
Stages of Pregnancy
Trimester Essentials
The 1st Trimester Stage of Pregnancy
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Pregnant or Not? How To Know
Medical Author: Medical Author: Melissa Stoppler, M.D.
Medical Editor:
Barbara
K. Hecht, Ph.D.
To learn whether you are pregnant or not, a
pregnancy
test may provide you with the answer. This test can be done in the privacy of
your home using one of several available test kits. Or the test can be performed
in your doctor’s office or clinic. Home pregnancy tests are always done on urine
while those in a doctor’s office or clinic may be done on urine or blood.
All pregnancy tests are based upon measurement of the
same hormone -- human
chorionic gonadotrophin or hCG -- which is only present in a woman when she is
pregnant. This hormone is made after the egg is fertilized and its levels rise
rapidly in early pregnancy. It acts to support progesterone, a hormone necessary to maintain the pregnancy.
Most home pregnancy tests are done because of a missed period. If a woman has
regular menstrual cycles, a home test can be very informative. It can tell
whether or not there is a pregnancy as early as the first day of the missed
period (which is about two weeks after conception).
Manufacturers of home test kits claim that their kits are 97-99% accurate,
but the sensitivities of different test kits depend on the levels of hCG in the
urine required for a positive result. If your test result is positive, see your
healthcare provider promptly.
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Changes in Your Body
During the first three months of pregnancy, or the first trimester, your body
undergoes many changes. As your body adjusts to the growing baby, you may have
nausea,
fatigue, backaches, mood
swings, and stress. These
things are all normal.
Most of these discomforts will go away as your pregnancy progresses. And some
women might not feel any discomfort at all! If you have been pregnant before,
you might feel differently this time around. Just as each woman is different, so
is each pregnancy.
As your body changes, you might need to make changes to your normal, everyday
routine. Here are some of the most common changes or symptoms you might
experience in the first trimester:
Tiredness
Many women find they're exhausted in the first
trimester. Don't worry, this is normal! This is your body's way of telling you
that you need more rest. After all, your body is
working very hard to develop a whole new life.
Try these tips to ease exhaustion:
- Get at least eight hours of sleep every night,
and a nap during the day when possible.
- When you are tired, rest or
relax.
- Start sleeping on your left side. This will relieve
pressure on major blood vessels that supply oxygen and
nutrients to the fetus. If you have
high blood pressure
during pregnancy, it is even more important to be on your left side when you
are lying down.
- If you feel stressed, try to find a way to
relax.
Nausea and Vomiting
Usually called "morning sickness," nausea and
vomiting are common during early pregnancy. For many women, though, it isn't
limited to just the morning. Although it can seem like it will last forever,
nausea and vomiting usually go away after the first trimester.
Try some of these
tips to help prevent and soothe
nausea:
- Eat frequent, small meals (6 to 8 small meals a day)
rather than 3 large meals. Avoid fatty, fried, or spicy foods.
- Try eating starchy snacks, like toast, saltines,
cheerios, or other dry cereals when you feel nauseated. Keep some by your bed
and eat them before you get out of bed in the morning. If you feel nauseous in
the middle of the night, reach for these starchy foods. It's also a good idea
to keep these snacks with you at all times, in case of nausea.
- Try drinking carbonated drinks like ginger ale or
seltzer water in between meals.
- Ask your doctor if you should change prenatal
vitamins if it seems
to be making your nausea worse. Sometimes taking your prenatal vitamin at a
different time (e.g. at night not in the morning) can also help.
- Ask your doctor about taking vitamin B6 for
nausea and vomiting that doesn't get better with dietary changes.
If you think you might be vomiting excessively, call your doctor. If you lose
too much fluid you might become dehydrated.
Dehydration can be dangerous
for you and your baby.
For some women, the nausea of the first trimester is so severe that they
become malnourished and dehydrated. These women may have a condition called
hyperemesis gravidarum (HG).
HG refers to women who are constantly nauseated and/or vomit several times
everyday for the first 3 or 4 months of pregnant.
HG keeps pregnant women from drinking enough fluids and eating enough food to
stay healthy. Many women with HG lose more than 5 percent of their pre-pregnancy
weight, have nutritional problems, and have problems with the balance of
electrolytes in their bodies. The persistent nausea and vomiting also makes
going to work or doing other daily tasks very difficult.
Many women with HG have to be hospitalized so they can be fed fluids and
nutrients through a tube in their veins. Usually, women with HG begin to feel
better by the 20th week of pregnancy. But some women vomit and feel nauseated
throughout all three trimesters.
Frequency of Urination
Running to the bathroom all the time? Early in pregnancy, the growing uterus presses on your bladder.
This causes frequent urination.
See your doctor right away if
you notice pain, burning, pus or
blood in your urine. You might have a urinary tract infection that needs
treatment.
Weight Gain
During the first trimester, it is
normal to gain only a small amount of weight, about one pound per month.
Next: Changes in Your Baby »
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From the Doctors at MedicineNet.com  |
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- Vaginal Douche (Douching) - Learn why doctors do not recommend vaginal douching. Douching increases the risk for vaginal infections, ectopic pregnancy, pelvic inflammatory disease, and other conditions.
Source:Government
- Pregnancy Test - Learn about the different types of a pregnancy test, home pregnancy tests and pregnancy tests in the doctor's office. Source:Government
- Chorionic Villus Sampling - Chorionic villus sampling (CVS) is a prenatal test (during pregnancy) that is used to detect birth defects. Source:WebMD Medical Reference from The Cleveland Clinic
- Read 262 more Pregnancy related articles ...
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Last Editorial Review: 2/5/2007