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

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)

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

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

People choose Camelback Women’s Health because of our experienced staff and elite services! If you want to choose us, call 602-494-5050 or 602-468-3912 now to make an appointment with us. You can also request an appointment online. Camelback Women’s Health focuses on providing the highest quality care for women of every stage in life.

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