First Trimester: What to Expect in the First 12 weeks https://www.oviahealth.com/blog/pregnancy/first-trimester/ Digital health personalized for every family journey Wed, 11 Jun 2025 16:21:30 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.3 First trimester preeclampsia screening test: What you need to know.  https://www.oviahealth.com/guide/312586/first-trimester-preeclampsia-screening-test/ Wed, 22 May 2024 12:36:22 +0000 https://www.oviahealth.com/?post_type=article&p=312586 Preeclampsia is a type of high blood pressure disorder that occurs during pregnancy or postpartum. It can lead to pregnancy complications and have severe to fatal effects on both you and the baby. While some people may not experience any symptoms, typical symptoms can include: 

  • Persistent headache
  • Vision changes
  • Upper stomach pain
  • Nausea or vomiting
  • Swelling of the face or hands
  • Sudden weight gain
  • Trouble breathing

Preeclampsia can happen to any pregnant person, but some people are at greater risk. Black women in the U.S. have a 60% higher risk of developing preeclampsia compared to white women. Also, there may be a higher risk of developing preeclampsia if you have:

  • Chronic high blood pressure or kidney disease before pregnancy
  • Obesity: If overweight or obese, you are also more likely to have preeclampsia in more than one pregnancy.
  • Age: Pregnant women over 40 are at a higher risk
  • African American ethnicity: Among those who have had preeclampsia, non-white pregnant women are more likely than white women to develop preeclampsia again if pregnant.
  • Previous diagnosis of preeclampsia.
  • Family history of preeclampsia 
  • Carrying multiples (twins, triplets, etc.)

Patients with risk factors are often prescribed low-dose aspirin to lower their risk of developing preeclampsia. However, using risk factors alone misses many women who go on to develop preeclampsia. 

Preeclampsia screening in the first trimester

You and your provider can now understand if you are at risk for preeclampsia.  

Preeclampsia testing during the first trimester is now available. This new screening is done between 11 and 14 weeks of pregnancy via a simple blood test ordered by your healthcare provider. The test is an option for anyone pregnant, including those with a low to average risk for preeclampsia or first-time pregnancies.

How does it work?

The test checks your protein levels and how your placenta is working and growing. It looks at two biophysical markers – mean arterial pressure (MAP) and uterine artery pulsatility index (UtAPI)-in addition to the placental growth factor (PlGF) and pregnancy-associated plasma protein-A (PAPP-A). These markers provide important insights into your preeclampsia risk. Low levels of PlGF and PAPP-A can indicate that the placenta isn’t functioning well. High levels of MAP and UtAPI suggest high blood pressure and resistance to blood flow. These are all potential indicators of preeclampsia.

This new test is one of the many screenings and exams you will take during pregnancy. It’s important to have a shared discussion with your provider about the testing process. You are your best advocate, so ask about the tests you believe are right for you. Regular visits and tests from your healthcare provider are crucial. They are key for monitoring your health and finding early signs of preeclampsia. Make sure to follow up with your healthcare provider to continue testing for preeclampsia risk throughout your pregnancy, especially if you’re in a high-risk group. 

For more information about this new preeclampsia screening test and other preeclampsia screening tests, visit https://womenshealth.labcorp.com/patients/pregnancy/preeclampsia.


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Exercising during pregnancy may help reduce the risk of high blood pressure or preeclampsia https://www.oviahealth.com/guide/290513/exercising-during-pregnancy-may-help-reduce-the-risk-of-high-blood-pressure-or-preeclampsia/ Tue, 28 Nov 2023 18:58:09 +0000 https://www.oviahealth.com/?post_type=article&p=290513 Preeclampsia and high blood pressure that develop during pregnancy, called gestational hypertension, are common conditions. Your healthcare provider will likely check your blood pressure at every prenatal appointment to screen for these conditions. This is because high blood pressure and preeclampsia can have negative effects on you and your baby’s health. You can do things to reduce your risk, including exercise. Here is some information to get you started.

How much should I exercise?

A 2017 study showed that 30 to 60 minutes of exercise two to seven times per week may reduce hypertension. If possible, try to space out exercise during the week. This rest may help your body recharge. 

What is the best kind of exercise?

There isn’t one “best” kind of exercise. It depends on your level of comfort and what you enjoy. For example, if you were a runner before becoming pregnant, you can likely continue. If you’re new to exercise, try fast walks and low-impact options such as prenatal yoga, walking, light weights, and swimming. See how you feel and shift your plan as needed. 

What exercise should I not do?

This will depend on your health. However, some exercises are usually riskier than others. Try to avoid exercises that:

  1. Involve collision, physical contact, and falling
  2. You haven’t done it before becoming pregnant
  3. Make you feel overly tired

What are the risks?

If you have a healthy pregnancy, exercising while pregnant has no known risks. It will not increase your risk of miscarriage, low birth weight, or early delivery. 

Is there anything else I should remember?

Yes! Here’s what to keep in mind:

  1. Listen to your body 
  2. Focus on what works for you 
  3. Work with a trusted healthcare provider 

You and your healthcare provider can work together to make sure you are safe and comfortable. You can also read more about preeclampsia and exercise below.

Reviewed by the Ovia Health Clinical Team


Read More

Sources

  • Magro-Malosso, Elena R. “Exercise during pregnancy and risk of gestational hypertensive disorders: A systematic review and meta-analysis.” Obstetrics and Gynecology. 96(80: 921-931. Web. August 2017. 
  • “Healthy Pregnant or Postpartum Women.” Centers for Disease Control & Prevention. Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion. June 3, 2022. https://www.cdc.gov/physicalactivity/ basics/pregnancy/index.htm
  • “Exercise During Pregnancy: Frequently Asked Questions.” The American College of Obstetricians and Gynecologists. The American College of Obstetricians and Gynecologists. December 2021. https://www.acog.org/womens-health/faqs/exercise-during-pregnancy#:~:text=Regular%
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Why you should talk to your provider about blood pressure https://www.oviahealth.com/guide/263404/why-you-should-talk-to-your-provider-about-blood-pressure-2/ Fri, 17 Jun 2022 20:18:17 +0000 https://www.oviahealth.com/?post_type=article&p=263404

Blood pressure (BP) measures the force that your flowing blood applies to the walls of veins and arteries — in other words, BP measures how hard your heart is working to pump blood throughout your whole body.

Blood pressure is measured using a sphygmomanometer (also known as a blood pressure cuff), and given as a two-number result, “systolic” and “diastolic”. Only one of these numbers needs to be above or below normal to be considered diagnostically elevated. High blood pressure (hypertension) can be especially dangerous during pregnancy, so it’s important to do your best to keep your blood pressure in the optimal range, which is generally under 120/80.

High blood pressure during pregnancy

High blood pressure can be problematic for everyone, but when you’re pregnant, it could put both of you at risk. High blood pressure may not be the direct cause of a certain complication but can indicate a greater problem. There are many possible risks of high blood pressure during pregnancy.  

  • High blood pressure and protein in the urine are the two main symptoms of the pregnancy condition known as preeclampsia. In rare cases, preeclampsia can lead to other conditions causing internal bleeding, seizures, and strokes.
  • High blood pressure may often indicate excess stress. Stress has been linked to a higher incidence of miscarriage and overly intense pregnancy symptoms. While it is certainly not always possible to just “stress less,” tracking your blood pressure along with your emotions may help you recognize when to seek advice from your healthcare provider.
  • Sometimes, high blood pressure can cause conditions that increase the risk of your baby being born prematurely. A placental abruption, when the placenta is separated early from the baby, is another possible complication of conditions related to high blood pressure during pregnancy.

Heightened risk factors

According to the U.S. Department of Health and Human Services, high blood pressure is 40% more common in Black adults than white adults. This is due to a range of factors including racism and bias in the healthcare system and socioeconomic inequalities and inequities. According to the Healthcare Cost Utilization Project, Black women are also about 60% more likely to develop preeclampsia during pregnancy than white women.

Knowing your body and how it changes during pregnancy, especially your blood pressure, empowers you to seek care accordingly. Monitor your blood pressure and communicate to your healthcare provider any concerns you may have.

Taking control

Blood pressure levels can be an excellent indicator of the health of your pregnancy, and is a great way to monitor against certain complications like preeclampsia. Tracking your blood pressure along with other data can also help draw patterns between certain behaviors. You’ll know how your sleep, nutrition, activity or other behaviors may affect your blood pressure, and vice versa. It’s important to let your healthcare provider know if your blood pressure is consistently elevated.


Read more

Sources

  • P Kristiansson, JX Wang. “Reproductive hormones and blood pressure during pregnancy.” Human Reproduction. Vol.16, No.1 oo. 13-17. Web. 2001.
  • S Kulkarni, I O’Farrell, M Erasi, MS Kochar. “Stress and hypertension.” Wisconsin Medical Journal. 97(11):34-8. Web. Dec-98.
  • “Preeclampsia and High Blood Pressure During Pregnancy: FAQ034.” ACOG. American College of Obstetricians and Gynecologists, 9/14/2015. Web.
  • “High Blood Pressure in Pregnancy.” National Heart, Lung, and Blood Institute. National Heart, Lung, and Blood Institute, n.d. Web.
  • “Placental abruption.” March of Dimes. March of Dimes, 1/12/2015. Web.
  • Norton Healthcare. “Pregnant African-American women far more likely to have pre-eclampsia than white women.” Norton Healthcare. Norton Healthcare. May 16, 2018. https://nortonhealthcare.com/news/pregnant-african-american-women-pre-eclampsia/
  • Heart Disease and African Americans. Office of Minority Health. U.S. Department of health and human services. February 11, 2021. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=19#:~:text=Although%20African%20American%20adults%20are,to%20non%2DHispanic%20white%20women
  • Kathryn R. Fingar, Ph.D., M.P.H., Iris Mabry-Hernandez, M.D., M.P.H., Quyen Ngo-Metzger, M.D., M.P.H., Tracy Wolff, M.D., M.P.H., Claudia A. Steiner, M.D., M.P.H., and Anne Elixhauser, Ph.D.
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How to cope with a challenging pregnancy https://www.oviahealth.com/guide/256194/how-to-cope-with-a-challenging-pregnancy/ Tue, 16 Nov 2021 22:25:28 +0000 https://www.oviahealth.com/?post_type=article&p=256194 Every baby and every pregnancy is unique – some people can live their day-to-day life according to plan, while others have challenging pregnancies, experiencing discomfort and constant nausea.

Morning sickness

According to the Cleveland Clinic, about 70% of pregnant women get morning sickness, which typically starts at six weeks and lasts until the second trimester. Other common discomforts include fatigue, heartburn and indigestion, swelling, constipation, headaches, and backaches. Those who experience severe discomfort may be put on bed rest by a provider.

These bodily changes can affect your mental health in various ways too. Some people fear that their discomfort is causing their baby harm or that it’s an indication of an unhealthy baby. This is typically not the case, however, if you are experiencing these symptoms, you should seek out your provider immediately. 

Some studies even suggest that morning sickness is a discomfort that can actually help your baby. According to a 2016 study published in JAMA Internal Medicine from researchers at the National Institutes of Health, women who reported nausea or nausea with vomiting were between 50 percent and 75 percent less likely to miscarry than those who didn’t feel sick. Most discomfort during pregnancy means your body and hormones are doing their job to help you carry a healthy baby. 

How a challenging pregnancy can impact your mental health  

When your body is changing and you’re feeling new discomforts, you might also be worried about your own health. Some women report feeling worried that there’s something wrong or that they’ll never feel like their pre-pregnant self again. This is one reason why morning sickness can lead to depression. Even for those who see these experiences as temporary, nine months is too long to just suffer through. Speak to your provider for help treating your symptoms and try these ideas to treat nausea and vomiting

Some can find it triggering to experience body changes or might feel worried about how their  body will look postpartum. And those with a pre-existing eating disorder may be more susceptible to this type of worry or anxiety. If you’re finding these thoughts are intruding on your daily life or causing you to eat restrictively, it’s time to seek support from a therapist. 

Ahead, you can learn about how to cope with a challenging pregnancy and keep your mental health in check.

Stay informed

Speak to your doctor or a health professional about what to expect when you’re expecting (there’s a reason why there’s a book with that title!). Understanding the ins and outs of your body and what’s considered expected and not expected can help you determine when something is discomfort or needs medical attention. 

Allow yourself to kick your feet up

If you’re not feeling well, allow yourself to take the day off. Don’t push yourself to do everything on your to-do list. Remind yourself that you’re growing a human in your body and need to take care of yourself. If you can, find a support system to take care of any tasks or chores that you can’t get done. 

Speak to a therapist

If your discomfort is getting in the way of your happiness or making you not feel like yourself, speak to a therapist who can help you overcome your concerns and find tactical solutions. 

Challenging pregnancies can lead expecting parents to feel isolated and alone in their struggle. Someone who is there to guide you and support you can go a long way.

Reviewed by the Ovia Health Clinical Team


Read more

Sources

  • “Morning Sickness with Pregnancy: Causes, Treatment & Prevention.” Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/16566-morning-sickness-nausea-and-vomiting-of-pregnancy. 
  • LaFrance, Adrienne. “Brutal for Mom, Good for Baby.” The Atlantic, Atlantic Media Company, 26 Sept. 2016, https://www.theatlantic.com/health/archive/2016/09/the-protective-power-of-morning-sickness/501551/. 
  • Gray, Dan. “Severe Morning Sickness during Pregnancy Linked to Depression.” Healthline, Healthline Media, 27 Oct. 2020, https://www.healthline.com/health-news/severe-morning-sickness-during-pregnancy-linked-to-depression-what-you-can-do. 
  • Ward, Veronica Bridget. “Eating Disorders in Pregnancy.” BMJ (Clinical Research Ed.), BMJ Publishing Group Ltd., 12 Jan. 2008, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2190274/. 
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13 weeks pregnant https://www.oviahealth.com/guide/10204/week-13-pregnancy/ Mon, 26 Apr 2021 14:23:31 +0000 https://wp.oviahealth.com/guide/10204/week-13-pregnancy/

For more information about week 13 in a twin or multiple pregnancy, tap here.

Welcome to week 13! You’ve made it to the end of the first trimester! Second trimester, here you (and Baby) come!

How’s Baby?

Baby is now 2.5-3 inches long, the size of a jalapeno! Your little one is developing fingerprints now, and they’ll be just as they are. Underneath your little one’s transparent skin, the bones that will one day help Baby stand up big and strong are also under construction and getting stronger, and their vocal cords are developing, too.

Your baby’s lower body growth is also catching up with that of their head, making them look much more like a tiny human (and less like a tiny alien) all the time. When you think about how much their head dominated their little body just a few short weeks ago, it’s clear that your little one is making incredible growth!

What’s new with you?

Congratulations, you’ve reached the last week of your first trimester! Many pregnant folks report the first trimester as being the most difficult, so if you were really struggling with morning sickness and fatigue, you can likely begin to find a bit of relief. Even if physical energy doesn’t come bouncing back right away, most people report more mental energy and focus returning – yay!

One prevalent symptom you might notice in week 13 is an increased sex drive. Unless your healthcare provider recommends pelvic rest for medical reasons, sex during pregnancy is totally normal and safe up until your water breaks. So don’t pass if you are in the mood because you are worried about Baby.

You’ll also probably notice an increase in vaginal discharge, specifically leukorrhea, a milky discharge that protects the birth canal from infection. Unless the discharge comes with color changes, discomfort, a rash, lumps, or a strong smell, it is generally nothing to worry about. You can keep your vulva and vagina healthy by wearing underwear and pants made from natural fibers and changing out of them as soon as they get wet or sweaty. Wash the outside of your vulva with unscented, gentle soap, and avoid douches which can introduce bacteria into your vagina.


Reviewed by the Ovia Health Clinical Team
Read more
Sources
  • Sir John Dewhurst. Dewhurst’s Textbook of Obstetrics and Gynaecology. 8th ed. Keith Edmonds. John Wiley and Sons Ltd, 2012. Print.
  • “Is sex safe during pregnancy.” March of Dimes. March of Dimes. March 11, 2021. Web.
  • Mayo Clinic Staff. “First trimester pregnancy: what to expect.” Mayo Clinic. Mayo Clinic. February 26, 2020. Web.
  • “Nutrition During Pregnancy: FAQ.” ACOG. American College of Obstetricians and Gynecologists. June 2020. Web.
  • Mayo Clinic Staff. “Sex during pregnancy: What’s OK, what’s not.” Mayo Clinic. Mayo Clinic. July 31, 2020. Web.
  • Mark A Curran, M.D. “Fetal Development.” Perinatology.com. Perinatology.com. March 31, 2019. https://www.perinatology.com/Reference/Fetal%20development.htm#1.
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7 weeks pregnant https://www.oviahealth.com/guide/10198/week-7-pregnancy/ Mon, 26 Apr 2021 14:21:31 +0000 https://wp.oviahealth.com/guide/10198/week-7-pregnancy/

For more information about week 7 in a twin or multiple pregnancy, tap here.

It’s week seven! Slowly but surely, all Baby’s important parts are starting to take shape.

How’s Baby?

Still growing like wild! Your Baby is now raspberry-sized and about half an inch long. For now, your little one’s head is the most prominent part of their body and looks big and round. And, incredibly, your baby’s brain is growing by about 100 cells a minute! Baby’s lower body is also starting to develop, and the presence of pre-legs and toes are starting to dominate their tail. Their tongue, ears, and eyes are also beginning to develop, and your baby is starting to form the cartilage that will develop and harden into their bones. Other parts of their body are getting more complex as well, including their developing heart and kidneys, teeth, and the little paddles on the end of those arm buds that are destined to become Baby’s hands! You’ll be going gaga over their tiny fingers soon enough.

What’s new with you?

One of the most common and notable symptoms of pregnancy at this stage is the increased need to pee. This is a result of both your growing uterus (now twice its normal size) putting pressure on the bladder, and the increased blood flow needed to sustain Baby’s healthy development. This increased frequency of urination is not likely to end anytime soon. In fact, as Baby grows, you are only going to pee more, and more often.

By now, you’ll probably also notice an increase in the size of your breasts. Breast soreness and discomfort usually come right along with this, so you may want to think about switching up your bras if you feel that you need something more comfortable. Food cravings or aversions are also very common, due to the hormones that are coursing through your body right now. They may even cause acne or extra saliva.

While it’s possible that this could be a rough week in terms of pregnancy symptoms, don’t worry if you’re not feeling any. Some folks just don’t, and it doesn’t mean that anything is wrong. If you are concerned though, you can mention it to your healthcare provider at your first checkup, which is probably coming up very soon.

And if you haven’t decided yet, now’s the time to figure out who you’d like to see for your medical care during pregnancy — whether a midwife, an OB-GYN, nurse practitioner, or a general practitioner — and to set up an appointment. Having a solid support system during pregnancy and afterward is so important.


Reviewed by the Ovia Health Clinical Team
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6 weeks pregnant https://www.oviahealth.com/guide/10197/week-6-pregnancy/ Mon, 26 Apr 2021 14:21:05 +0000 https://wp.oviahealth.com/guide/10197/week-6-pregnancy/

For more information about week 6 in a twin or multiple pregnancy, tap here.

Pregnancy is in full bloom, and unfortunately some common symptoms might be starting to kick up now too.

How’s Baby?

Baby is now the size of a blueberry, measuring approximately 1/4-1/2 an inch long. This may not seem huge, but just think about how much your little one has grown in the past month, from a tiny collection of cells to the increasingly complex human being-to-be who is currently in the process of sprouting all of their facial features. Your baby’s cute little nose and curious eyes are just starting to form, although right now they merely look like little dark spots on an oversized head. Passages and arches that will grow and develop into parts of Baby’s ears and jaw are forming, and their nose won’t be far behind.

Development of Baby‘s lower body lags behind that of the upper, making them look a bit like a mermaid, and they may already be wiggling their flipper-like arms! Baby is also starting to straighten out from their formerly curled position, and that tail is making its way to its final destination in their back.

These upcoming weeks are some of the most important for Baby developmentally, so if you aren’t on a prenatal vitamin yet, it’s important to start taking one immediately. During this week, Baby’s neural tube is beginning to close,  so it’s especially important to be getting folic acid — from prenatal vitamins, as well as from the rest of your diet — as it can help prevent neural tube defects.

What’s new with you?

A lot of changes are happening!

One big change you might already notice is feeling tired. But not just normal tired. Even though your body hasn’t grown in size much yet, it’s doing a lot of work that can leave you fatigued. Your body is producing significantly more blood than it’s used to in order to get nutrients to Baby, which is an energy expense that may leave you with lower blood pressure and lower blood sugar. The added progesterone coursing around your body could also be tiring you out. If you feel like you can manage, going for a walk, doing some gentle yoga, or engaging in another physical activity that you enjoy might help a bit: the endorphins you release may make you feel less sluggish. And you should listen to what your body needs and rest, nap, or tuck in for bed early as needed.

Your breasts are also likely to be sore at this time, and your nipples may stick out more than normal. This tenderness will probably last through your first trimester, as your breasts continue to grow. This change is completely normal, and is simply a product of increased blood flow to your chest as your body primes itself for breastfeeding.

And if you’re feeling sick to your stomach right now, you aren’t alone — over 70% of pregnant folks experience nausea in the first trimester. During the sixth week of pregnancy over 80% of pregnant folks experience nausea, which often starts in the morning (hence the term “morning sickness”) before dissipating in the early afternoon. However, this term can sometimes be misleading, because nausea during the first trimester is not exclusive to mornings, and that awful feeling could hit you at any point during the day or night. A few things that may help?

Try eating several small snacks throughout the day, avoiding triggering smells, taking your prenatal vitamins with a meal, having food or drinks with ginger, keeping hydrated, and getting plenty of rest. And if you can’t seem to find much relief, be sure to speak with your healthcare provider. And for serious morning sickness or concern for dehydration, you should definitely speak with your healthcare provider.

Something else you should call your healthcare provider about? If you experience spotting or vaginal bleeding right now. While it is common in early pregnancy, it can also be an early indicator of a miscarriage or an ectopic pregnancy.

Speaking of, you’ll probably be choosing a healthcare provider around now, and your first prenatal consultation will likely happen around week eight. There are a few different types of healthcare providers you can use during pregnancy, but the most common are OB/GYNs and Certified Nurse Midwives (CNMs). Women with certain risk factors may need to see an obstetrician (OB), but women with no elevated risks are typically able to see CNMs as their primary healthcare provider during pregnancy, as CNMs are able to provide most of the same services that an OB can.


Reviewed by the Ovia Health Clinical Team
Read more
Sources
  • “Morning Sickness.” March of Dimes. March of Dimes. September 2020. Web. 
  • Sir John Dewhurst. Dewhurst’s Textbook of Obstetrics and Gynaecology. 8th ed. Keith Edmonds. John Wiley and Sons Ltd, 2012. Print.
  • S Narendran, R Nagarathna, V Narendran, S Gunasheela, HR Nagendra. “Efficacy of yoga on pregnancy outcome.” Journal of Alternative and Complementary Medicine. 11(2):237-44. April 5, 2015.Web.
  • AK Sfakianaki. “Prenatal vitamins: A review of the literature on benefits and risks of various nutrient supplements.” Formulary Journal. ModernMedicine Network. January 31, 2013. Web.
  • Mayo Clinic Staff. “First trimester pregnancy: what to expect.” Mayo Clinic. Mayo Clinic. February 26, 2020. Web.
  • Mark A Curran, M.D. Fetal Development.” Perinatology.com. Perinatology.com. March 31, 2019. https://www.perinatology.com/Reference/Fetal%20development.htm#1.
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12 weeks pregnant https://www.oviahealth.com/guide/10203/week-12-pregnancy/ Thu, 15 Apr 2021 10:10:07 +0000 https://wp.oviahealth.com/guide/10203/week-12-pregnancy/

For more information about week 12 in a twin or multiple pregnancy, tap here.

Welcome to week 12 — you’re quickly closing in on your second trimester and that’s worth celebrating! For most pregnant folks, this means that you may have a few months of increased comfort and energy ahead of you!

How’s Baby?

Your sweet baby continues to grow rapidly, measuring just over two inches long, about the size of an apricot.

Right now, Baby is starting to develop reflexes as their brain continues to grow and their body to curl their fingers and toes. Your baby’s nerve endings are developing right along with their reflexes, and at this point, if you poke your abdomen, Baby will respond by wriggling (though you almost certainly won’t feel it). And your wee one’s neck, which they’ve only just started to form in the last few weeks or so, has already begun to straighten as they lift their chin off of their chest.

Baby is just starting to practice breathing by inhaling and exhaling the amniotic fluid that surrounds them, which is made up of mostly water, their skin cells, and their waste. This may seem a little icky, but it’s one of the many incredible ways your little one is preparing for life on the outside.

Pretty soon, your little one’s intestines are going to move into their abdomen. Baby is beginning to form the waste that will become their first poop, a tarry substance known as meconium.

What’s new with you?

The good news? As you move toward the end of the first trimester, it’s likely that many of the more unfortunate symptoms you experienced in the first trimester may be behind you, like fatigue and nausea. You may, though, have a few new symptoms popping up. Symptoms like increased vaginal discharge, headaches, saliva, and flatulence along with a heightened sense of smell are all common symptoms right now.

Heartburn is another notable symptom that causes many pregnant folks a lot of discomfort. This is because the same hormones that relax your muscles to make it easier to give birth also relax the valve that keeps the stomach acid out of your esophagus. Your expanding uterus, which by now has grown to the size of a softball, doesn’t help either. As your uterus grows, it puts pressure on your stomach, which can push acid into the esophagus. Thankfully, there are a number of steps you can take to try and reduce your heartburn. You can eat nutritious food in smaller, more frequent meals throughout the day, and take your time when eating. You can also avoid food and drink that increases heartburn for you (for many people this can include spicy foods, caffeine, greasy or fatty foods, acidic foods like citrus or tomatoes, and carbonated beverages), and avoid lying down right after eating or eating shortly before going to sleep. And while staying hydrated is important and you should be drinking water throughout the day, some people find it helps to drink water between meals but not during meals. It may take some trial and error to find what works for you, but hopefully some of these will help. And don’t feel that you have to go through it alone — speak to your healthcare provider if your heartburn is persistent so they can help you find some relief.

Have you added a bump picture in Ovia? Try the feature by tapping here!


Reviewed by the Ovia Health Clinical Team
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11 weeks pregnant https://www.oviahealth.com/guide/10202/week-11-pregnancy/ Thu, 15 Apr 2021 10:08:23 +0000 https://wp.oviahealth.com/guide/10202/week-11-pregnancy/

For more information about week 11 in a twin or multiple pregnancy, tap here.

As you enter week 11, your little one is officially a fetus! And the end of your first trimester is approaching, which is often a welcome development, as most folks report that their second trimester is the easiest on them.

How’s Baby?

Congratulations, it’s a fetus! With all of their major body parts, organs, and organ systems in place, Baby has developed past the point of being an embryo, and is now officially called a fetus. Your little one — now just over 1 ½ inches long, about the size of a brussel sprout — is even looking more and more like a grown person every day! If your baby is a female, their ovaries are beginning to develop too. And they’re also growing hair follicles and fingernails. Another exciting development? Baby’s formerly connected fingers and toes are losing their webbing, and they’re using their little hands to explore their face and mouth. Not only is this super cute, it also helps them develop the physical coordination they’ll need once they’re born. This movement is too small for you to be able to feel yet, as is all the hiccuping and moving around your baby may be doing.

What’s new with you?

Are any aggravating symptoms still hanging around? Thankfully, by the end of this week many folks report that their nausea has subsided. If it doesn’t, there is a chance you may have hyperemesis gravidarum (HG), a condition affecting 1% of pregnant folks that causes severe vomiting throughout the pregnancy. If you’re in that 1%, there’s a good chance that your symptoms will peak around now. If you think you might be affected by HG, instead of trying to treat it yourself, be sure that you talk to your healthcare provider. If keeping down fluids and getting nutrition are really difficult for you, your provider might recommend nutrients and fluids by IV.

For folks not dealing with these challenges, week 11 might be when you finally start feeling better as you transition toward your second trimester, which is often much kinder on you. The placenta is becoming increasingly functional and has amped up its hormone production, giving your body a much needed break that will hopefully increase energy levels and minimize mood swings. During the first or second trimester you might also notice the appearance of the linea nigra, a dark but harmless vertical line that runs from your pelvis to your belly button. Just make sure that you apply pregnancy-safe sunscreen to your stomach (and the rest of you!) if you are out in the sun, as sun exposure can make it last longer.

Have you added a bump picture in Ovia? Try the feature by tapping here!


Reviewed by the Ovia Health Clinical Team
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10 weeks pregnant https://www.oviahealth.com/guide/10201/week-10-pregnancy/ Thu, 15 Apr 2021 10:08:01 +0000 https://wp.oviahealth.com/guide/10201/week-10-pregnancy/

For more information about week 10 in a twin or multiple pregnancy, tap here.

In week ten, you’re heading into the tail end of your first trimester! And — fingers crossed — many of those common first-trimester symptoms may be behind you soon, too.

How’s Baby?

Baby is now the size of a kumquat, almost 1 ¼ inches long. Your little one is also beginning to develop tiny human features, like a teeny tiny bit of hair, the buds of baby teeth, and joints that bend. And if your baby is a male, their testes are just beginning to produce testosterone. Your tiny dancer is starting to move around enough that it will likely be visible in an ultrasound scan, which your healthcare provider may perform at your next appointment (if this hasn’t already happened). Baby’s digestive system is also functional by this point, transporting food matter to the bowels in preparation for that first poop after being born. How exciting!

What’s new with you?

You are now a quarter of the way through your pregnancy! Hopefully, this means that any common early pregnancy symptoms you may have been experiencing — like morning sickness, fatigue, or mood swings — should be lifting. You may also start to notice changes in your body’s shape or weight gain. Your healthcare provider will track your weight gain as one way to monitor your progress and health. That being said, if you have a history of disordered eating and/or find weigh-ins triggering, you can request that your provider adjust how you are weighed or how often your weight is checked during pregnancy. You have the right to feel comfortable with the healthcare you receive — during and after pregnancy.

As far as pregnancy symptoms go, you might start to notice more visible veins due to the extra blood being carried to Baby. In fact, the total blood volume in your body may increase 30-50% during pregnancy. (If you have a history of cardiovascular problems, this is something your healthcare provider will watch closely, as the increased blood volume can strain the heart.) You might also notice an increase in vaginal discharge around this time, which acts as a way to protect your baby from infection. If the discharge is whitish, thin, and odorless, that’s totally normal. However, discharge that is tinged yellow or green or has a thick or uneven texture could be a sign of infection, and this is something to speak with your provider about right away.

During this time, you might be waiting for your NIPT or other genetic screening test results. You may be eagerly awaiting news of your baby’s sex through NIPT as well! There are several methods to screen for conditions, including Down syndrome, congenital heart defects, and other chromosomal differences, so don’t worry if this hasn’t taken place quite yet.  These tests are optional and may or may not be fully covered by insurance. Talk to your provider about genetic counseling and screening — they’re there to be your expert guide through all the ins and outs of pregnancy.


Reviewed by the Ovia Health Clinical Team
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Sources
  • Dr Bahman Rasuli and Dr Yuranga Weerakkody et al. “Fetal Heart Rate.” Radiopaedia. https://radiopaedia.org/articles/fetal-heart-rate?lang=us.
  • Sir John Dewhurst. Dewhurst’s Textbook of Obstetrics and Gynaecology. 8th ed. Keith Edmonds. John Wiley and Sons Ltd, 2012. Print.
  • Susan Storck et al. “Fetal Development.” U.S National Library of Medicine. MedlinePlus. March 10, 2014. https://medlineplus.gov/ency/article/002398.htm.
  • Mark A Curran, M.D. “Fetal Development.” Perinatology.com. Perinatology.com. March 31, 2019. https://www.perinatology.com/Reference/Fetal%20development.htm#1.
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