When pregnancy start

Fetal development: Month-By-Month Stages of Pregnancy

When does a pregnancy start?

The start of pregnancy is actually the first day of your last menstrual period. This is called the gestational age, or menstrual age. It’s about two weeks ahead of when conception actually occurs. Though it may seem strange, the date of the first day of your last period will be an important date when determining your due date. Your healthcare provider will ask you about this date and will use it to figure out how far along you are in your pregnancy.

How does conception work?

Each month, your body goes through a reproductive cycle that can end in one of two ways. You will either have a menstrual period or become pregnant. This cycle is continuously happening during your reproductive years — from puberty in your teen years to menopause around age 50.

In a cycle that ends with pregnancy, there are several steps. First, a group of eggs (called oocytes) gets ready to leave the ovary for ovulation (release of the egg). The eggs develop in small, fluid-filled cysts called follicles. Think of these follicles as small containers for each immature egg. Out of this group of eggs, one will become mature and continue on through the cycle. This follicle then suppresses all the other follicles in the group. The other follicles stop growing at this point.

The mature follicle now opens and releases the egg from the ovary. This is ovulation. Ovulation generally happens about two weeks before your next menstrual period begins. It’s generally in the middle of your cycle.

After ovulation, the opened (ruptured) follicle develops into a structure called the corpus luteum. This secretes (releases) the hormones progesterone and estrogen. Progesterone helps prepare the endometrium (lining of the uterus). This lining is the place where a fertilized egg settles to develop. If you don’t become pregnant during a cycle, this lining is what is shed during your period.

On average, fertilization happens about two weeks after your last menstrual period. When the sperm penetrates the egg, changes occur in the protein coating of the egg to prevent other sperm from entering.

At the moment of fertilization, your baby’s genetic make-up is complete, including its sex. The sex of your baby depends on what sperm fertilizes the egg at the moment of conception. Generally, women have a genetic combination of XX and men have XY. Women provide each egg with an X. Each sperm can be either an X or a Y. If the fertilized egg and sperm is a combination of an X and Y, it’s a boy. If there are two Xs, it’s a girl.

What happens right after conception?

Within 24 hours after fertilization, the egg begins rapidly dividing into many cells. It remains in the fallopian tube for about three days after conception. Then the fertilized egg (now called a blastocyte) continues to divide as it passes slowly through the fallopian tube to the uterus. Once there, its next job is to attach to the endometrium. This is called implantation.

Before implantation though, the blastocyte breaks out of its protective covering. When the blastocyte makes contact with the endometrium, the two exchange hormones to help the blastocyte attach. Some women notice spotting (slight bleeding) during the one or two days when implantation happens. This is normal and isn’t something you should worry about. At this point, the endometrium becomes thicker and the cervix (the opening between your uterus and birth canal) is sealed by a plug of mucus.

Within three weeks, the blastocyte cells ultimately form a little ball, or an embryo. By this time, the first nerve cells have formed.

Your developing fetus has already gone through a few name changes in the first few weeks of pregnancy. Generally, it's called an embryo from conception until the eighth week of development. After the eighth week, it's called a fetus until it’s born.

How early can I know I’m pregnant?

From the moment of conception, the hormone human chorionic gonadotrophin (hCG) will be present in your blood. This hormone is created by the cells that form the placenta (food source for the growing fetus). It’s also the hormone detected in a pregnancy test. Even though this hormone is there from the beginning, it takes time for it to build within your body. It typically takes three to four weeks from the first day of your last period for the hCG to increase enough to be detected by pregnancy tests.

When should I reach out to my healthcare provider about a new pregnancy?

Most healthcare providers will have you wait to come in for an appointment until you have had a positive home pregnancy test. These tests are very accurate once you have enough hCG circulating throughout your body. This can be a few weeks after conception. It’s best to call your healthcare provider once you have a positive pregnancy test to schedule your first appointment.

When you call, your healthcare provider may ask you if you are taking a prenatal vitamin. These supplements contain folic acid. It’s important that you get at least 400mcg of folic acid each day during a pregnancy to make sure the fetus's neural tube (beginning of the brain and spine) develops correctly. Many healthcare providers suggest that you take prenatal vitamins with folic acid even when you aren’t pregnant. If you weren’t taking prenatal vitamins before your pregnancy, your provider may ask you to start as early as possible.

What’s the timeline for fetal development?

The fetus will change a lot throughout a typical pregnancy. This time is divided into three stages, called trimesters. Each trimester is a set of about three months. Your healthcare provider will probably talk to you about fetal development in terms of weeks. So, if you are three months pregnancy, you are about 12 weeks.

You will see distinct changes in the fetus, and yourself, during each trimester.

Traditionally, we think of a pregnancy as a nine-month process. However, this isn’t always the case. A full-term pregnancy is 40 weeks, or 280 days. Depending on what months you are pregnant during (some are shorter and some longer) and what week you deliver, you could be pregnant for either nine months or 10 months. This is completely normal and healthy.

Once you get close to the end of your pregnancy, there are several category names you might hear regarding when you go into labor. These labels divide up the last few weeks of pregnancy. They’re also used to look out for certain complications in newborns. Babies that are born in the early term period or before may have a higher risk of breathing, hearing or learning issues than babies born a few weeks later in the full term time frame. When you’re looking at these labels, it’s important to know how they’re written. You may see the week first (38) and then you’ll see two numbers separated by a slash mark (6/7). This stands for how many days you currently are in the gestational week. So, if you see 38 6/7, it means that you are on day 6 of your 38th week.

The last few weeks of pregnancy are divided into the following groups:

Early term: 37 0/7 weeks through 38 6/7 weeks.
Full term: 39 0/7 weeks through 40 6/7 weeks.
Late term: 41 0/7 weeks through 41 6/7 weeks.
Post term: 42 0/7 weeks and on.

Talk to your healthcare provider about any questions you may have about gestational age and due date.

Stages of Growth Month-by-Month in Pregnancy

First trimester

The first trimester will span from conception to 12 weeks. This is generally the first three months of pregnancy. During this trimester, the fertilized egg will change from a small grouping of cells to a fetus that is starting to have a baby’s features.

Month 1 (weeks 1 through 4)

As the fertilized egg grows, a water-tight sac forms around it, gradually filling with fluid. This is called the amniotic sac, and it helps cushion the growing embryo.

During this time, the placenta also develops. The placenta is a round, flat organ that transfers nutrients from the mother to the fetus, and transfers wastes from the fetus. Think of the placenta as a food source for the fetus throughout your pregnancy.

In these first few weeks, a primitive face will take form with large dark circles for eyes. The mouth, lower jaw and throat are developing. Blood cells are taking shape, and circulation will begin. The tiny "heart" tube will beat 65 times a minute by the end of the fourth week.

By the end of the first month, the fetus is about 1/4 inch long – smaller than a grain of rice.

Month 2 (weeks 5 through 8)

Facial features continue to develop. Each ear begins as a little fold of skin at the side of the head. Tiny buds that eventually grow into arms and legs are forming. Fingers, toes and eyes are also forming.

The neural tube (brain, spinal cord and other neural tissue of the central nervous system) is well formed now. The digestive tract and sensory organs begin to develop too. Bone starts to replace cartilage.

The head is large in proportion to the rest of the body at this point. At about 6 weeks, a heartbeat can usually be detected.

After the 8th week, healthcare providers refer to it as a fetus instead of an embryo.

By the end of the second month, the fetus is about 1 inch long and weighs about 1/30 of an ounce.

Month 3 (weeks 9 through 12)

The arms, hands, fingers, feet and toes are fully formed. At this stage, the fetus is starting to explore a bit by doing things like opening and closing its fists and mouth. Fingernails and toenails are beginning to develop and the external ears are formed. The beginnings of teeth are forming under the gums. The reproductive organs also develop, but sex is still difficult to distinguish on ultrasound.

By the end of the third month, the fetus is fully formed. All the organs and limbs (extremities) are present and will continue to develop in order to become functional. The circulatory and urinary systems are also working and the liver produces bile.

At the end of the third month, the fetus is about 4 inches long and weighs about 1 ounce.

Since the most critical development has taken place, your chance of miscarriage drops considerably after three months.

Second trimester

This middle section of pregnancy is often thought of as the best part of the experience. By this time, any morning sickness is probably gone and the discomfort of early pregnancy has faded. The fetus will start to develop facial features during this month. You may also start to feel movement as the fetus flips and turns in the uterus. During this trimester, many people find out whether their baby will be designated male or female at birth. This is typically done during an anatomy scan (an ultrasound that checks physical development) around 20 weeks.

Month 4 (weeks 13 through 16)

The fetal heartbeat may now be audible through an instrument called a doppler. The fingers and toes are well-defined. Eyelids, eyebrows, eyelashes, nails and hair are formed. Teeth and bones become denser. The fetus can even suck his or her thumb, yawn, stretch and make faces.

The nervous system is starting to function. The reproductive organs and genitalia are now fully developed, and your doctor can see on ultrasound if the fetus will be designated male or female at birth.

By the end of the fourth month, the fetus is about 6 inches long and weighs about 4 ounces.

Month 5 (weeks 17 through 20)

At this stage, you may begin to feel the fetus moving around. The fetus is developing muscles and exercising them. This first movement is called quickening and can feel like a flutter.

Hair begins to grow on the head. The shoulders, back and temples are covered by a soft fine hair called lanugo. This hair protects the fetus and is usually shed at the end of your baby's first week of life.

The skin is covered with a whitish coating called vernix caseosa. This "cheesy" substance is thought to protect fetal skin from the long exposure to the amniotic fluid. This coating is shed just before birth.

By the end of the fifth month, the fetus is about 10 inches long and weighs from 1/2 to 1 pound.

Month 6 (weeks 21 through 24)

If you could look inside the uterus right now, you would see that the fetus's skin is reddish in color, wrinkled and veins are visible through translucent skin. The finger and toe prints are visible. In this stage, the eyelids begin to part and the eyes open.

The fetus responds to sounds by moving or increasing the pulse. You may notice jerking motions if the fetus hiccups.

If born prematurely, your baby may survive after the 23rd week with intensive care.

By the end of the sixth month, the fetus is about 12 inches long and weighs about 2 pounds.

Month 7 (weeks 25 through 28)

The fetus continues to mature and develop reserves of body fat. At this point, hearing is fully developed. The fetus changes position frequently and responds to stimuli, including sound, pain and light. The amniotic fluid begins to diminish.

If born prematurely, your baby would be likely to survive after the seventh month.

At the end of the seventh month, the fetus is about 14 inches long and weighs from 2 to 4 pounds.

Third trimester

This is the final part of your pregnancy. You may be tempted to start the countdown till your due date and hope that it would come early, but each week of this final stage of development helps the fetus prepare for birth. Throughout the third trimester, the fetus gains weight quickly, adding body fat that will help after birth.

Remember, even though popular culture only mentions nine months of pregnancy, you may actually be pregnant for 10 months. The typical, full-term pregnancy is 40 weeks, which can take you into a tenth month. It’s also possible that you can go past your due date by a week or two (41 or 42 weeks). Your healthcare provider will monitor you closely as you approach your due date. If you pass your due date, and don’t go into spontaneous labor, your provider may induce you. This means that medications will be used to make you go into labor and have the baby. Make sure to talk to your healthcare provider during this trimester about your birth plan.

Month 8 (weeks 29 through 32)

The fetus continues to mature and develop reserves of body fat. You may notice more kicking. The brain developing rapidly at this time, and the fetus can see and hear. Most internal systems are well developed, but the lungs may still be immature.

The fetus is about 18 inches long and weighs as much as 5 pounds.

Month 9 (weeks 33 through 36)

During this stage, the fetus continues to grow and mature. The lungs are close to being fully developed at this point.

The fetus has coordinated reflexes and can blink, close the eyes, turn the head, grasp firmly, and respond to sounds, light and touch.

The fetus is about 17 to 19 inches long and weighs from 5 ½ pounds to 6 ½ pounds.

Month 10 (Weeks 37 through 40)

In this final month, you could go into labor at any time. You may notice that less movement because space is tight. At this point, The fetus's position may have changed to prepare for birth. Ideally, it's head down in your uterus. You may feel very uncomfortable in this final stretch of time as the fetus drops down into your pelvis and prepares for birth.

Your baby is ready to meet the world at this point. They are about 18 to 20 inches long and weigh about 7 pounds.

How Does Pregnancy Happen? | Pregnancy Symptoms & Signs

In This Section

How Pregnancy Happens

What are some tips for getting pregnant?

How Does Pregnancy Happen | Planned Parenthood Video

How does pregnancy happen?

In order for pregnancy to happen, sperm needs to meet up with an egg. Pregnancy officially starts when a fertilized egg implants in the lining of the uterus. It takes up to 2-3 weeks after sex for pregnancy to happen.

How do people get pregnant?

Pregnancy is actually a pretty complicated process that has several steps. It all starts with sperm cells and an egg.

Sperm are microscopic cells that are made in testicles. Sperm mixes with other fluids to make semen (cum), which comes out of the penis during ejaculation. Millions and millions of sperm come out every time you ejaculate — but it only takes 1 sperm cell to meet with an egg for pregnancy to happen.

Eggs live in ovaries, and the hormones that control your menstrual cycle cause a few eggs to mature every month. When your egg is mature, it means it’s ready to be fertilized by a sperm cell. These hormones also make the lining of your uterus thick and spongy, which gets your body ready for pregnancy.

About halfway through your menstrual cycle, one mature egg leaves the ovary — called ovulation — and travels through the fallopian tube towards your uterus.

The egg hangs out for about 12-24 hours, slowly moving through the fallopian tube, to see if any sperm are around.

If semen gets in your vagina, sperm cells can swim up through the cervix. The sperm and uterus work together to move the sperm towards the fallopian tubes. If an egg is moving through your fallopian tubes at the same time, the sperm and egg can join together. The sperm has up to six days to join with an egg before it dies.

When a sperm cell joins with an egg, it’s called fertilization. Fertilization doesn’t happen right away. Since sperm can hang out in your uterus and fallopian tube for up to 6 days after sex, there’s up to 6 days between sex and fertilization.

If a sperm cell does join up with your egg, the fertilized egg moves down the fallopian tube toward the uterus. It begins to divide into more and more cells, forming a ball as it grows. The ball of cells (called a blastocyst) gets to the uterus about 3–4 days after fertilization.

The ball of cells floats in the uterus for another 2–3 days. If the ball of cells attaches to the lining of your uterus, it’s called implantation — when pregnancy officially begins.

Implantation usually starts about 6 days after fertilization, and takes about 3-4 days to complete. The embryo develops from cells on the inside of the ball. The placenta develops from the cells on the outside of the ball.

When a fertilized egg implants in the uterus, it releases pregnancy hormones that prevent the lining of your uterus from shedding — that’s why people don’t get periods when they’re pregnant. If your egg doesn’t meet up with sperm, or a fertilized egg doesn’t implant in your uterus, the thick lining of your uterus isn’t needed and it leaves your body during your period. Up to half of all fertilized eggs naturally don’t implant in the uterus — they pass out of your body during your period.

What are early pregnancy symptoms?

Many people notice symptoms early in their pregnancy, but others may not have any symptoms at all.

Common signs and symptoms of pregnancy can include:

Missed period
Swollen or tender breasts
Nausea and/or vomiting
Feeling tired
Bloating
Constipation
Peeing more often than usual

Some early pregnancy symptoms can sometimes feel like other common conditions (like PMS). So the only way to know for sure if you’re pregnant is to take a pregnancy test. You can either take a home pregnancy test (the kind you buy at the drug or grocery store), or get a pregnancy test at your doctor’s office or local Planned Parenthood Health Center.

How do people get pregnant with twins?

There are 2 ways that twins can happen. Identical twins are made when 1 already-fertilized egg splits into 2 separate embryos. Because identical twins come from the same sperm and egg, they have the same genetic material (DNA) and look exactly alike.

Non-identical twins (also called “fraternal” twins), are made when two separate eggs are fertilized by two separate sperm, and both fertilized eggs implant in the uterus. This can happen if your ovaries release more than one egg, or during certain kinds of fertility treatments. Non-identical twins have completely different genetic material (DNA), and usually don’t look alike. They’re the most common type of twin.

What is gestational age?

The term “gestational age” basically means how far along into a pregnancy you are. Gestational age is counted by starting with the first day of your last menstrual period (called LMP).

Gestational age can be kind of confusing, since it measures pregnancy from your last period — about 3-4 weeks BEFORE you’re actually pregnant. Common knowledge about pregnancy says it lasts 9 months, and it’s true that you’re usually pregnant for about 9 months. But the way pregnancy is measured makes it a little longer. A typical full-term pregnancy ranges from 38-42 weeks LMP — around 10 months.

Many people can’t remember the exact date of their last menstrual period — that’s totally okay. Your nurse or doctor can find out the gestational age using an ultrasound.

Pregnancy calendar

You are pregnant! Your baby will be born in 40 weeks. What changes will occur in your body, how your baby will grow will tell "Calendar of pregnancy".

1-2 weeks

Pregnancy begins at the moment of fertilization or conception.

Fertilization is a complex biological process of the fusion of female and male germ cells (egg and sperm). The resulting cell (zygote) is a new daughter organism.

A mature egg leaves the ovary approximately on the 12-14th day of the menstrual cycle (ovulation) and enters the fallopian tube, where it remains viable for 24 hours. During an orgasm, a man ejects from 200 to 400 million spermatozoa into the woman's vagina. Some of them penetrate through the cervix into the uterine cavity, and from there into the fallopian tubes. Here, spermatozoa retain the ability to fertilize for 48 hours. Thus, within 6-7 days of a woman's menstrual cycle, conception is possible.

Fertilization of the female egg is performed by a single sperm in the upper part of the fallopian tube. There are two types of sperm: those containing the Y chromosome (“male”) and the X chromosome (“female”). When an egg cell (containing the X chromosome) fuses with a sperm cell, their genetic material is combined and the sex of the child is determined. If there are two X chromosomes in the child's genetic makeup, it's a girl; if an X chromosome and a Y chromosome, it's a boy. It is impossible to change the sex of the child, so you should not follow the "folk beliefs" that guarantee the birth of a child of a given gender.

The fertilized egg begins to divide with the formation of a multicellular organism and move through the fallopian tube into the uterine cavity. During this period, the nutrition of the embryo is carried out at the expense of those substances that have been accumulated in the egg. If the peristalsis of the tube is slowed down (due to inflammatory diseases), the embryo penetrates the wall of the fallopian tube with the occurrence of an ectopic pregnancy.

Implantation (introduction) of the embryo into the uterine wall occurs 7-8 days after fertilization.

On the seventh day of pregnancy, the outer layer of the embryo (trophoblast) begins to produce a hormone - chorionic gonadotropin. This hormone gives the mother's body information that pregnancy has occurred, and begins its functional restructuring. Diagnostic test strips detect the chorionic gonadotropin in the urine of a pregnant woman, which makes it possible to diagnose pregnancy at an early stage.

3-4 weeks

You do not have the expected menstruation, nausea in the morning, and frequent urination during the day. You become emotionally labile, irritable, whiny. Basal body temperature is above 37°C.
In appearance, your unborn baby resembles a small auricle measuring 4 mm, surrounded by a small amount of amniotic fluid. On the 21st day after conception, the brain and spinal cord are formed. By the end of the first month, the circulation of embryonic blood is established, the umbilical cord has formed - the connection of the embryo with the future placenta. The eye sockets, the rudiments of arms and legs appeared, the laying and development of other internal organs of the fetus is underway: the liver, kidneys, urinary tract, and digestive organs.

5-6 weeks

You no longer doubt that you are pregnant. Regardless of how you feel, all pregnant women need to visit a antenatal clinic and undergo an examination that will allow you to identify and correct existing health problems in time.

Starting from the 5th week, there may be a threat of termination of pregnancy. This will be evidenced by: periodic pain in the lower abdomen and in the lumbar region, a feeling of pressure on the rectum, an increased amount of mucus. If you experience these symptoms, you should consult a doctor.

By week 6, the face is formed in the embryo: eyes, nose, jaws and limbs.

7-8 weeks

From the 7th week of pregnancy, the yellow body of pregnancy undergoes reverse development, the production of hormones begins to be carried out by the forming placenta.

The baby develops large blood vessels, the heart becomes four-chambered. Bile ducts appear in the liver. There is a development of the endocrine glands, the brain. The auricles are already formed, fingers have appeared on the limbs. The embryo begins to move. At week 8, under the influence of the Y chromosome, the formation of male gonads (testicles) occurs. They begin to produce testosterone - the male sex hormone, which will lead to the formation of the sexual characteristics of the boy.

9-10 weeks

Your metabolism is changing significantly to provide the growing body with all the necessary "building materials" - amino acids, energy. Disadaptation to such a restructuring can result in toxicosis of the 1st half of pregnancy. It is characterized by nausea, vomiting, salivation, weight loss. When the first symptoms appear, consult a doctor.

At the tenth week, the development of the oral cavity, intestines, rectum, and bile ducts ends in the embryo. The formation of the face and hemispheres of the brain was completed. The development of the cerebellum, the main coordinator of movements, begins.

11-12 weeks

The body has adapted to the new conditions. By this time, nausea, vomiting, salivation practically disappear. You become balanced, calm.
After 12 weeks, the growth of the uterus becomes noticeable

13-14 weeks

By this time, the formation of the main organs of the unborn child is completed. In appearance, the fetus resembles a small person.

15-16 weeks

A change in skin pigmentation is possible - the midline of the abdomen, nipples and the skin around them have darkened. These phenomena should pass soon after childbirth.
The formation of the placenta ends. The fetus and placenta represent a single functional system. During this period of pregnancy, the fetus floats freely in the amniotic fluid. The composition of the amniotic fluid can determine the condition of the fetus.

17-18 weeks

These days, your unborn child begins to move. His limbs, ligamentous apparatus, cerebellum have already developed enough. By this time, the formation of the immune system is completed.

19-20 weeks

There have been big changes in your body. The pulse quickened, cardiac output increased significantly (40% higher than the initial level) and the volume of circulating blood (almost 500 ml).

Due to the increased volume of plasma compared to the mass of red blood cells, hemoglobin decreases in blood tests.

Some women during this period experience frequent and painful urination, pain in the lumbar region on the right or left, weakness. A large uterus presses down on the bladder, the mouth of the ureters, disrupting the outflow of urine. Stagnation of urine and incomplete emptying of the renal pelvis create conditions for the development of infection. Bacteriuria develops and pyelonephritis of pregnant women may occur. If there is any suspicion of pyelonephritis, you should immediately consult a doctor, because this disease is not only dangerous for your health, but also for the further growth and development of the fetus.

The weight of the baby is 300-350 grams, he often and quite actively moves, swallows amniotic fluid, begins to open his eyes.

21-22 weeks

In these weeks, the fetus already has a mass of 400-500 grams, and it develops very intensively bones and muscles, which require calcium from your body. Therefore, if you do not want to lose your white-toothed smile, then, on the advice of your obstetrician-gynecologist, start taking calcium supplements regularly. This will help save your teeth and get rid of leg cramps. They appear for the same reason of calcium deficiency.

23-24 weeks

At this time, the weight of the fetus is 500-600 g. It already has all the organs and systems fully formed. Until that time, only his lungs remained immature. And now, by 24 weeks, they begin to ripen. And the cells lining the lung alveoli produce surfactant, a substance that, by lubricating the alveoli, prevents them from sticking together during breathing. However, the amount of surfactant is so small that a child born at this time will not be able to breathe on its own. To survive outside the uterus, he needs sophisticated breathing equipment, incubators, a control system, infusors for nutrition, infusion media, artificial surfactant.

There are perinatal centers where children born during these terms of pregnancy are nursed. It is very difficult. And therefore, the longer the pregnancy is prolonged, the more likely the birth of a healthy and viable child. Therefore, try to do everything so that the child is born on time, full-term and healthy.

By this gestational age, the uterus is at a height of about 24 cm above the pubic bone, and now it not only builds up muscles, but is also stretched by the fetus that completely filled its cavity.

25-26 weeks

The fetus already has a mass of 700-750 g. Due to the improvement of the brain structures in his body, a connection is established with the adrenal cortex and they begin to produce corticoids - hormones necessary for adaptation. The pituitary gland of the fetus reaches such a degree of maturity that the production of adrenocorticotropic hormone begins, which also stimulates hormonal production by the adrenal glands. In short, all forces are thrown to the upcoming "publication". But the most obvious changes in these weeks occur in the lungs - there is an increased maturation of cells that produce surfactant. However, a fetus born during this period can only survive in incubators with artificial lung ventilation, artificial feeding with special infusion media. Therefore, try to keep both him and yourself from rash steps.

At this time, it's time to start preparing for the future feeding of the child. Under the influence of placental lactogen, your breasts, that is, the mammary glands, are growing rapidly. From time to time, droplets of colostrum may appear on the nipples. Daily air baths, washing with cool water, rubbing the nipples with a rough towel will help prepare the nipples for feeding. If the nipples are flat, start to stretch them little by little.

27-28 weeks

This period completes the second trimester of pregnancy. By this time, the fetus weighs up to 1000 g and has a height of up to 35 cm. However, he still cannot live on his own, because. his lungs are not mature enough and special equipment is still needed to nurse him. During these periods of pregnancy, there is an intensive growth of the fetus, the formation of muscles. His movements become more active. Periods of movement alternate with its relatively calm state when the fetus is sleeping. With an ultrasound, you can see that he already knows how to suck his thumb and even smile!

The fundus of the uterus stands on average at a height of 27-28 cm above the womb.

29-30 weeks

The third trimester of pregnancy begins. The uterus stands at a height of 29-30 cm, it becomes more difficult for you to breathe. Now one of the most serious complications can develop - toxicosis of the second half of pregnancy, which is characterized by the appearance of edema, increased blood pressure and the appearance of protein in the urine. For early diagnosis of this complication, it is necessary to carefully observe an obstetrician-gynecologist and follow all his recommendations, incl. strict weight control. In the III trimester of pregnancy, the daily weight gain should be no more than 50 g, i.e. no more than 300 g per week. You should also monitor the ratio of drunk and secreted fluid.

31-32 weeks

Have you asked your doctor how the fetus is? Find out now it's very important. Its position can be longitudinal, transverse, oblique. Correct, normal is the longitudinal position of the fetus. Childbirth is safer with cephalic presentation. From this period of pregnancy, it is necessary to wear a prenatal bandage that will support the anterior abdominal wall and help maintain the correct position and presentation of the fetus. If the presentation of the fetus is breech, i.e. above the entrance to the pelvis is the pelvic end of the fetus, then the bandage should not be worn yet. There is gymnastics to correct the presentation of the fetus.

In the morning and evening for 1 hour, do the following: lie down on the bed on your left side and lie quietly for 15 minutes, then turn over to your right side and lie for the next 15 minutes, and then repeat these turns 2 more times.

Pregnant women with Rh-negative blood and with O (I) blood type need blood tests for Rh - or group immune antibodies. Immunization of pregnant women with Rh-negative blood is carried out from 28 weeks and within 72 hours after childbirth according to the indications, which will be discussed by the doctor observing you in the antenatal clinic.

33-34 weeks

The fetus already has a mass of 1800-2100 g, a height of 40-41 cm. By the end of this period, its lungs will begin to produce surfactant in full and will be able to breathe without special equipment. The fetus is fully developed, its chances of surviving in case of preterm birth are greatly increased. However, there is still extremely little subcutaneous fat, so his skin is thin and has a red color. Such a newborn retains heat very poorly and at birth needs an incubator or a heating pad. His body is still covered with fluff and cheese-like grease, the auricles are still very small, but they are already beginning to straighten out, the boy's testicles descend into the scrotum.

Caring for a premature baby is the hardest work for the whole family, associated with high material costs, physical overload of parents, and this work is not always rewarded, since a child can be born and remain sick. Therefore, up to 37 weeks of pregnancy, a woman should be especially attentive to her condition and, at the slightest suspicion of an increase in the tone of the uterus, starting frequent and regular contractions, immediately consult a doctor.

Doctors know that women, in anticipation of the arrival of a new person in the house, begin to glue walls and paint ceilings during this period. Don't take unnecessary risks. For this, prenatal leave is provided from 30 weeks, so that you can avoid overwork, do not push in transport, and have the opportunity to sleep. So repairs, stuffy shops, queues are no longer for you.

35-36 weeks

The fetus already has a mass of 2100-2700 g and a height of 44-45 cm. It is advisable to see a doctor during this period of pregnancy at least once every 10 days.

37-38 weeks

From this point on, your pregnancy is considered full-term. And if you have a baby in these weeks, he will live. Its development is complete. Now he has a mass of approximately 2700-3000 g. Height is 49-50 cm. The remaining two weeks he will add a little in weight and height.

It becomes easier for you to breathe, as the fetal head is pressed tightly against the entrance to the pelvis, the uterus pulls the anterior abdominal wall more, and therefore its bottom sank lower. Tension of the uterus; small sharp pulling pains in the lumbar region.

With an exacerbation of extragenital diseases, the appearance of signs of toxicosis in the second half of pregnancy, with an incorrect position of the fetus, with some gynecological diseases, against which pregnancy develops, a scar on the uterus, etc., early prenatal hospitalization is required. Do not forget to take an exchange card, passport, medical insurance policy and birth certificate to the hospital.

39-40 weeks

You can find out the approximate day of delivery by the date of the last normal menstruation - count back three months and add 7 days. The resulting number will be the estimated date of birth. More precisely, according to many parameters, ultrasound data, additional studies, the date of the first fetal movement, the date of the first visit to the obstetrician-gynecologist, especially if the visit was before 11-12 weeks of pregnancy.

The child already has all the signs of maturity. His weight is more than 3000 g, and his height is more than 50 cm, he has fair skin, a sufficient amount of subcutaneous fat, he retains heat and does not need special heating. He will scream loudly, breathe, suck. There is a very small amount of lubricant on the skin, which will no longer be able to protect it from the effects of amniotic fluid.

For you, regular contractions (1 contraction every 10 minutes) will become an indicator of the beginning of the birth process, or you will feel the outflow of amniotic fluid, you will see scanty bloody discharge - do not panic, call an ambulance, the telephone number for transportation for pregnant women is written on the margins of your exchange card. While she is driving, change your clothes, prepare your passport, exchange card, medical insurance policy and birth certificate.

First signs of pregnancy before delay, early symptoms

Significant hormonal changes occur during pregnancy. This causes a number of symptoms. Some women experience pregnancy symptoms right away, while others may only have a few. About the first signs of pregnancy at an early stage and when exactly the initial signs of pregnancy appear in the article.

At what time do the first signs of pregnancy appear

The answer to the question of when the first signs of pregnancy appear is rather ambiguous, because some women do not feel any signs at all during the first few weeks. At what week do the first signs of pregnancy appear in others? When do the first signs of pregnancy appear after conception? Symptoms of very early pregnancy (such as breast tenderness) may appear before a missed period, as early as six to seven days after conception, while other early signs of pregnancy (such as spotting) may appear about a week after ovulation. We will tell you more about the first signs of pregnancy before menstruation and when the signs of pregnancy appear.

What are the earliest signs of pregnancy?

The first signs of pregnancy in the early stages:

delayed menstruation - 29%;
nausea - 25%;
mood swings - from 14 to 23%;
breast changes - 17%;
pain in the lower abdomen - 15%;
depression - 15%;
fatigue, drowsiness - 13%
decrease in immunity - 6%;
the first signs of pregnancy - discharge or implantation bleeding - only 3%.

Physiological first signs of pregnancy

What are the very first symptoms of pregnancy?

The most common physiological signs of pregnancy include:

Tender and enlarged breasts. Signs of pregnancy in the first days after conception include breast changes (1-2 weeks after conception). The area around the nipples, called the areola, may also darken.

Drowsiness and fatigue. Fatigue is also among the signs of pregnancy in the first days after conception. During early pregnancy, levels of the hormone progesterone rise dramatically, which can cause drowsiness.

Nausea with vomiting. When do these signs of pregnancy appear? Morning sickness, which can appear at any time of the day or night, often appears between the second and eighth weeks after conception.

Dizziness and fainting . This may be due to dilation of blood vessels, lowering blood pressure and blood sugar levels.

Spasms. Some women experience symptoms of pregnancy in the early days, such as mild uterine cramps.

Headaches and back pains. Many pregnant women complain of frequent headaches, while others experience back pain.

Insomnia - another first sign of pregnancy before the test. Causes can include stress, physical discomfort, and hormonal changes.

Change in taste preferences. Like most other symptoms of pregnancy, these eating habits can be attributed to hormonal changes.

Temperature. Early signs of pregnancy include fever (37-37.5).

Delayed menstruation. How long does it take for the first signs of pregnancy to appear? If you are of childbearing age and a week or more has passed without your expected period, you may be pregnant. However, this symptom can be misleading if you have an irregular menstrual cycle.

Bloody discharge - early signs of pregnancy . This bleeding, known as implantation bleeding, occurs when a fertilized egg attaches to the lining of the uterus, approximately 10 to 14 days after conception.

Bloating, heartburn. Hormonal changes can cause problems with the stomach and esophagus - these are common signs of pregnancy at 2 weeks.

Constipation . Hormonal changes cause the digestive system to slow down, which can lead to constipation (signs of pregnancy after a delay).

Frequent urination. You may urinate more than usual, which is a common sign of pregnancy at 5 weeks. During pregnancy, the amount of blood in the body increases, causing the kidneys to process excess fluid that enters the bladder.

Runny nose. The appearance of this symptom is associated with excessive production of the hormone estrogen.

Exacerbation of chronic diseases. This is a sign of pregnancy after ovulation.

Increased salivation. Also associated with hormonal changes.

Sense of smell enhancement . Signs of pregnancy in the first two weeks may cause sensitivity to certain smells and the sense of taste may change.

Emotional first signs of pregnancy

The first signs of pregnancy before delay (earliest signs of pregnancy) include psycho-emotional symptoms.

Mood swings.
Irritability.
Vulnerability, tearfulness.
Capriciousness.
Depression.

These are all emotional signs of early pregnancy that many women report. They describe feelings of heightened emotion or even bouts of crying, which are associated with rapid changes in hormone levels in the body. Also, signs of pregnancy at week 4 can make you feel PMS-style cranky. In addition, about 15% of women suffer from depression or anxiety during pregnancy. And after childbirth, these conditions suffer even more. In this case, it is better to seek help from a doctor.

Do everything you can to improve your mood: get plenty of rest, eat well, get enough sleep, do things you love, and pamper yourself.

However, be aware that mood swings can be caused by a number of conditions other than pregnancy.

Influence of early pregnancy on daily routine

Early signs of pregnancy, mainly those that bring discomfort, can cause a change in daily routine. Here are some tips on what you can do with some of them:

In case of toxicosis, avoid too hot or too cold food - this provokes an attack of vomiting. Eat often - at least 5-6 times a day, but in small portions.
For nausea or vomiting, try ginger, chamomile, or vitamin B6.
Drink plenty of water, in small sips between meals, to replenish lost fluids. Teas, juices, fruit drinks are also suitable.
For back pain, wear shoes or shoe insoles designed for pregnant women and avoid high heels. Sleep on a firm mattress.
For chest discomfort, wear a special bra that supports enlarged breasts.
For constipation, eat more fiber-rich foods such as wheat bran and fresh vegetables and fruits.
If you suffer from headaches and mood swings, try stress reduction techniques such as yoga or meditation.
Be outdoors more often, at least half an hour a day. This helps to reduce the symptoms of toxicosis, calm the nervous system.
Maintain daily physical activity for as long as you feel comfortable doing certain activities.
Eat a balanced diet with enough protein, fat and carbohydrates.