make a list of questions or concerns you have so you’re ready for your first appointment. Check with your health insurance about pregnancy coverage so you know what to expect and where you can get care. If you don’t have health insurance, there are programs and agencies to help you get prenatal care.

There are different types of pregnancy care providers that take care of you during pregnancy, labor, delivery and postpartum. These include obstetricians, midwives, and sometimes, primary care physicians. In addition to selecting a pregnancy care provider, you may also consider places to deliver your baby. While most people choose to give birth in a hospital, some people prefer birthing centers or home births.

Now is a great time to think about your overall health and what lifestyle changes you may need to make now that you’re pregnant. For example, think about how pregnancy affects your work, finances, habits and daily activities.

How does the fetus develop in the first trimester of pregnancy?

Several developments occur in the first trimester. Although you can’t see it happening, there’s a lot going on inside your body after sperm fertilizes an egg.

Weeks one to four of pregnancy

During the first month of pregnancy, several important structures form. These structures are a tiny clump of cells, but will grow to become the amniotic sac, placenta and umbilical cord. A tube that becomes the fetus’s brain and spinal cord forms, as well as its circulatory system. A face, circles for eyes and the beginning of a mouth take shape.

The embryo is about a quarter-inch inch long — smaller than a grain of rice.

Weeks five to eight of pregnancy

Several major organs begin to develop during the sixth week of pregnancy including the fetal lungs, heart, ears, arms and legs. Bones begin to replace tissue. Its head is large in proportion to the rest of its body, but it look more human now. The fetus has a distinct mouth, nose and face. Some providers do an early ultrasound to confirm a heartbeat during this time.

By the end of the eighth week of pregnancy, the embryo becomes a fetus. It’s about 1 inch long or the size of a raspberry.

Weeks nine to 12 of pregnancy

Towards the end of your first trimester, the fetus will have toes, fingers and nails. It will start to move by opening and closings its hands and mouth. The fetus’s urinary and digestive systems are also fully functioning. At around 12 weeks of pregnancy, your provider can listen to the fetal heart using a Doppler ultrasound. It also has either a vagina or a penis at this point (though your provider can’t see it on an ultrasound).

By the end of the 12th week of pregnancy, the fetus is between 3 and 4 inches long — about the size of a plum. It weighs about 1 ounce.

Why is the first trimester of pregnancy so critical?

The first trimester is so important because most of the fetus’s major organs and body systems are developing. Toxins, harmful substances and infection can severely damage a fetus’s growth and development during this time. It could increase your baby’s risk of being born with a congenital disorder.

What are the most common symptoms during the first trimester?

Every person and every pregnancy is unique. An increase in hormones cause most pregnancy symptoms. Some of the most common are:

Sore breasts: Hormones may make your breasts feel tender and large. It’s common to need bigger bras before the end of your first trimester. The veins in your breasts may become noticeable because they’re carrying more blood. Other changes to your breasts may include darkened areolas or changes to your nipples.
Nausea: Morning sickness is one of the telltale signs of early pregnancy. Despite its name, it can last all day and all night. Try eating smaller meals or bland, low-fat foods. Some people find relief by eating foods containing ginger.
Mood swings: The sudden rush of hormones may put you on a rollercoaster of emotions. You may alternate between feeling anxious or scared to excited or weepy within a span of 30 minutes. It may be helpful to talk through your feelings with a friend or your partner.
Feeling tired: Your body is hard at work during the first trimester of pregnancy. This may leave you feeling exceptionally tired. Be sure to get plenty of rest. Most people get some energy back in the second trimester.
Needing to pee: Your uterus begins to grow to support the pregnancy. It may begin pressing on your bladder, causing you to need to pee more often.
Acne or other skin changes: Hormones cause your skin to create more oil during pregnancy. This can lead to clogged pores and acne in some people. There are other skin conditions that appear during pregnancy, but most appear in the second or third trimesters.
Mild shortness of breath: You may feel short of breath with light physical activity.

Your heart is pumping more blood during pregnancy. This means your pulse may be quicker and you may find yourself losing energy more easily. Be mindful of how much demand pregnancy puts on your body and take rests when you feel tired or out of breath.

What tests will I have in the first trimester of pregnancy?

Checkups, screenings and other tests during pregnancy help keep you and the fetus healthy. Care during pregnancy is commonly referred to as prenatal care. Prenatal care appointments are important because your pregnancy care provider discusses what you can expect during pregnancy and delivery, performs checkups and screenings and answers any questions you have.

Your first prenatal visit

You’ll have between two and three prenatal visits during your first trimester. This can vary depending on your provider or if you’re a high-risk pregnancy. You can expect to discuss your personal medical history, gynecological and obstetrical history (prior pregnancies and births), as well any family medical history that may affect your pregnancy. This visit is very thorough to make sure you and the growing fetus are healthy.

At your first prenatal visit your provider will calculate your due date. You can also expect them to perform the following:

A physical exam, including checking your weight and blood pressure.
A pelvic exam.
A Pap test (if you’re due for one).
Tests to check for certain sexually transmitted infections (STIs).
Check your pee for bacteria, protein and glucose (sugar).
Order blood tests to check hormone levels, Rh factor, iron levels and certain diseases.
Check the fetal heart rate.

Some providers use transvaginal ultrasound at your first appointment to confirm pregnancy and measure the fetal heart rate and size. This ultrasound also shows if you’re expecting multiples. A transvaginal ultrasound involves your provider placing a wand inside your vagina. Most pregnant people are offered at least one ultrasound in their first trimester, but the exact timing varies depending on your provider. If you’re expecting multiples, you may be offered additional ultrasounds in your first trimester.

Your provider may suggest other screening tests during pregnancy. Screening tests identify if you or the fetus are at risk for certain health conditions. Based on the results of your screening, you may need diagnostic tests. Diagnostic tests confirm or rule out health problems. In the first trimester, your provider may suggest a screening to detect a higher risk of chromosomal disorders like Down syndrome. Talk to your provider about the screenings they recommend.

What should I not do in the first trimester of pregnancy?

Once you find out you’re pregnant, it’s normal to have to make some lifestyle changes. These changes help ensure that everyone is healthy. You should avoid the following things during your first trimester of pregnancy:

Alcohol.
Cigarettes and tobacco.
Recreational drugs like opioids.
Contact sports like football or activities that put pressure on your abdomen.
Foods like raw fish (sushi), fish high in mercury, uncooked or undercooked meats, lunchmeat and unpasteurized milk, cheese or juice.
Hot tubs and saunas.

How do I take care of myself in the first trimester of pregnancy?

Staying healthy is important throughout all three trimesters of pregnancy. Here are some helpful tips on staying healthy during the first 13 weeks of pregnancy:

Stay active as much as you can. Listen to your body and stop for rest if you feel any discomfort while exercising. You may need to modify your exercise routine during pregnancy.
Take a prenatal vitamin containing folic acid.
Eat a variety of healthy foods including fruits, vegetables, meat, eggs and whole grains.
Get plenty of rest.
Drink plenty of water.
Attend all of your prenatal appointments.

Is it normal to bleed during the first trimester of pregnancy?

Light bleeding or spotting during pregnancy is usually OK in the first few weeks of pregnancy. Some people experience implantation bleeding (when a fertilized egg burrows unto your uterine lining). Call your pregnancy care provider if you’re bleeding heavily or the bleeding lasts more than one day.

What prenatal vitamin should I take?

The vitamins and minerals in your food (or in prenatal vitamins) help support the fetus as it grows and develops. Most providers recommend taking a prenatal vitamin as soon as you begin trying to get pregnant. Vitamins containing folic acid, iron and calcium help support a healthy pregnancy. Talk to your provider if you’re unsure about which prenatal vitamin to take.

Can I drink caffeine during pregnancy?

Most healthcare providers recommend limiting caffeine consumption to under 200 milligrams per day during pregnancy. That’s about 12 ounces of coffee or three cans of Mtn Dew®. This is because a fetus can’t metabolize caffeine so it can build up in their body and cause complications.

When should I call my pregnancy care provider during the first trimester?

Call your provider right away if you have:

A fever higher than 100.4 degrees Fahrenheit.
Heavy bleeding or unusual vaginal discharge.
Severe cramping in your belly, arms or legs or abdominal pain.
Persistent vomiting and/or diarrhea.
Fainting spells or dizziness.
Swelling in your hands, fingers or face.
Blurred vision or spots before your eyes.

A note from Cleveland Clinic

Pregnancy is an exciting, and sometimes scary, time in your life. You may feel overwhelmed with information and have lots of questions. During the first trimester of pregnancy, your body is growing and changing rapidly. The fetus is growing and developing, too. In fact, by the end of the first trimester, the fetus is the size of a lemon. You may begin having symptoms of pregnancy like nausea, sore breasts or needing to pee more often. Schedule an appointment with a pregnancy care provider as soon as you know you’re pregnant. Regular prenatal care is important so you and the fetus stay healthy and strong during pregnancy.

The First Trimester of Pregnancy

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Medically reviewed by Debra Rose Wilson, Ph. D., MSN, R.N., IBCLC, AHN-BC, CHT — By Jacquelyn Cafasso on November 8, 2017

What is the first trimester?

A pregnancy lasts for about 40 weeks. The weeks are grouped into three trimesters. The first trimester is the time in between fertilization of the egg by the sperm (conception) and week 12 of a pregnancy.

A woman’s body goes through many changes during the first 12 weeks of a pregnancy. Women often start to have concerns over:

what to eat
which types of prenatal tests they should consider
how much weight they might gain
how they can make sure their baby stays healthy

Understanding a pregnancy week by week can help you make informed decisions and prepare for the big changes that lie ahead.

What happens to a woman’s body during the first trimester?

In the first trimester, a woman’s body goes through many changes. The body releases hormones that affect almost every single organ in the body. The first sign you may be pregnant is missing a period. As the first few weeks pass, some women experience the following:

tiredness
upset stomach
throwing up
mood swings
tender breasts
heartburn
weight gain
headaches
cravings for certain foods
revulsion to certain foods
constipation

You may need to rest more or eat smaller meals during this time. Some women, however, don’t feel any of these symptoms at all.

What happens to the fetus during the first trimester?

The first day of your pregnancy is also the first day of your last menstrual period. At about 10 to 14 days after, an egg is released, combines with a sperm, and conception occurs. A baby develops rapidly during the first trimester. The fetus begins to develop a brain and spinal cord, and the organs begin to form. The baby’s heart will also begin to beat during the first trimester.

Arms and legs begin to bud in the first few weeks, and by the end of eight weeks, fingers and toes start to form. By the end of the first trimester, the baby’s sex organs have formed. According to the Office on Women’s Health, the baby is now about 3 inches long and weighs almost 1 ounce.

What can be expected at the doctor?

When you first learn you are pregnant, make an appointment with your doctor to begin caring for the developing baby. If you are not already on prenatal vitamins, start them immediately. Ideally, women take folic acid (in prenatal vitamins) for a year before the pregnancy. Women normally see their doctor once a month during the first trimester.

During your first visit, a doctor will take a full health history and perform a full physical and pelvic exam. The doctor may also:

perform an ultrasound to confirm the pregnancy
perform a Pap test
take your blood pressure
test for sexually transmitted infections, HIV, and hepatitis
estimate your date of delivery or “due date,” which is around 266 days from the first day of your last period
screen for risk factors like anemia
check thyroid levels
check your weight

At around 11 weeks, the doctor will perform a test called a nuchal translucency (NT) scan. The test uses an ultrasound to measure the baby’s head and thickness of the baby’s neck. The measurements can help determine the chance that your baby will be born with a genetic disorder known as Down syndrome.

Ask your doctor whether or not genetic screening is recommended for your pregnancy. Genetic screening is a test used to find out your baby’s risk for specific genetic diseases.

How can I stay healthy during the first trimester?

It’s important for a woman to be aware of what to do and what to avoid while pregnant in order to take care of themselves and their developing baby.

What to do

Here are good personal health measures to take during the first trimester:

Take prenatal vitamins.
Exercise regularly.
Work out your pelvic floor by doing Kegel exercises.
Eat a diet high in fruits, vegetables, low-fat forms of protein, and fiber.
Drink lots of water.
Eat enough calories (about 300 calories more than normal).

What to avoid

These things should be avoided during the first trimester:

strenuous exercise or strength training that could cause an injury to your stomach
alcohol
caffeine (no more than one cup of coffee or tea per day)
smoking
illegal drugs
raw fish or smoked seafood (no sushi)
shark, swordfish, mackerel, or white snapper fish (they have high levels of mercury)
raw sprouts
cat litter, which can carry a parasitic disease called toxoplasmosis
unpasteurized milk or other dairy products
deli meats or hot dogs

What else should be considered during the first trimester?

Body changes provide plenty to think about during the first trimester, but having a baby will affect other parts of your life too. There are many things to start to think about during the first few months of your pregnancy so you can prepare for the future.

When to tell your friends, family, and employer

The first trimester is the most common time for a loss of pregnancy (miscarriage), so you may want to wait for the pregnancy to settle into the second trimester.

You may also want to consider whether or not you will keep working or quit your job as your pregnancy progresses, and if your employer provides unpaid maternity leave for the birth and care of your newborn.

Where you want to give birth

You may want to start to consider where you would like to deliver your baby when it’s time to give birth. Women can choose to deliver at a hospital, birth center, or at their own home. You should weigh the pros and cons of each location and discuss them with your doctor.

The American Congress of Obstetricians and Gynecologists (ACOG) believes that hospitals and birthing centers are the safest place to deliver a baby. If there is an emergency, a hospital is fully equipped to handle the situation.

If you have a high-risk pregnancy

High-risk pregnancy means that there is a greater chance of complications. Factors that may make your pregnancy high-risk include:

being young
being over 35 years old
being overweight
being underweight
having high blood pressure, diabetes, HIV, cancer or other autoimmune disorders
being pregnant with twins or multiples

Women with a high-risk pregnancy may need to visit the doctor more often and sometimes may need a specially trained doctor. Having a high-risk pregnancy doesn’t necessarily mean you will have any problems.

Paying for care

Many women worry about the costs of medical bills during a pregnancy. The good news is that there are options available in every state in the United States to help pay for care. As soon as you find out you are pregnant, you should make an appointment to see your health care provider, a midwife or a physician (in some medical practices, both are in the same office). Health insurance options have changed over time, and most offer pregnant women more options. Insurance companies are learning it is important to provide prenatal care to prevent more expensive medical care later. Local hospitals, clinics, and other government programs are available to help with:

food
nutrition
counseling
free access to health services for pregnant women

Last medically reviewed on November 9, 2017

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How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Committee opinion: Planned home birth. (2017).
acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Planned-Home-Birth
First trimester: Symptoms and screening. (n.d.).
northshore.org/obstetrics-gynecology/pregnancy/first-trimester/
Folic acid. (2017).
marchofdimes.org/pregnancy/folic-acid.aspx
Mayo Clinic Staff. (2015). Pregnancy week by week: Healthy pregnancy.
mayoclinic.org/healthy-living/pregnancy-week-by-week/basics/first-trimester/hlv-20049471
Prenatal care and tests. (2017).
womenshealth.gov/pregnancy/you-are-pregnant/prenatal-care-tests.html
Stages of pregnancy. (2017).
womenshealth.gov/pregnancy/you-are-pregnant/stages-of-pregnancy.html

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Nov 9, 2017

Edited By

Christina Nagatani

Medically Reviewed By

Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHT

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Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT — By Jacquelyn Cafasso on November 8, 2017

Contraindications for early pregnancy and 2nd and 3rd trimesters

Foreword

Pregnancy is a wonderful, but also a responsible time. The course of pregnancy and the health of the unborn child depend on the behavior of the expectant mother.

Lifestyle changes during pregnancy, of course. Today we will talk about contraindications during pregnancy, about those prohibitions that her condition imposes on a woman.

It is known that the entire period of pregnancy is divided into three trimesters. And in each of them there are different contraindications during pregnancy. nine0005

Contraindications in the first trimester of pregnancy

The first trimester of pregnancy is the most important period of the entire pregnancy, because at this time all the main systems of the new organism are formed. Therefore, in the first trimester of pregnancy, the list of restrictions is the most voluminous.

In order for a child to be healthy and develop properly, he must be provided with high-quality building materials and nullify all adverse factors that may affect the development of the body. nine0005

What should not be done in the first trimester of pregnancy?

First of all, it is necessary to give up such a bad habit as smoking. If you smoked before pregnancy, then it is necessary to leave cigarettes immediately! Smoking has an extremely negative effect on intrauterine development and leads to the formation of pathologies of varying severity. Passive smoking should also be avoided. It is unacceptable to be in the same room with a smoker. Very often, a woman's body takes care of itself - when pregnancy occurs, she begins to experience a strong aversion to the smell of cigarette smoke. nine0026
Alcohol is the second enemy of the normal course of pregnancy. The influence of alcohol is especially harmful in the early stages, when the main systems of the body are being formed.
Crowded places should be avoided as there is a risk of infection in crowded places. Infectious diseases have an extremely negative effect on pregnancy, especially since the list of medicines that can be used during this period is extremely small.
The same applies to colds, which, among other things, can lead to serious complications due to the weakness of the body. Therefore, it is advisable not to overcool, not to be in a draft, not to wet your feet. nine0026
Fluorography and other x-rays should not be done except for vital indications. X-ray radiation has an extremely negative effect on the development of the child and can lead to developmental pathology.
Before taking medicines during pregnancy, you should read the package leaflet very carefully and consult your doctor. Many medicines are contraindicated during pregnancy, and it is strictly forbidden to take them. These drugs include many antibiotics, tranquilizers, painkillers, narcotic drugs, and some others. nine0026
Stress is also a contraindication during pregnancy. Excessive nervous tension and negative emotions have an extremely negative effect on the development of the child. With stressful loads, hormonal collection often occurs, which negatively affects the development of pregnancy.
A very important contraindication during pregnancy is weight lifting. You can not heavily load the muscles of the abdomen and pelvis. Exhausting physical exercises should be abandoned. And, of course, to exclude various extreme sports, giving preference to more relaxed activities: swimming, walking, simple yoga exercises, physical therapy and breathing exercises. nine0026
Nutrition during pregnancy should be taken very seriously. Dyes, chemical flavoring additives in food are contraindicated.
As for products of animal origin, they require complete heat treatment before consumption. It is forbidden to eat half-cooked food, as dangerous parasites and bacteria that cause serious illness can be present in uncooked foods.
If you have pets at home, especially cats, entrust the care of the cat to someone from the household. Cat feces can contain pathogens of toxoplasmosis, a dangerous disease that negatively affects the development of the child. nine0026

Pregnancy contraindications - controversial issues

Some restrictions during the first trimester of pregnancy are controversial today. Let's focus on the most important points.

Sex life

During sexual intercourse, there is an active contraction of the muscles of the uterus and small pelvis, so it is advisable to abstain from sex in the first trimester of pregnancy. This is especially true with the threat of miscarriage. However, even if your pregnancy is going well, sexual contact can cause complications because the fetus may be displaced or disturbed. nine0005

Over time, the embryo becomes more protected, so after the first trimester of pregnancy, if you feel good, there are no restrictions on your sex life.

Cosmetics

During the first trimester of pregnancy, you must continue to take care of your body. However, it is recommended not to use cosmetics with fragrances and strong odors. Currently, many hypoallergenic personal care products are being produced, you can also use children's cosmetics. nine0005

It is good to use natural natural remedies: masks made from vegetables and fruits, such as cucumber mask or strawberry mask, as well as honey and olive oil. In specialized stores there is a large selection of cosmetics for expectant mothers.

Hair coloring is not a contraindication during pregnancy. However, it is not recommended to dye your hair with any paint. The chemical elements that make up the paint negatively affect the condition of the hair. Therefore, if you decide to dye your hair, especially in the first trimester of pregnancy, give preference to expensive proven dyes. And it is best to use natural substances: henna or basma. nine0005

Physical activity

Heavy physical activity is contraindicated during the first trimester of pregnancy. Serious stress on the body should be avoided, so if you were involved in extreme or power sports before pregnancy, change activities. It is possible and necessary to engage in physical education during the first trimester, but change your occupation, give preference to swimming, yoga, physiotherapy exercises, and walks in the fresh air. nine0005

There are special complexes of therapeutic and breathing exercises for pregnant women.

Tanning and solarium

Ultraviolet is necessary for normal health and functioning of all body systems. Therefore, sunbathing is not forbidden. Of course, it is best to do it on the beach. It is only necessary to remember that it is necessary to be in the sun in the morning and evening hours, before 11 am and after 4 pm, since in the daytime the sun is very active and can harm the body. nine0005

Also remember to protect yourself from sunburn and use sunscreen. Sunbathing should not be prolonged, and at the slightest sign of indisposition, they should be stopped. It is best that exposure to sunlight on the body occurs in partial shade.

Is a solarium contraindicated in the first trimester of pregnancy? Here the opinions of experts differ. However, if there are no complications of pregnancy and strict contraindications, then you can visit the solarium, observing the precautionary measures: the stomach must be covered with a cloth, and you should also carefully monitor your well-being, and at the slightest sign of malaise, stop the procedure. nine0005

Travel

Traveling long distances is recommended to be postponed. The fact is that vibrations in the train and on the plane lead to tension in the muscles of the back and abdomen, and can provoke an increased tone of the uterus. In addition, when traveling by plane, the body experiences stress caused by pressure differences.

However, if the pregnancy is normal, the woman is in good physical shape, flying and train travel are not contraindicated. You just need to follow some precautions: drink plenty of water during the flight, wear loose clothing, and walk around the cabin several times during the flight. As for the train, here one should not save on amenities, it is not advisable to travel in a reserved seat, and even more so in a common carriage, a place, of course, should be chosen on the lower shelf. nine0005

Trips bring a lot of positive emotions, so if there are no serious contraindications, consult a doctor and feel free to hit the road!

Power supply

Fast food and foods that cause allergic reactions should be excluded from your diet. But if you really want to eat a hamburger, then you can sometimes afford it. Just don't get carried away!

In the first trimester of pregnancy, many women experience morning sickness. Therefore, fatty and heavy foods become a contraindication in the first trimester of pregnancy. nine0005

Coffee and cocoa

Coffee excites the nervous system and affects the heart. Therefore, coffee is a contraindication during pregnancy if you have problems with the heart or blood vessels. At the same time, in moderation, coffee is useful for maintaining tone and uplifting mood. Also, coffee is recommended at reduced pressure. But everything should be done in moderation.

Cocoa is a very useful product, it contains many vitamins and microelements. At the same time, cocoa also has negative properties: cocoa washes calcium out of the body and prevents its absorption. Cocoa also provokes the appearance of uterine tone, which is very dangerous especially in the first trimester of pregnancy. Cocoa is high in calories, so it contributes to weight gain, which is highly undesirable. Based on the foregoing, the use of cocoa is rather a contraindication during pregnancy

Contraindications in the second trimester of pregnancy

The second trimester of pregnancy is the most pleasant time! Toxicosis and ailments associated with the first trimester of pregnancy are already behind, but the size of the fetus and abdomen is still small, so a pregnant woman can enjoy her excellent condition.

Contraindications during pregnancy become much less than in the first trimester, and many of them are not so strict.

And yet, let's dwell on some of them. nine0005

What not to do in the second trimester of pregnancy?

Power supply

Toxicosis of the first trimester of pregnancy has passed, and now the woman can return to her usual diet. However, in the second trimester there are a number of restrictions.

First of all, fatty heavy foods should be avoided. It is necessary to remove from the diet foods that can cause an allergic reaction, such as nuts, as well as foods with food additives and preservatives. Before you buy products, carefully study their composition on the label! nine0005

It is advisable to limit the intake of salty and smoked foods. Daily salt intake should also be reduced as salt retains fluid in the body, which can cause edema and is an additional burden on the kidneys, and increases blood pressure

sushi, as there is a risk of infection with helminths.

A healthy, balanced diet is the basis for your well-being and the health of your baby. The basis of a healthy diet in the second trimester of pregnancy is cereals, followed by dairy products, fruits and vegetables in second place, and fish and meat in third place. It is advisable to refuse semi-finished products during this period. nine0005

Vitamins and trace elements

Currently, an increasing number of experts adhere to the point of view that synthetic vitamins and microelements do not bring any benefit to the body, since they are not absorbed. Of course, vitamin complexes are not a contraindication during pregnancy, but you should not rely on their miraculous power, preference should be given to natural products.

Eat more fresh fruits and vegetables, and don't forget calcium-rich dairy products as your baby's skeleton begins to take shape during the second trimester. nine0005

Skin, nails, hair

When it comes to caring for your body, contraindications and recommendations for pregnancy in the second trimester remain the same as in the first. Get more rest and be outdoors, and from cosmetics (including hair dye), give preference to natural hypoallergenic products.

Alcohol and smoking

The answer to this question is unequivocal: alcohol and cigarettes are absolutely contraindicated during pregnancy. nine0005

Medicines

The list of drugs that are not a contraindication during pregnancy is significantly expanded in the second trimester. However, before you start taking any medication, carefully read the attached instructions and consult your doctor.

For colds and to improve immunity, it is good to use traditional medicine: tea with honey and lemon, raspberry jam, sea buckthorn berries. nine0005

Other illnesses often require medication. It is necessary to be treated during pregnancy, including taking medications. Just let your doctor know about your situation, and he will select you drugs that are not contraindicated during pregnancy.

Sexual relations

In the second trimester of pregnancy, sex is not a contraindication if the pregnancy proceeds without complications.

Different women have different attitudes towards sex during pregnancy. For some, sexual relationships are a joy and pleasure. In this case, you can have sex, and it is useful. However, there are women who are psychologically unable to have sex while pregnant. Then it might be worth asking your partner to wait a little for the health of mom and baby.

Thus, sexual life in the second trimester of pregnancy is not contraindicated, it all depends on the well-being and psychological state of the expectant mother. nine0005

Sports and fitness

Moderate exercise during the second trimester of pregnancy is very beneficial. Contraindication during pregnancy is only extreme sports and heavy power loads.

Continue to swim, do yoga, exercise therapy.

Outdoor walks are highly recommended.

However, potentially hazardous sports should be excluded. You should not ski or ride a bike, even if you feel well! nine0005

Travel

The second trimester of pregnancy is the best time to travel! Just follow the recommendations of doctors during the trip and enjoy new experiences!

Choose a form of transport where you can get up and stretch when necessary.

You can also travel to exotic countries if you take precautions.

Flight is not a contraindication during the second trimester of pregnancy. However, take care of yourself in flight: wear anti-varicose tights, loose clothing, drink plenty of fluids during the flight, fasten the seat belt under your stomach. nine0005

Contraindications in the third trimester of pregnancy

The third trimester is the most difficult period for a pregnant woman. The child is already large, and the size of the abdomen is a significant inconvenience. The body of the future mother is being rebuilt and preparing for the upcoming birth.

There are many more contraindications in pregnancy in the third trimester than in the second.

What should not be done in the third trimester of pregnancy?

Power

In the third trimester, a woman begins to experience various inconveniences associated with digestion, such as heaviness in the stomach, heartburn, constipation. Therefore, it is necessary to review the diet and diet during this crucial period.

One of the most important tasks during this period is to monitor your own weight. Excess weight is an additional burden on the body, which can lead to complications during pregnancy.

However, keeping your weight under control does not mean starving! Diets during pregnancy are strictly contraindicated! nine0005

From the diet should be excluded foods that are not nutritionally useful, but only lead to excess weight. Such products include cakes, pastries, pies, buns, sweets, cookies.

Preference should be given to dairy products, lean fish and meat, cereals, fruits and vegetables.

Eat a balanced, varied diet in small portions.

Overeating is also a contraindication during pregnancy. You should not take part in feasts at this time. nine0005

Drinking mode

As for drinks, some of them are contraindicated in the third trimester of pregnancy.

First of all, these are any drinks containing alcohol, as well as energy drinks, sweet carbonated water, especially Pepsi and Fanta, strong coffee and tea.

Preference should be given to drinks such as herbal teas, natural juices, fruit drinks and compotes with a low sugar content. It is also recommended to drink ordinary mineral and table water. nine0005

In terms of fluid intake, gynecologists currently do not limit fluid intake during the third trimester. If a woman has edema, then this is not due to fluid intake, but to a violation of the kidneys, which can lead to a severe complication, preeclampsia.

If edema occurs, you should immediately consult a doctor and take medical measures.

Medicines

Some medications are still contraindicated during pregnancy in the third trimester. However, the list of drugs, the use of which is possible, is expanding more and more. nine0005

Therefore, doctors often postpone the treatment of certain diseases until the third trimester, when a woman can undergo drug therapy without harming either her health or the health of her unborn baby.

The rule for taking medications in the third trimester remains the same for the entire duration of pregnancy: before taking this or that drug, carefully read the instructions and consult a specialist.

Physical activity

The physical condition of a woman in the third trimester imposes many restrictions on physical activity. nine0005

Contraindications during pregnancy during this period are weight lifting, strength exercises, active and potentially traumatic sports.

The child grows, takes up more and more space in the woman's body, and it becomes more and more difficult for her to move. Shortness of breath appears, previously normal movements become difficult: bending or climbing stairs.

However, exercise during the third trimester of pregnancy is not a contraindication. On the contrary, walking, swimming, special exercises for pregnant women are useful. nine0005

You should rely on your own well-being. Physical education should please, improve mood and not cause severe fatigue.

Sex life

Sex in the third trimester of pregnancy is not contraindicated. However, sex should be treated with caution, given that not all methods are appropriate at this time.

In addition, at the very late stages of sex can become a stimulation of the onset of labor. Sometimes gynecologists even advise resorting to this method to start the process of childbirth. nine0005

Therefore, if a woman is at risk of premature birth, it is advisable to refrain from sexual activity during this period of pregnancy.

Sexual activity in the third trimester of pregnancy is recommended if desired and sensibly, if there are no complications.

Summing up all of the above, it should be noted that pregnancy is a special crucial period in a woman's life, which imposes a number of restrictions.

Contraindications during pregnancy are caused by the peculiarities of this period and do not prevent you from leading a normal life and enjoying your position. nine0005

Early pregnancy | Shchelkovsky perinatal center

Pregnancy is a wonderful period! However, the changes taking place in the body at this time can greatly frighten you. The phenomena characteristic of pregnancy are different for all women, and will not necessarily be repeated during each subsequent gestation. Let's analyze the most common symptoms, their causes and possible methods of correction.

1. Frequent urination.

Frequent, painless (!) urge to urinate is one of the signs of pregnancy. This is due to increased secretion of progesterone (pregnancy hormone), changes in metabolism and pressure from the growing uterus on the bladder. nine0005

Be sure to see a doctor if:

urination is painful (this may be a sign of an infection)
urine of strange color (stained with blood, brown)
the amount of urine excreted per day is much less than the liquid drunk per day

Life hack! In no case should you limit fluid intake! To alleviate the condition and reduce the frequent urge to urinate, it is necessary to exclude products that have a diuretic effect: tea, coffee, zucchini, watermelon; as well as salty, spicy and fried foods. It is better to drink water or juice. Wear comfortable cotton underwear that does not squeeze the lower abdomen. nine0005

2. Nausea, vomiting, heartburn, increased susceptibility to smells.

Nausea is one of the common symptoms of early pregnancy. The range of issues related to nausea and vomiting during pregnancy is quite wide. From "it's good, I don't even feel sick" (with relief), "I don't feel sick, what's wrong with me?" (with anxiety) to "when will this nausea pass" (with hope). Indeed, these symptoms are not at all a mandatory accompaniment of gestation, they can manifest at 7-8 weeks and last up to 12-14 weeks. The duration of this condition can sometimes be delayed, but rarely persists throughout pregnancy. nine0005

Life hack! For nausea, eat before feeling hungry. Solid, non-hot food and drinks at a cool temperature are best. With heartburn, you should eat small portions of food and often, and most importantly, sit, stand or walk for at least 30 minutes after eating, but do not lie down.

You should definitely consult a doctor if:

vomiting occurs even after drinking water
vomiting is exhausting, accompanied by dizziness, weakness
dryness, jaundice and flaking of the skin appear
Nausea and vomiting interfere with proper nutrition, accompanied by weight loss

To reduce nausea and vomiting in the morning, try eating something before you get out of bed. It can be a cracker, a cookie, a piece of hard cheese. And salty food is preferable to sweet. You can have a snack in the same way at night when you get up to go to the toilet. Do not lie down immediately after eating, this will only increase nausea. Vitamins for pregnant women with nausea should be taken in the evening after meals. Cool water with lemon, ginger, mint tea, or ginger or mint candies can alleviate the condition. It is necessary to exclude those foods, drinks and smells that are unpleasant to you. Brushing your teeth and rinsing your mouth often can also reduce nausea. nine0005

3. Pain or cramps in the lower abdomen, constipation, pain in the lumbar region.

The simplest and most easily controlled cause of pain is delayed and incomplete bowel movements. An increase in the concentration of progesterone relaxes the smooth muscles, which are located not only in the uterus, but also in other hollow organs. In this case, the correction of the diet and the restoration of the passage of feces will help. If the measures are ineffective, the doctor may prescribe safe drugs for you. A special type of pain that occurs during exclusivity in pregnant women is pain in the round ligament of the uterus. This acute, rather intense pain occurs, as a rule, on the one hand with a sharp change in body position (for example, when getting up from a chair or leaving a car). This pain occurs due to stretching, and then a sharp contraction, like a spring, of the round uterine ligaments. The pain quickly passes if you immediately take a comfortable position and does not require special treatment. nine0005

You should definitely consult a doctor if:

pain is accompanied by spotting bloody discharge from the external genitalia
increasing duration and intensity of pain
abdominal pain accompanied by dizziness, fever, loss of consciousness

Life hack! To normalize bowel movements, eat more vegetables and fruits, drink water and move more during the day. Try to eat often and in small portions. nine0005

4. Enlargement and soreness of the mammary glands.

Hormonal restructuring of the body during gestation is accompanied, among other things, by an increase in the size of the mammary glands and an increase in their sensitivity. By the end of the first trimester, the soreness usually disappears, no additional methods of treatment are needed.

Life hack! Choose comfortable supportive underwear (it should not leave marks on the skin at the end of the day). You may need a larger size or a sports bra. Pain in the mammary glands is relieved by a warm shower at the end of the day. nine0005

You should definitely see a doctor if:

the pain is severe
mammary glands are very dense with redness and body temperature is increased
there is discharge from the nipples (purulent, bloody)

5. Increased body temperature.

In early pregnancy, an increase in body temperature to 37.5 ° C is not necessary, but is possible due to the peculiarities of the action of progesterone. Because of this, it is difficult for pregnant women to endure stuffy, hot rooms. Self-medication is dangerous: an attempt to bring down the temperature even with a seemingly harmless folk method - tea with raspberries - can mask the true cause of hyperthermia and delay the diagnosis. Due to the increased body temperature, pregnant women should dress in layers and avoid stuffy and hot rooms and spaces so that they can always “adjust” their temperature on their own. nine0005

temperature above 37.5 °C
along with fever, any pain occurs
runny nose, cough, body aches appear

6. Nasal congestion, difficulty breathing, nosebleeds.

These symptoms can be explained by the individual reaction of the vascular system to the increase in blood volume that occurs during pregnancy. Another possible reason is dry air in the room, the operation of central heating batteries. nine0005

Life hack! The easiest way to deal with nasal congestion is to use a humidifier. If you don't have one, you can put a damp towel on the battery - less effective, but better than nothing. It is possible to use sprays with sea salt, but you need to carefully read the instructions and especially the "Indications" section, it should contain information about the safety of the product during pregnancy.

You should definitely see a doctor if:

symptoms of a cold occur
nasal congestion accompanied by ear congestion
the indicated symptoms appeared after exposure to the allergen known to you

7. Blood pressure fluctuations.

An ideal option for the course of any pregnancy is the stability of the blood pressure throughout the gestation. However, this is extremely rare. A small (up to 10 units) increase in pressure from the usual reference may be due to an increase in the load on the cardiovascular system as a result of changes in body weight, hormonal changes, and uterine pressure on the vessels. Normal pressure: systolic below 130 mm Hg, diastolic no more than 85 mm Hg. Blood pressure in the range of 130–139/ 85–89 mm Hg considered high to be normal. High numbers are often observed in patients of older reproductive age, suffering from diabetes mellitus and kidney disease, obesity, etc. However, it is imperative to tell the doctor about all these concomitant pathological conditions at the first appointment and, if necessary, consult a neurologist, cardiologist, endocrinologist and other related specialists . Reasonable physical activity, adherence to sleep and wakefulness, a balanced diet, and the rejection of coffee and strong tea allow you to keep pressure within limits. Of the completely exotic for our days, but no less significant - the prevention of stress. nine0005

Life hack! If you first discovered that you have high normal pressure, repeat the measurement after 15 minutes. If the pressure remains elevated, see a doctor.

Be sure to see a doctor if:

the pressure is above 140/90 mmHg
pressure increased by more than 10 mm Hg. relative to your usual
an increase in the pressure indicator is accompanied by edema, the appearance of "flies" before the eyes

NB! You should also pay attention to lowering blood pressure. Numbers less than 90/60 mmHg - an excuse to see a doctor.

Life hack! Keep a blood pressure diary, especially if you are prone to hypertension. Show your diary to your doctor at every appointment.

8. Heaviness and pain in the legs.

Heaviness and pain in the legs, especially in the evening, are frequent companions of pregnancy. There is an explanation for the occurrence of symptoms: an increase in load due to growing weight and a shift in the center of gravity of the body. nine0005

Life hack! Ask your partner/husband to give you a foot massage, relax with your limbs elevated (not too much!) A therapeutic pedicure, dousing the legs with cool water, a contrast shower, a cream or gel for legs with cooling components (menthol, essential oils), as well as compression stockings or stockings of the lightest degree of compression will help.

You should always see a doctor if:

one or both legs are very swollen or discolored
previously diagnosed varicose veins, family history of thrombosis

9. Skin changes.

During pregnancy, you may notice dark spots on your skin. Especially often such darkening (hyperpigmentation) is observed in the nipple area, along the white line of the abdomen. Stretch marks (stretch marks) may appear on the skin of the abdomen and thighs. These are normal signs and do not require any treatment. In most cases, skin color will return to normal after breastfeeding ends, and stretch marks will shrink and fade. Itching can be associated with stretching of the skin, especially in the abdomen and mammary glands. This symptom occurs infrequently and is usually successfully stopped by the use of special products to moisturize and soften the skin. By the way, these same remedies usually help in the fight against stretch marks. nine0005

Life hack! Oils and moisturizing creams to increase skin elasticity, contrast showers, massage with a hard brush will help reduce the likelihood of skin changes.

You should definitely consult a doctor if:

along with itching there are areas of redness, spots, peeling
the intensity of itching increases

10. Bleeding gums.

Changes in the characteristics of blood circulation in the body of a pregnant woman can cause bleeding gums. The appearance of minor blood impurities during brushing your teeth, when eating solid foods (for example, an apple) is acceptable. However, the key provision is "insignificant". If you find it difficult to assess your own condition, consult a specialist. nine0005

You should definitely consult a doctor if:

you have loose teeth, sore gums, bad breath
bleeding in the gum area increases

11. Fatigue, mood instability.

Tearfulness, lack of strength, forgetfulness, distraction, the whole palette of feelings "here and now"... The list goes on, and there is only one explanation for this - pregnancy. The most common early symptom is severe fatigue. There is no universal recipe, just as there is no single picture of these states. The main recommendation for all pregnant women is to rest often, relax and even sleep during the day. Most importantly, you need to remember: pregnancy is not a disease, but a great time to prepare for motherhood.

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