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 nine months of pregnancy. Click here to sign up.
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 30 Jan 2017 - 10:04
It is difficult to know how pregnant you are without being able to identify the first day of your last menstrual period However, an ultrasound scan is only able to see a pregnancy over 4-5 weeks gestation. So, you will need an ultrasound scan to determine the size of the fetus so that they can give you an estimation of how many weeks pregnant you are and potentially when you might have conceived. So please go back to the clinic and undergo further testing.
All the best.
By Anonymous (not verified) on 22 Jan 2017 - 22:02
Hi I had c section in 2007 then normal birth in 2009 then c section again in 2013 wot r my chances of having normal birth?
By Midwife @Tommys on 23 Jan 2017 - 10:09
Having had two c/s and one vaginal birth puts you in a position of weighing up your options. With your obstetric consultant, you can have a discussion about your medical and pregnancy history and evaluate if a vaginal birth would be safe to attempt. The reason for your previous sections, as well as how your vaginal birth progressed would all be assessed along with your personal and pregnancy risk factors.
Don't rule out either one just yet, but there is certainly a discussion to be had and a decision to be made. Take care!
By Salewa (not verified) on 20 Jan 2017 - 20:42
I had my last period on the 17th of December and have not see it dis month
By Midwife @Tommys on 23 Jan 2017 - 10:03
Hi there. It would probably be best to do a pregnancy test at home or at your GP's to confirm if you are pregnant or not. Then your estimated due date and current gestation can be roughly estimated.
By Isabella (not verified) on 17 Jan 2017 - 14:37
My youngest daughter was born 3/14/16 I got the nexplanon put in 3/19 or 3/20 I had it taken out 11/29/16 I go my period a week before I got it taken out. Then on 12/2/16 I had anothe period. Then on 12/22/16 I had what I thought to be a very weird period. It was bright red and when I stood up I would drip down my legs. It last the same length as my regular period but ir seemed to be alot of blood bright red and smelled like iron. Well i was suppose to get my period on the 15 of this month ive had alot of cramping worse then period cramps and still not pregnant. Ive taken two hpt both said negative. Coud I be pregnant ? This is not my first kid but with my last pregnancy It took me I think 2 months to get a positive pregnancy test, without a period. But witb my first two I got a positive right after missed period.
By Midwife @Tommys on 17 Jan 2017 - 14:43
Thank you for your query. I would need a few more details from you in order to help with your question, please email [email protected] with your query so we can help answer your questions.
By Maria (not verified) on 16 Jan 2017 - 19:58
For nearly 5 years I yearned to bare my husband's first child, having 3 boys from a previous marriage. I was worried I would become too old or other issues were preventing pregnancy but as time went on my husband told me we have plenty of time. So I literally dropped the idea after a tragic incident with my oldest son a baby was definitely out of my head. Being as though everything had been so overwhelming we went from actively being intimate to maybe 1-2 a week. A little over a month ago I had nausea and told him I felt sick, did not relate it to pregnancy until too many other signs appeared. My breasts were just so sore and swollen, felt very bloated and I assumed a bad menstrual cycle was coming. Well, I continued to wait for my cycle and as I got into January I really started to question when my last cycle was. Something told me to take a test and sure enough I did and it was positive. Because I was in disbelief I did take 4 more, all of which were positive with one stating: PREGNANT. Of course it was excitement and took a lot of the stress and overwhelming feelings away because I know how important the first stages are so I am completely humbled for the first time this year. I know it will take some time to see a Doctor but I feel horrible because I do not recall the date of my last menstrual cycle, I tried to find the receipt when I had purchased pads, trying to relate to certain times and or dates in the last few months I cannot recall with everything that has happened. Since that test I swear every feeling: emotions, hormones, sensitivity- you name it has been heightened or I am just more aware of the symptoms, i do not know. So now I have become obsessed this weekend with the question, How far along could I be? DRIVING me crazy. I am showing, breast are swollen and sensitive, my nose looks a little swollen, my fingers have swollen a little, my abdomen is tender to tight clothing and my "V" is even enlarged a little. What's worse is it seemed my belly was harder and rounder yesterday and now softer so I am so concerned and confused.. Can I still be within the first trimester? or possibly twins since so fast? So lost and had to find some answers. Loved this site so I had to leave.. and sorry so long
By Midwife @Tommys on 17 Jan 2017 - 12:14
Congratulations on your pregnancy! This sounds like a very much wanted and wished for baby and a wonderful surprise too.
One of the first things you should do is contact your GP so that they can refer you for antenatal care and determine how pregnant you are. If you are unsure of dates, discuss this with your GP and they maybe able to arrange an earlier scan.
It is also important to ensure you start taking Folic Acid and Vitamin D as soon as possible, you can buy both from your local pharmacy who will be able to advise further.
If you would like to discuss anything further please call us on our Pregnancy Line: 08000147800 or email us at [email protected]
By Elaine (not verified) on 15 Jan 2017 - 16:16
Hi i just found out im pregnant my last period on 16 December how far am i now
By Midwife @Tommys on 16 Jan 2017 - 09:32
Hi there. For ease in working this out, You can use our pregnancy calculator on our website. You will need to know the date of the first day of your last menstrual period and roughly how long your cycle is.
By divya (not verified) on 12 Jan 2017 - 10:51
Breast pain and heavy my results is positive
Breast pain common in pregnancy
Dis is my 1st pregnancy
By Midwife @Tommys on 12 Jan 2017 - 11:08
Congratulations on your pregnancy! Yes pregnancy can bring about changes to the breasts even early on. We always recommend to wear a well fitted bra and check your breast for changes and any lumps throughout your pregnancy, if you have any concerns then speak to your midwife or GP.
By queenspa (not verified) on 6 Jan 2017 - 14:54
Keep up your good work mummy Tommy! Please my last period was on October25 till now and I was confirmed positive after a blood test please how many months could the babe be now?
By Midwife @Tommys on 6 Jan 2017 - 15:21
Many congratulations on your pregnancy!
If you have a normal 28 day menstrual cycle then your due date will be about the 1st of August. When you have your first scan they will give you your official due date that will be used for the rest of the pregnancy. If your cycle is different to this you can use our pregnancy calculator to estimate your due date:https://www.tommys.org/pregnancy-information/im-pregnant/calculate-your-due-date
By Anonymous (not verified) on 29 Dec 2016 - 13:36
Hi, I had my last period on 25th of Nov. Today I've got a positive results in my home pregnancy test. But last week I have had severe chickenpox. Will it affect my baby?
By Midwife @Tommys on 5 Jan 2017 - 15:46
Thank you for your question. There is a known small risk to the baby if a mother has chicken pox in early pregnancy and I recommend that you request a referral to your maternity unit fetal medicine unit (FMU) to discuss this. Your GP will be able to arrange this.
By Confused (not verified) on 26 Dec 2016 - 15:26
Recently in Nov I have gotten my implant removed and a week later I started the nuvaring. I didn't use a condom with my boyfriend for the first seven days either or anytime after that and he didn't pull out. On my ring-free week I spotted and my menstrual has never came on. Through this whole month of dec I have been having bad insomnia sometimes I can't sleep at all and other times I am in and out of sleep. I tried drinking some alcohol and my stomach started hurting so I stopped and I can't lay on my stomach either it's uncomfortable. So could I possibly be pregnant? Because before this I could sleep my day away and I'm not stressing or worrying about anything please give me some type of clarity to this?
By Midwife @Tommys on 5 Jan 2017 - 16:59
It may be possible that you could be pregnant, if you have not done so already I would suggest to take a pregnancy test. It could be that a change in contraception has disrupted your cycle however it is important to found out whether you are pregnant or not first. If you are feeling anxious or would like to talk further then please email us [email protected] and we will try to support you best we can
By Midwife @Tommys on 21 Dec 2016 - 15:59
Hello thank you for posting. I'm sorry that you are feeling so anxious about whether your pregnancy will be successful or end in miscarriage. It is a very common way to feel in the early days of pregnancy, which last a lifetime when you are waiting for reassuring milestones, like a scan and then baby movement months later.
Women often feel quite lonely too as they may not wish to share their news until they have had confirmation that the pregnancy is progressing normally.
Pregnancy is a time of great change in both the mind and body bringing up all kinds of new emotions, thoughts and feelings, most of these due to your pregnancy hormones.
Is there a good friend or close relative that you can talk to? You mention that you have suffered from anxiety in the past and if this becomes overwhelming getting some counselling early on may be an option for additional support. You can self refer or make an appointment with you GP.
You will also be meeting with your Midwife for your first appointment known as the booking appointment early in the new year. Please let your midwife know how you've been feeling so that your team are aware and can offer help.
There are a few links on our website below:
You might also consider finding a local yoga class run specifically for pregnancy to meet some new friends who live nearby. Most importantly please don't suffer in silence there is support out there and you are not alone in how you are feeling.
Tommy's PregnancyLine will be open tomorrow and then reopens on 4/1/2017 so give us a call too on 0800 0147 800
We hope to hear from you
By Helen (not verified) on 20 Dec 2016 - 20:32
Hello, I'm currently 4 weeks 4 days. Very early days. I'm struggling with anxiety about whether or not the pregnancy will be successful. There's nothing to say it won't be, I just struggle with anxiety at times. Do you have any advice about how to get through these early weeks/days?
By Midwife @Tommys on 30 Nov 2016 - 09:55
Hi, I'm sorry that you are waiting for your period to return and so far, after 7 months it hasn't.
There is no evidence that Depo-Provera has any long term effects on a woman's fertility but it can take 3 to 12 months for your periods to return to normal.
You have done the right thing by going to see your GP and being on the waiting list for a referral to a gynaecologist is the next step.
I'm afraid this isn't an area that midwives specialise in but you have been to your GP and have a referral so unfortunately it is a matter of waiting now for your cycle to return or the appointment with the specialist... whichever comes first. Best of luck.
By Anonymous (not verified) on 29 Nov 2016 - 15:12
I have been on the depo for about a year, I have stopped it since the past 7 months and to date I have not got my menstuation. I've been to a GP twice, at my first visit he prescribed Provera 5mg which I had taken for 10 days. After I taken it I constantly had severe tummy cramps n body pains, I had visited him the 2nd time n he suggested I wait for another 3 months for my menstual cycle to return after the depo n today marks 3 months since I been to him n no menstruation. I have picked up a lot of weight n I'm very concerned about this issue. He has now reffered me to see a gynae, I am on a waiting list for a visit. Until then would you please advise me on my situation and wat could be the cause of my menstrual cycle been delayed. Thanks in advance for a reply
By amy (not verified) on 11 Dec 2016 - 21:00
I had my son in October 2013 and had the depo straight after he was born continually.
November2015 I stopped the depo I got my first period in August 2016 then every 30days I found out a week ago I'm now pregnant. Don't give up, your body will kick in soon . I was desperately googling when periods return after depo and there really isn't that much information out there, but it will happen keep positive xxx
By Midwife @Tommys on 12 Dec 2016 - 09:22
Hi Amy. Thank you for your support of Tommy's and for kindly sharing your story!
By Wilmai (not verified) on 22 Nov 2016 - 20:56
Can you give your advice about travelling druing pregnant. At around 9-11 weeks?
Your reply is highly apreciated.
By Midwife @Tommys on 23 Nov 2016 - 12:46
Please feel reassured that it is fine to travel in pregnancy.
Flying in pregnancy is not unsafe. It does not cause miscarriage for a low risk, healthy pregnancy.
If you plan any other trips abroad in this pregnancy airlines tend to want a letter to say you are fit to travel when you are 28 weeks or over, but even at 24 weeks, it may be worth discussing this with your midwife or GP to say that you fit to fly and you would have to have no complications.
You may also need to check with your insurance company to see if they cover you in the event of anything happening while you are away and will they cover medical care. You also need to check that there is sufficient health care available at your destination, just as a precaution.
The main complication with flying when pregnant is the increased risk of deep vein thrombosis (DVT) but there are precautions you could take, like walking around during the flight and drinking plenty of fluids. Most people choose to fly in their 2nd trimester as they are over the initial worrying 12 weeks and they are not close to delivery. Obviously travelling nearer to the end of pregnancy carries the risk of going into premature labour, this is relatively uncommon but we cannot always say who this may happen to and when.
It would also be worth to note the heat and humid conditions and to be extra careful with drinking and eating when abroad. Many women do go on holiday in pregnancy as it is nice to have some time away together before baby comes along. I hope this has helped and you enjoy your holiday!
By Sristy (not verified) on 19 Nov 2016 - 07:45
My last period was on 17th oct and this month i missed my period ,i test it in home but the result is negetive i m in worry am i pregnent or not please reply
By Midwife @Tommys on 21 Nov 2016 - 08:50
Hi, it might be useful to repeat the test again. If you are still unsure and have still not started your period, it might be a good idea to book an appointment with your GP. If the GP is concerned , you may be referred on for some gynae investigations.
By farah (not verified) on 11 Dec 2016 - 10:47
Same thing happened to me last month and when I tested that time it was negative but after two weeks I tested again and this time it was positive and now im 7 weeks pregnant. Best of luck to u.
By feedback (not verified) on 21 Oct 2016 - 11:59
Dear Tommy's, I am coming up 11 weeks and I'm so grateful for all the clear information on your website, it's so useful, thank you! A bit of minor constructive feedback on the website per se - on this page you refer to Week 10 - having a uterus the size of a man's fist, which is the last way I'd want to think about my womb right now and seems like a strange choice of words! Could you perhaps use a different analogy?
Secondly, it looks like you mostly refer to the developing baby as "he". This strikes me as an odd default - esp for all of us who don't yet know if it's a boy or a girl at this stage. Might you consider referring to he/she, or it? It may seem like a petty detail, but it would be one way of moving away from gender bias. Many thanks for considering my feedback.
By Midwife @Tommys on 21 Oct 2016 - 12:54
Hi, we always appreciate any feedback that we receive and look into every comment and suggestion that is made as we very much value the thoughts of all the users of the website. Your suggestions have been noted and will be reviewed. If you would like feedback on the action taken on your comments, and feel comfortable doing so, please do email us [email protected] so we have your email address to be able to update you.
By xty (not verified) on 20 Oct 2016 - 11:25
Before I had my last period, I was having pain like feeling at my lower right side, only come when I cough, after the period the feeling continues , I feel feverish, food craving, slight headache e.t.c, can this be pregnant? Though im afraid to take any test.
By Midwife @Tommys on 20 Oct 2016 - 11:47
I would visit your GP to discuss this asap as it sounds as if you are experiencing appendicitis. If you had the pain before, during and after your last period, then it is unlikely to be due to a pregnancy.
Lower right sided pain, with a fever especially can be a sign of fairly rapid onset appendicitis. If you are feeling very unwell, then i would bypass going to the GP and seek urgent care at a walk in centre or a&e minors. Appendicitis can be dangerous if left untreated and un-diagnosed - please seek assistance today.
By Midwife @Tommys on 22 Aug 2016 - 11:03
Every woman will conceive at a different rate. Some women's bodies will take a little more time to conceive than other's as we are all made slightly differently. This is normal!
Your Doctor who knows your full medical history will be able to better guide you in your predicted rate of conception. Best of luck!
By Anonymous (not verified) on 20 Aug 2016 - 11:51
Hi,have been trying to conceive since Jan,went to my gyna and she gave me ovacare drugs,am I likely to conceive this month
By Midwife @Tommys on 18 Aug 2016 - 11:27
Hi, it is difficult to give you an exact answer as women have different length cycles and I am unsure when your next period is due. If you are late then you can take a test however there is a chance that it is still a little early. If the test is negative I would suggest to wait a week and then test again. If you are trying for a baby do remember to be taking folic acid also.
By Anonymous (not verified) on 18 Aug 2016 - 09:49
my last period day was on 21.07.2016. Its 29th day is today. when should i take test?
By Midwife @Tommys on 15 Aug 2016 - 15:13
This pain could be caused by your expanding womb and your hormones. It can feel like a ‘stitch’. You may also feel light period-like discomfort at the beginning of a pregnancy. These symptoms may be nothing to worry about. However, if you are having persistent abdominal/stomach pain, it should be checked by a doctor or midwife immediately.
By Anonymous (not verified) on 13 Aug 2016 - 05:47
Hi I'm 9 weeks and I have slight pain in my right side below my ribs above my hip. Should I be concerned. It's been 2 nights in a row, only at night.
By Midwife @Tommys on 12 Aug 2016 - 10:41
I am so sorry to hear that your previous pregnancy ended in miscarriage. In this pregnancy it is very normal to be feeling more anxious and worried, there is little you can do to prevent a miscarriage. Our advice is to make sure you are taking folic acid, try having healthy balanced diet and doing some light exercise. There is lifestyle advice on our website or if you would like further advice and support then please call us 0800 0147 800 or email [email protected]
By Midwife @Tommys on 12 Aug 2016 - 10:05
If you have had a blood test and urine test showing positive for pregnancy then this would indicate your hormone levels are sufficiently raised and you are pregnant. If they could not see any thing on scan in your womb it may be that it is a little early, have they offered you a follow up scan at all? If not I would suggest contacting your GP or EPU to discuss this. In the mean time if you have any one sided abdominal pain, shoulder tip pain, feel dizzy or unwell or have any bleeding then please be seen at the hospital as soon as possible.
By Anonymous (not verified) on 11 Aug 2016 - 10:50
Hi I'm worried as I had a miscarriage at 5 weeks and now after one cycle think I may be pregnant again what can I do to prevent having another early miscarriage or what should I avoid
By Anonymous (not verified) on 11 Aug 2016 - 10:11
hiii! i am pregant i did test at home it shows positive i go to hospital they did blood PT wich is more sensitive is also positive but when they scan they didnt see any thing in the womb.
By Midwife @Tommys on 9 Aug 2016 - 11:43
Hi I'm sorry you are in pain and worried about your pregnancy. Please give us a call on the PregnancyLine 0800 0147 800
By Midwife @Tommys on 8 Aug 2016 - 14:52
It's perfectly safe to have sex during pregnancy. Your partner's penis can't penetrate beyond your vagina into your cervix.
As long as you do not have any history of early miscarriages , or recent episodes of bleeding., intercourse in the first trimester is absolutely fine!
By Anonymous (not verified) on 7 Aug 2016 - 07:16
My wife is pregnant this the 1st month so we can continue unter corse and untill how many months we can inter corse without any harm of baby.
By Midwife @Tommys on 2 Aug 2016 - 11:44
Yes. A positive pregnancy test means that the pregnancy hormone, HCG is present in your urine. This hormone is present once you have conceived. Some pregnancy tests can be taken several days before your period is due – but the earlier you take the test, the less reliable the result. To have a more accurate result, take the test at least a week after your period would have been due
By Midwife @Tommys on 2 Aug 2016 - 11:24
As long as you do not have any history of early miscarriages , or recent episodes of bleeding., intercourse in the first trimester is absolutely fine!
By Anonymous (not verified) on 31 Jul 2016 - 10:49
hi I m pregnet now my first month I wan ask some think during 1 month pregnancy can we do inter sorce