First trimester: key stages
The first trimester begins on the first day of your last period and lasts until the end of week 12. This means that by the time you know for sure you're pregnant, you might already be five or six weeks pregnant!
A lot happens during these first three months. The fertilised egg rapidly divides into layers of cells and implants in the wall of your womb where it carries on growing. These layers of cells become an embryo, which is what the baby is called at this stage.
During this trimester, your baby grows faster than at any other time. By six weeks, a heartbeat can usually be heard and by the end of week 12, your baby's bones, muscles and all the organs of the body have formed. At this point, your baby looks like a tiny human being and is now called a fetus. He or she will even be practising swallowing!
When am I due?
When will I see a midwife?
Your first midwife appointment (also known as antenatal appointment) is the 'booking' appointment. This usually happens between week 8 and 10 of your pregnancy. Find out how to register with a midwife and when your appointments will be here.
Keeping your baby safe
There are some things that you can do during pregnancy that have an effect on your baby. Find out about them by clicking the link below.
Not sure whether you are pregnant?
Find out about the symptoms that mean you may be pregnant here.
Your physical and mental health in pregnancy
Don't forget that your mental health is just as important as your physical health. It's normal to feel some anxiety and stress but it shouldn't be ongoing. If what you’re feeling isn’t normal for you, talk to your GP or midwife about it. They are there to help.
Exercise, such as yoga, has been shown to reduce anxiety and is a great way to stay active during your pregnancy, too.
Track your baby's development
Sign up to a free pregnancy email from our midwives to track your baby's development and give you reminders of all you need to know through the 9 months of pregnancy. Click here to sign up.
Pregnant women need expert advice and support at this time
We’ve seen a staggering 72% more demand for urgent support from expectant mums as they struggle to get the advice, community, and emotional support they need.
As Covid-19 leaves the future uncertain, postponed midwife appointments and cancelled antenatal classes have created a worrying set of circumstances for expectant parents.
Our pioneering research, midwife-led advice and online support is more important than ever: but we’re up against the greatest challenge we’ve ever seen. Add your name to show support.
Congratulations on your exciting news! Tommy’s midwives are here to guide you through every stage of your pregnancy and help you get to know your growing baby.
It’s week five and your baby’s tiny face is already starting to form - the beginnings of a tiny nose and eyes are already taking shape.
By the end of this week your baby will have grown to the size of an orange pip.
Your baby, who was once the size of bean, is now the size of a grape.
Here comes a growth spurt: Your little one will double in size this week.
Measuring about 22mm long, your baby is now as big as a strawberry.
Your uterus is the size of a large orange now, and your baby is around 3cm long.
You're now coming up to the end of the first trimester and your baby is starting to look like a baby! Your bump may start to show soon.
It’s been a busy few weeks: Everything is now in place - the organs, limbs, bones and muscles are in place and growing.
NHS Choices. Your pregnancy week by week http://www.nhs.uk/conditions/pregnancy-and-baby/pages/pregnancy-week-by-week.aspx#close (Page last reviewed: 28/02/2017 Next review due: 28/02/2020)
Macdonald S, Magill-Cuerden J (2012) Mayes’ Midwifery, 14th edition, London, Ballière Tindall
NICE (2008) Antenatal care for uncomplicated pregnancies, NICE Clinical Guidelines 62. National Institute for Health and Care Excellence http://publications.nice.org.uk/antenatal-care-cg62Hide details
ℹLast reviewed on June 28th, 2018. Next review date June 28th, 2021.
By Midwife @Tommys on 18 Apr 2017 - 09:51
Hi there - I'm sorry to hear you have been told that there is difficulty in finding baby's heart activity during an early pregnancy scan. In order to advise I would need some more information and clarification of a few details - please contact us either via email [email protected] or on our Pregnancy Helpline 08000147800 so that we an offer confidential support and advice.
By Anonymous (not verified) on 10 Apr 2017 - 10:53
Hi ! I am Pregnant and almost 8 weeks. Had issues with my partner because he said he isn't ready financially. I cried and stressed a lot during my 3-4 weeks period, could this have affected the baby in anyway?
By Midwife @Tommys on 10 Apr 2017 - 11:01
Hi there. Congratulations on your pregnancy. And I am sorry to hear that you have had a difficult time with your partner recently too.
Stress in pregnancy is very tough to deal with, but will not physically harm your baby's growth or well-being. I hope that you partner is being more supportive now and that you have a good friend and family support network too. Please do speak to your GP and Midwife about any ongoing anxiety during your pregnancy as they will be able to support you with more appointments as well as referrals for additional support should you want or need it. Asking for help is always a good thing to do if you are worried or concerned during pregnancy. Do also feel free to call us on our pregnancyline or email us privately on [email protected] We are not counselors, but midwives with a friendly ear, regardless of the situation. Please take good care of yourself.
By confused (not verified) on 8 Apr 2017 - 23:48
Had intercourse with hubby on 26th january.i didn't see my period again till February ending and it has bin regular.could I really be pregnant because I think I am supposed to see the period before February ending.i have not really had any prenancy symptons..just confused...could I be pregnant?
By Midwife @Tommys on 10 Apr 2017 - 09:35
Hi there. It is a little difficult to know. Have you done a pregnancy test at all?
If you are not pregnant, then it would be sensible to go to your GP to get a referral to a gynae clinic to be reviewed. Sometimes, alterations on your menstrualy cycle pattern can be triggered by something else and so it is best to get it checked out if this is the case. Take good care of yourself
By scared (not verified) on 7 Apr 2017 - 15:32
hi just dnt know wats going wit me ddnt see my periods for 3 months but testing neg I dd 4 test already n I have abdominal pains n sore breast, when I visited a clinic the nurse said I have infection then gave me some treatment but still no change could I be pregnant?
By Midwife @Tommys on 7 Apr 2017 - 15:47
Hi, I would suggest if your symptoms are continuing and you have completed the course of treatment prescribed to you then you need to return to your GP to be reviewed and further investigations. It is very unlikely that you are pregnant if you have continued to have negative pregnant tests however it can be possible but it is important to make sure the infection is addressed too.
By Marylynne (not verified) on 6 Apr 2017 - 22:31
Hi dear, My name is Mary I feel pregnant yet testing negative. I had bleeding for 2 days starting 22/3/2017 and took the final test on 28/04/2017 but came out neg. But till the current moment have not testex
By Midwife @Tommys on 7 Apr 2017 - 13:18
Hi Mary, if you think you maybe pregnant it is a good idea to repeat a pregnancy test as the last one may have been a bit early and no sensitive enough to pick up on a possible pregnancy. I am not sure what symptoms you are experiencing or how you feel pregnant but if that continues with a negative test then you can see your GP who can review the symptoms.
By esyluv (not verified) on 26 Mar 2017 - 12:53
good day, I have been having normal signs of pregnancy and my mid wife keeps giving me lots of medicines as if I'm too sick.
I'm scared that the medicine might affect my baby cos it's too much.
I'm about seven weeks pregnant.
By Midwife @Tommys on 27 Mar 2017 - 09:45
Your midwife would only suggest certain medication that is safe for you to take in pregnancy if you really needed it. Also, midwives do not give out medication, unless it has been prescribed by an Obstetric doctor first. Feel free to contact us via email or telephone ([email protected] or 0800 0147800) to speak to a midwife in a more private way.
By Anonymous (not verified) on 13 Mar 2017 - 15:57
HEY THERE, MY friend Says she missed her 2nd depo shot on 13th Feb and on 24th Feb she had unprotected sex,so she scared she might be pregnant is the any chance of her to be pregnant?????
By Midwife @Tommys on 13 Mar 2017 - 16:36
It is really important when using Depo-Provera injections as a form of contraception that the injections are given on time. If it is overdue there is a possibility of a pregnancy . There is good information available on the sexual health charity website. http://www.fpa.org.uk/contraception-help/contraceptive-injections . Hope this helps
By Anonymous (not verified) on 9 Mar 2017 - 09:16
I've been on the nur isterate injection for 6 months. I stopped it now 2 months. I've been getting symptoms of pregnancy like very sore breasts nausea no vomiting and stomach cramps.. My last period was on the 13th of Feb... I tested 2 days back and got a negative result was it to early to test
Could I be pregnant?
By Midwife @Tommys on 9 Mar 2017 - 10:08
Hi, Yes, it is too early to confirm a pregnancy if your last menstrual period was 13/2/17. If you are wanting to become pregnant don't forget to look at our link for preconception care. https://www.tommys.org/pregnancy-information/getting-pregnant/are-you-ready-conceive
BW Tommy's midwives
By Anonymous (not verified) on 8 Mar 2017 - 16:23
Hi, I am around 6 weeks pregnant and I occasionally get light craping pains in my lower back and around my hips, is this normal? I have no bleeding. This is my second pregnancy but the 1st was 8 years ago and it's difficult to remember.
Another question - we have guinea pigs kept indoors, do these pose a threat to an unborn baby?
By Midwife @Tommys on 9 Mar 2017 - 09:53
Hi, Mild cramping pains are not unusual in pregnancy. Each woman and each pregnancy is different. It is reassuring that you have no bleeding. Try gentle exercising and keep yourself moving.
There is no reason to be concerned about guinea pigs although it would be good practice to wear gloves when cleaning them out and also to ensure excellent hand hygiene after handling them. Our link on toxoplasmosis explains why cats are thought to be the animals that transmit this infection in their faeces. https://www.tommys.org/pregnancy-information/i%E2%80%99m-pregnant/antenatal-care/infections-avoid-pregnancy/toxoplasmosis-pregnancy
Hope this helps. Tommy's midwives
By jess (not verified) on 8 Mar 2017 - 10:45
Hi, i have been off my birthcontrol two weeks ago and me and the hubby had grown up games a day before i stopped taking my tablets, last week i had no bad feelings or symptoms at all but this week i feel rough as hell, i have had headaches been more moody been over sexual (tmi) had felt sick yesterday morning (not had that today). i would just like to know if i should buy a test or leave it down to my bc, i have read that some women it could take months/years to conceive and others within the month of coming off them, please help me someone lol.
By Midwife @Tommys on 8 Mar 2017 - 14:48
I wonder if the symptoms you are experiencing are side effects of coming off the pill.
Certainly a peak in interest in sex is really common after coming off the pill as in your natural cycle there is a surge in testosterone. (Women talk about having a lower sex drive on the pill).
You could also be more moody after stopping it. Some women also report headaches, breast tenderness and nausea.
After stopping the pill you can technically ovulate within a week and sperm can live in a woman's body for 5 days so if you weren't using an alternative form of contraception you could be pregnant. My advice would be to buy a pregnancy test and test when it is 3 and a half weeks since you had sex when coming off the pill. Your periods may take a little while to regulate (1-3 months approximately) so even more reason to have an alternative form of contraception if you aren't quite ready to start trying for a baby.
I hope this helps.
By CC (not verified) on 7 Mar 2017 - 13:28
Hi, I'm 8 weeks & 2 days pregnant although I don't feel pregnant! Is this normal?
I'm also sleeping for around 16 + hours at a time over the last few days, whereas I was only getting about 2 hours sleep in the weeks prior. Is 16 + hours of sleep & lack of energy normal at this early stage?
By Midwife @Tommys on 7 Mar 2017 - 14:38
Congratulations on your pregnancy! This early stage can be very tiring and every pregnant woman experiences different symptoms which can vary hugely and some never really get any noticeable symptoms. Sleeping a lot more can be normal and part of early pregnancy, however it can also be a sign of low iron levels and sometimes a thyroid problem, if this has been continuing then I would recommend you contacting your GP or midwife. If you have had your booking appointment then they should have taking some blood tests from you, if you chase these up this will tell you your iron levels. If you have not yet had your booking then hopefully this will be soon. If you have any breathlessness or pain then I would advise for you to see your GP as soon as possible. I hope this helps, Tommy's midwives.
By Anonymous (not verified) on 15 Mar 2017 - 16:33
Hi, Thank you for your above response.
I've been for my booking appointment today & have left feeling totally confused......I had both an external & internal scan & they've said that I'm only 4 weeks pregnant (too early for the booking appointment checks) although checking when I tested posititve, it was 8 weeks ago.
How is this possible - is something wrong?
Thanks again for your help
By Midwife @Tommys on 16 Mar 2017 - 09:57
Hi, I think i just replied to you on another page.
You need to work out the date of the first day of your last menstrual period, and your average cycle length using our pregnancy calculator to estimate your gestation and current due date.
Once you know this, please go back to your GP to discuss the results and get another date for booking and ultrasound scan. Sometimes dating pregnancies can be confusing, but it is important to know roughly how pregnant you are so that you receive the right care in a timely manner. Take care of yourself
By Midwife @Tommys on 1 Mar 2017 - 14:29
Hi, thank you for your post. It sounds like the bleeding was a really frightening experience. I understand from your message that you went on to have an early scan and you were told that 'there was a pregnancy but it was not really formed' It is such a shock when you experience unexpected bleeding and then end up being scanned. In times of intense stress we don't retain information as we are in shock. Is there a plan for you to return to the hospital for another scan? In some instances it may be too early to detect a heartbeat and confirm a viable pregnancy so returning to be rescanned in 10-14 days can give more information as the developing embryo would be visible as would a heartbeat.
I hope that this has been scheduled for you? You might like to look at this website for more information.
Please keep in contact and if you would like to talk to a midwife please contact us on 0800 0147 800 weekdays 9-5 pm
By Anonymous (not verified) on 1 Mar 2017 - 13:23
Good afternoon, I really cannot remember my last date for menstrual period, but I tested positive for home test on the 21st.of February. My last period was around the second to the last week in January, and I ovulate d around 4_7 of February. How old can it be?
By Midwife @Tommys on 3 Mar 2017 - 12:39
If you have a positive pregnancy test I would suggest that you arrange to see your doctor. Without accurate dates the best way to date the pregnancy is to do an early pregnancy scan. Your GP will be able to arrange this for you. Best wishes from Tommy's midwives.
By NAYELLE (not verified) on 28 Feb 2017 - 21:55
Hi.. I found out i was pregnant a week ago 20th feb 2017.... Just two days ago, i saw blood whilst taking a shower. I rushed to the hsp and was giving injection to stop the blood. It has stopped now but the gyn after doing the ultrasound said there was a pregnancy but not really formed. I'm soo scared and dont know what to do
By Anonymous (not verified) on 28 Feb 2017 - 11:25
I am 11weeks pregnant I seen my baby heartbeat but sometimes I feel like I am pregnant and at times I don't I have back pain and stomach pain where I can't sleep
The doctor said I have a cyst over my ovaries
By Anonymous (not verified) on 27 Feb 2017 - 08:13
hello.. my last period was on 25th jan 2017.. its been a month bt i havnt got my periods yet.. me n my hubby had intercourse on 7- 8-9-10 of this month... shud i go for a home pregnancy test?? or is it too early ??
By Midwife @Tommys on 27 Feb 2017 - 11:46
Using your last menstrual period date of 25th jan, and presuming you have a 28 day cycle, it is possible that you are approx 3 weeks pregnant and this would show up on a pregnancy test if you are pregnant. So it is worth going out and buying a home test. Some tests are more sensitive than others, so waiting another few days may be sensible in order for your pregnancy hormones to increase and show in your urine.
Take care and good luck!
By Anonymous (not verified) on 26 Feb 2017 - 10:01
hello am 8weeks pregnant but i have alot of pain in my stomach i was given medicines like paracetamol n bascopan but there is no change... i dont feel like eating anything i only take porridge..... the náusea is very strong even after taking medicine for it.... what should i do please
By Midwife @Tommys on 27 Feb 2017 - 10:27
Any abdominal pain, at any gestation of pregnancy, needs to be investigated as soon as possible. It would be a good idea for your GP to refer you to your local early pregnancy assessment unit so that you can have an abdominal scan and bloods taken to ensure the pregnancy is healthy. If your pain is incredibly severe, then you should go to a&e urgently in case the pregnancy is ectopic (growing in your Fallopian tube) which can cause a lot of abdominal pain and is incredibly dangerous to your health.
Pregnancy nausea is very common and can come and go throughout pregnancy. There are various simple ways that you can try to ease the nausea. Have a look on our webpage for some helpful tipss to hopefully help you. https://www.tommys.org/pregnancy-information/im-pregnant/early-days-pregnancy/morning-sickness
Please look after yourself!
By pregnancy mom (not verified) on 26 Feb 2017 - 09:23
I found out I'm pregnant the 14 Jan 2017 when I was 3 weeks pregnant and I used two home tests got the same answer positive. I got my period the 9 of Feb for two days was abnormal flow and just dissaper. now I'm worried I lost this baby
By Midwife @Tommys on 27 Feb 2017 - 10:00
Hi pregnancy mom
It would be sensible for you to visit your GP asap to do another pregnancy test and to refer you to your local early pregnancy assessment unit if there is some concern about bleeding in early pregnancy. They may wish to take some bloods from you, and do an ultrasound scan to determine the gestation and health of the pregnancy. Please look after yourself.
By Mjones (not verified) on 26 Feb 2017 - 08:02
Hello, I have just found out I am expecting. Not really sure how far I am, I am going to the doctor this week, will they be able to tell me how far I am?
I have been drinking alcohol and eating rubbish like sweets and chocolate and I feel terrible about it. I've cut it all out now since Friday but will this have done damage?
By Midwife @Tommys on 27 Feb 2017 - 09:54
Many women have exactly the same concerns as yours when they first find out that they are pregnant. Drinking alcohol in the early stages of pregnancy is something that many women worry and feel guilt about, but it is both unknown, yet unlikely to have caused any problems for the growing fetus. It is best that you completely cut out alcohol from now on. The occasional sweet treat like chocolate is not bad for pregnancy, everything in moderation is sensible. Please have a look at our webpage on diet during pregnancy so you can see what types of food and quantities are great for a healthy pregnancy.
When you go to the doctor, they will ask for the date of the first day of your last menstrual period, to give an estimation of how many weeks you are. Then you will be referred for midwifery care and for your first ultrasound appointment where the gestation of your baby will be more accurate and an estimated due date will be given to you too. Please take care of yourself.
By Lucia (not verified) on 18 Feb 2017 - 19:31
pls help, I went to ultrasound scan and the doctor confirmed am 11 weeks pregnant and 3 days. but he said that I will put to bed on 27th June 2017. How possible it is. pls adivice
By Midwife @Tommys on 20 Feb 2017 - 09:34
Hello and Congratulations on your pregnancy,
Your message is a little unclear - please email on [email protected] or call our Pregnancy information line on 08000147800 for further advice.
By happy mom (not verified) on 17 Feb 2017 - 18:07
I'm abt 6weeks pregnant and I have dis abdominal pain and back pains as well not DAT painful but it makes me feel kinda awkward......and I have dis bitter taste in my mouth ...and m getting sick of DA pills m drinking
By Midwife @Tommys on 20 Feb 2017 - 09:45
Congratulations on your pregnancy!
I'm sorry you are experiencing lower back and abdominal pain - it is not unusual to experience some period like cramps in early pregnancy, but if they are painful, becoming more severe or causing you concern please contact your GP for a check up.
By Anonymous (not verified) on 16 Feb 2017 - 08:39
I don't know how long i am, I'm pregnant and i have pain in my spanielccord please help is it normal? I tested pregnant on the 27/01/2017 and it was positive, on the 2/02/2017 i was bleeding on the 7/02/2017 it stopped until now and on the 13/02/2017 i tested it positive do you think it's normal?
By Midwife @Tommys on 16 Feb 2017 - 11:25
Hi, I can understand your confusion and would suggest that if you have a positive pregnancy test on 13th that you see your GP. You may be referred to an early pregnancy unit for a scan and/or a blood test which will confirm whether or not you are pregnant.
Hope this helps.
By Anonymous (not verified) on 16 Feb 2017 - 03:42
Some few I did a PT In the lab n it showed positive But very faint line . I had alot of pain like cramp for over a week. Then I saw blood flow for 2days. I got worried although it's less than my normal flow. I tried doing a home test after d flow it's been negative. Should b worried? Been having headaches for a while. D pain down my abdomen has reduce. Pls am still pregnant.
By Midwife @Tommys on 16 Feb 2017 - 12:42
Hi-Unfortunately it sounds like you have had a very early miscarriage. However if your abdominal pain continues or gets worse , it may be a good idea to see your GP.
Hope this helps and do contact us if you have any other concerns
By Anonymous (not verified) on 16 Feb 2017 - 02:08
Hello, I have been dizzy for about two and a half months now. I was always worried about what it was but tried to just wait for it to go away. For the passed two months I have experienced headaches daily and am nauseous every once and awhile. I started to develop a cough and some sinus drainage so I went to the doctor and they told me this is where the headache and dizziness are coming from and gave me antibiotics for a sinus infection. Two antibiotic doses later, the dizziness is ongoing. I have recently noticed my nipples have darkened and I almost fainted today. I have taken a few at home pregnancy tests and they all came back negative. I would have conceived November 5th. Is it safe to say it is time to get a blood test or could there be something else going on?
By Midwife @Tommys on 16 Feb 2017 - 11:35
Hello, I am sorry to read that you have been feeling unwell. I would suggest that if this is on-going that you see your GP again. If your pregnancy tests are negative, this is because the pregnancy hormone hCG is not present in your urine and indicates that you are not pregnant. I hope you find some answers. Best wishes
By Anonymous (not verified) on 15 Feb 2017 - 17:43
I've recently found out I am pregnant! I had the implant out on the 10 Jan 2017, tested on 7th Feb and it came up positive! Checked a few more times and all positive. Anyway I just wanted to know how to date this pregnancy? Would it be the day my implant was taken out? I am a bit worried about getting pregnant so quick after implant removal, just hoping it all goes ok.
By Midwife @Tommys on 16 Feb 2017 - 12:18
Hi. There is no reason to be concerned about getting pregnant so soon after your implant was removed, but your GP may advise that you are seen in the early pregnancy unit in order to date the pregnancy. Best wishes from Tommy's midwives
By Sarah brown (not verified) on 15 Feb 2017 - 06:37
I have just found out im expecting but i keep getting pains in the lower part of my stomach almost like period pains is this normal
By Midwife @Tommys on 15 Feb 2017 - 13:24
Congratulations on your pregnancy!
I'm sorry you are experiencing lower abdominal pain - it is not unusual to experience some period like cramps in early pregnancy, but if they are painful, becoming more severe or causing you concern please contact your GP for a check up.