Trimester-By-Trimester

FIRST TRIMESTER

First 3 months of pregnancy

1-12 weeks

 

First Appointment

  • Physical exam, including a pap smear and cultures (if not done in the last 6 months)
  • Check the baby’s heartbeat – around 8-10 weeks
  • Confirmation ultrasound is performed
  • Routine blood tests are ordered, including genetic testing, as needed.
  • Counseling and answering questions.
  • Make next appointment(s) for every 4 weeks.

Physical Changes

  • Breast tenderness and fullness
  • Nausea, vomiting and appetite changes
  • Fatigue
  • Cramping in lower abdomen
  • Bloating in mid-abdomen
  • Increased urination

Ultrasound

  • One confirmation ultrasound is performed on the first visit.  If anything concerning is found on the ultrasound, a repeat ultrasound will be ordered.

Problems To Report

  • Bleeding
  • Abdominal pain or severe cramping
  • Watery discharge or ‘leaking’
  • Fever, chills, or other illness
  • Continuous vomiting
  • Accidents or falls

Baby’s Growth

At 4 weeks: Poppy seed 

At 6 weeks:  Green pea

At 8 weeks: Raspberry

At 10 weeks:  Prune

At 12 weeks:   Plum

 


SECOND TRIMESTER

3-6 months of pregnancy

12-27 weeks

 

Appointments

  • Usually every 4 weeks
  • Check baby’s heart beat
  • Measure uterine growth
  • Check blood pressure, urine, and weight gain
  • Blood test to check for possible diabetes (26-28 weeks)
  • Blood test offered to check for risk of Down’s Syndrome or Spina Bifida (16-20 weeks)
  • Discuss umbilical cord blood banking options
  • Counseling and answering questions

Ultrasound

  • Routine at 18-20 weeks
  • Level II for mother over 35 years at 17-20 weeks
  • Amniocentesis as needed or desired

Classes (Take at 20-34 weeks)

  • Childbirth
  • Breastfeeding
  • Daddy Boot-Camp
  • Infant CPR

Hospital Information

  • Pre-register for delivery  at the hospital.
  • Choose your pediatrician
  • Request tours at the hospital

Physical Changes

  • Backache
  • Usually a decrease in nausea and vomiting
  • Weight gain
  • Varicose veins
  • Constipation
  • Hemorrhoids
  • Fatigue
  • Vaginal mucous-like discharge
  • Begin to feel fetal movement (17-22 weeks)

Baby's Growth

At 14 weeks:  Lemon

At 16 weeks:  Avocado

At 18 weeks:  Potato

At 20 weeks:  Mango

At 22 weeks:  Papaya

At 24 weeks:  Cantaloupe

At 26 weeks:  Lettuce

Problems to Report

  • Bleeding
  • Watery discharge
  • Menstrual-like cramps
  • Backache that comes/goes with or without cramping
  • Not feeling the baby move after 23 weeks
  • Accident or fall
  • Fever or other illness

    THIRD TRIMESTER

    7-9 months of pregnancy

    28-40 weeks

     

    Appointments

    • Every 2 weeks (30-36 weeks)
    • Every week (36-Delivery)
    • Check baby’s heart beat
    • Measure uterine growth
    • Check blood pressure, urine, weight
    • RhoGam injection for Rh negative (blood type) mothers at 28 weeks
    • Glucose/diabetes screen at 28 weeks (if not done earlier)
    • Vaginal Culture testing for Group B strep at 36 weeks
    • Vaginal exam to check for cervical dilation changes (36 weeks to delivery)

    Physical Changes

    • Backache
    • Difficulty sleeping
    • Increased urination
    • Pelvic pressure- as the baby gets bigger
    • Breast changes- fullness, tenderness, nipple discharge
    • Baby may decrease large movements due to limited space in the uterus

    Baby's Growth

    At 28 weeks:  Eggplant

    At 30 weeks: Pineapple 

    At 32 weeks:   Squash

    At 34 weeks:  Coconut

    At 36 weeks:  Honeydew

    At 38 weeks:  Pumpkin

    At 40 weeks:  Watermelon

    Problems to Report

    • Baby not moving
    • Signs of labor before 36 weeks
    • Fever or other illness
    • Accident or fall

    Signs of Labor

    • Uterine contractions, menstrual-like, becoming stronger and closer
    • Back pain
    • Leaking of amniotic fluid- water
    • Vaginal bleeding
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