First trimester: weeks 1 to 12

You're pregnant: congratulations! The first weeks of your pregnancy are a vital time as your body gets busy building a baby. How exciting!

Weeks 1-12 infographic

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?

Find out your due date using our due date calculator!

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.

Find the complete list of pregnancy dos and don'ts (and reasons why) here

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

We also have lots of useful tips for coping with everyday pregnancy niggles. It’s common for women to experience symptoms such as morning sickness, cramp and indigestion during the first trimester. 

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.

Read more about mental wellbeing in pregnancy

Read more about diabetes and pregnancy

Read more about pregnancy with a high BMI

Read more about exercise and pregnancy

Read about the symptoms to look out for in pregnancy

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.

 

Find out more about the first trimester

Sources

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-cg62

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Last reviewed on June 28th, 2018. Next review date June 28th, 2021.

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Comments

Please note that these comments are monitored but not answered by Tommy’s. Please call your GP or maternity unit if you have concerns about your health or your baby’s health.
  • By Midwife @Tommys on 8 Jan 2018 - 16:12

    It is quite common to feel period like abdominal cramps in early pregnancy and for many women this resolves after a few days. If it doesn't resolve or increases in strength, try to see your GP. If you are unwell with bronchitis I would also suggest you see your GP. Hope you feel better soon.

  • By Anita (not verified) on 6 Jan 2018 - 17:24

    Hi. Am 6weeks pregnant,,,I am vominting too much. Surprisingly my weight has dropped by 10kg.my worry is, what about my babies development?. Can I start taking iron supplements early?

  • By Midwife @Tommys on 8 Jan 2018 - 16:04

    Hi, If you are vomiting all the time and not able to keep even fluids down, I suggest you see your GP. Sometimes we have to admit women with hyperemesis to hospital if they become dehydrated. Try not to worry about the baby as he/she will not really be affected by the condition.

  • By Blessing (not verified) on 5 Jan 2018 - 12:25

    Hello, I work in a financial institution and usually get to the office as early as 7:00am, I am 11 weeks pregnant, my belly is still not out and I find it difficult waking up early. What can I do to help myself.

  • By Midwife @Tommys on 8 Jan 2018 - 15:49

    There are many of us who would sympathise but we don't have an excuse!
    Getting up early when it's cold and dark is hard enough, but women in early pregnancy feel especially tired and need more sleep. I would suggest getting to bed early and making sure that you eat good nutritious food. Avoid caffeine as although this can temporarily wake you up, in the long term it can make you more tired. Try to get some fresh air if you can and lastly don't be too hard on yourself. This extreme tiredness often resolves by 14 weeks. Best wishes

  • By Sarah (not verified) on 3 Jan 2018 - 23:56

    My last mestruation was 16th November, I have done a blood test and it’s positive, from your calculations how many weeks am I ?

  • By Midwife @Tommys on 4 Jan 2018 - 16:12

    Hi Sarah, Thank you for your comment.
    Congratulations on your pregnancy. If the first day of your last period was on the 16th November then you should be around 7 weeks pregnant. If you are unsure of your dates then you can always see your GP who can refer you for a dating scan. Hope this helps. Take Care, Tommy's Midwives x

  • By Sarah (not verified) on 7 Jan 2018 - 21:10

    7 weeks 3 days

  • By Terea (not verified) on 3 Jan 2018 - 14:14

    Hi back in Aug I had a misscarriage and had a D&C . My last full period ended on Nov 10th. I was supposed to have my next period on Dec 1st. I only spotted really light on dec 3rd and then nothing else. I started getting really sick on Dec 26 with all day nausea. And went to my local er on the 30th cause it hadn’t gone away. They said I’m pregnant. I’m pretty scared

  • By Midwife @Tommys on 4 Jan 2018 - 16:06

    Hi Terea, Thank you for your comment.

    We are so sorry to hear about your miscarriage in August. It is understandable that you are feeling scared in this pregnancy. Please be reassured that having 1 miscarriage doesn't put you at an increased risk of having another miscarriage this time. It sounds like you have pregnancy sickness so try and drink plenty of fluids and eat little and often. If you are still worried then you may want to visit your GP who can refer you for an early reassurance scan. Try and take each day at a time, it isn't easy when you are pregnant again after a miscarriage and your midwife will understand your anxieties. Be open and tell your midwife or GP if you feel like things are becoming overwhelming as they will be able to offer you additional support. You can always call the Tommy's Midwives on 0800 0147 800 Monday to Friday 9am-5pm or email on [email protected] Take Care, Tommy's Midwives x

  • By Tyty (not verified) on 1 Jan 2018 - 02:05

    My last.period was 18th of Nov 2017 and my circle is normally btw 28/38 i have done 2 test in the last few days but comes out negative my appetite has changed feeling in the morning and sometimes during the day could it be what am thinking.

  • By Midwife @Tommys on 2 Jan 2018 - 09:13

    Hi, thanks for your post. Your cycle has obviously changed but if you have had two consecutive negative pregnancy tests in the last two days it is unlikely that you are pregnant. What else is going on for you? Sometimes stress will affect your menstrual cycle. I am not sure whether you are planning to become pregnant or not wanting to get pregnant at present?
    The advice is obviously different depending on this.
    If you need to talk please call us on 0800 0147 800
    Thank you
    Anna-Tommy's Midwife

  • By Tina (not verified) on 30 Dec 2017 - 14:20

    I will be 8 weeks tomorrow and while I have been having mild morning sickness since the end of week 5 it has subsided since yesterday. I have also been rather emotional since yesterday. Should I be worried that I haven't been feeling morning sickness in about 24 hours ?

  • By Midwife @Tommys on 3 Jan 2018 - 09:09

    Hi Tina
    No, this is completely normal and nothing to be concerned about. Pregnancy symptoms can come and go and this is not uncommon at all. Feeling emotional also goes hand in hand with pregnancy as your hormones will fluctuate a great deal. You sound like a textbook pregnant woman. Congratulations! Sophie, Tommy's Midwife

  • By Violetfire8 (not verified) on 30 Dec 2017 - 05:31

    I was spotting 2 weeks ago, and found out I am pregnant, doc said I am on my 6 weeks based on LMP.
    I had an ultrasound but shows its only 5 weeks, but I am spotting everyday.
    I am worried because I am spotting everyday for two weeks now. Doc advised to take medicine called DUPHASTON 10mg 3x a day for two weeks, I have consumed it for week now, but the spotting continues, sometimes its dark blood, or black (it's like the blood on the last day of menstruation) with foul odor, but despite that I am spotting everyday I don't feel anything, no cramps, no vomiting, nothing at all.
    Should I be worried?

  • By Midwife @Tommys on 3 Jan 2018 - 10:38

    Hi Violetfire8
    Spotting in early pregnancy can be normal, but the "foul odour" to your loss is what concerns me the most. I am worried that you may have an infection and this can put you and your pregnancy at risk, so please go to get check over urgently if you have not already done so! Take care of yourself, Sophie Tommy's Midwife

  • By Harmony (not verified) on 28 Dec 2017 - 10:20

    Hi, I had my period on the 17th of November, 2017. I was supposed to get it on the 17th of this month (December ) but I haven't got it. My menstrual cycle is always between 30-31 days, today is the 42nd day (11 days late ). My breast have been achy and my nipples painful, plus I have been spotting (sometimes I notice it when I wipe after I pee). I did a blood pregnancy test today but it came out negative. What could be the problem? Am I pregnant?

  • By Midwife @Tommys on 3 Jan 2018 - 10:34

    Hi Harmony
    Using your last menstrual period date of the 17th nov 2017, you could be as far as 6-7 weeks pregnant. However, if you wait another week and repeat a test and this is negative, then you really should be sure that you are certainly not pregnant. Sometimes, our menstrual cycle can be disrupted for many different and random reasons. But if your spotting and long cycles persist and this is not normal for you, then it might be sensible to visit your GP soon to get a gynae referral if you or they are concerned.
    Please take good care of yourself
    Sophie,Tommy's Midwife

  • By Anonymous (not verified) on 28 Dec 2017 - 04:18

    Me and my partner have been trying to conceive for 3 months now, I though I was I have a regular 28 cycle ,I was suppose to start 12/8 but it was late it came 12/8 I have been trying on my ovulation days but I missed the official ovulation day also im.not sure how to track my ovulation correctly I try different calculators n they say different days now I have been having cramps n pain n some nausea in my lower left side am i.pregnant??

  • By Midwife @Tommys on 3 Jan 2018 - 10:31

    It is really difficult to say.
    Try using our ovulation calculator to help you and perhaps do a pregnancy test if you have not already done so.

    https://www.tommys.org/pregnancy-information/getting-pregnant/ovulation-calculator
    Please take good care of yourself.
    Sophie, Tommy's Midwife

  • By Anonymous (not verified) on 26 Dec 2017 - 03:41

    I had the IUD but it fell out. I took a pregnancy test it came back positive so I went to the doctors and they said it was negative. I took the test a couple weeks ago and went to the doctors the next day. For the past week I have been emotional about everything. Anything that happens can set me off and so will start crying. I’m on birth control pills now but I didn’t get my period on the period pills. Could I be pregnant?

  • By Midwife @Tommys on 3 Jan 2018 - 10:28

    Hi there. It sounds as if you are very worried and anxious about everything. Both the IUD and contraceptive pill are hormonal contraceptives and can cause such emotions. Equally, so can pregnancy. I expect you are doing regular pregnancy tests, but i am sure that the possibility of you having conceived is quite small if you have had the IUD and are now straight back on the pill. Give it another week, repeat a pregnancy test. I am sure it will be negative. Your period is likely to have been disrupted by the change in contraception so it is likely to take a little while to settle back to normal again. Please take good care of yourself! Sophie,Tommy's Midwife

  • By Elizabeth (not verified) on 24 Dec 2017 - 05:54

    Well Hello i am so confused right now cause its Been mine years thats how old my baby girl Is. But any way i am trying figure out Why am i having heartburn so badly And i feeling so bloated like when u need to have a bowelmovement so can u tell me like when Will my Due date be And how many weeks am i Last period nov17 and went off nov21 havent seen my period for the month of december

  • By Midwife @Tommys on 3 Jan 2018 - 10:23

    Hi Elizabeth, if you have had unprotected sex, and your last period was on the 17th Nov 2017, then it is possible that you could be as much as 6-7 weeks pregnant. It would be sensible for you to visit your GP to confirm this, with both a urine and potentially a blood test. If you are pregnant, they will arrange for an Ultrasound scan for you and get your referral for a midwife sent off too.
    Bloating and heartburn are quite common in pregnancy, try Gaviscon which you can buy at the chemist over the counter.
    Good luck with everything. Sophie, Tommy's Midwife

  • By Anonymous (not verified) on 17 Dec 2017 - 11:51

    I haven't had my period since Nov 15 now it's dec 17 I've had 2 pregnancy test to confirm
    What should my next steps be
    I don't have a family doctor

  • By Midwife @Tommys on 18 Dec 2017 - 12:40

    Hi. If you are in the UK then you should register with a GP near to where you live. You can also self refer to your local hospital but the maternity department will need you to be registered with a GP. If there is a reason why you can't do this please give us a call and we will try to help.

  • By Iesha (not verified) on 15 Dec 2017 - 02:44

    Hi my last period was september 23 have not had one since. got pregnat around October 6 .I have took a pregnacy test couple days ago to confirm.my question is how far along am I? Haven't been to my doctor yet .I have a appointment scheduled tho.

  • By Midwife @Tommys on 15 Dec 2017 - 09:33

    Hi,
    According to your period dates and based on your having a regular 28 day cycle then you are about 11 weeks and 6 days pregnant and your due date would be 30th June 2018. If your cycle is different to 28 days then you can use our calculator to adjust for this: https://www.tommys.org/pregnancy-information/im-pregnant/use-our-pregnancy-calculator-find-out-your-due-date
    Once you have your first date this will give you your official due date and accurate date your pregnancy.

  • By Anonymous (not verified) on 11 Dec 2017 - 19:16

    i am roughly 2 weeks pregnant with my second baby, and i have random stomach pains, like sharp stabbing pains, is this normal?

  • By Midwife @Tommys on 13 Dec 2017 - 14:31

    Hi, Thank you for your comment.

    Mild cramp and abdominal discomfort can be normal in early pregnancy as all the ligaments are stretching to accommodate the growing pregnancy. However, if these pains are severe, lasting for a long time, become one sided or you have any bleeding then we would recommend that you visit your local early pregnancy unit so that you can be checked over. It doesn't indicate that there is a problem but it is better to be checked over and feel reassured. Hope this helps, take care, Tommy's Midwives x

  • By Javeria (not verified) on 5 Dec 2017 - 05:21


    I am 1 month pregnant but suffering in likhoria a lot is it dangerous for baby?
    plzzz any advise

  • By Midwife @Tommys on 5 Dec 2017 - 14:08

    Hi Javeria,

    I'm not sure what this is please could you email back with your questions. I Looking forward to hearing from you
    Anna-Tommy's Midwives

  • By blessing (not verified) on 1 Dec 2017 - 00:48

    I had sex on d 14 of Nov n I was suppose to see my period on d 23 Nov but now am a week late.......am I pregnant..cox my partner said he didn't ejaculate in me..

  • By Midwife @Tommys on 1 Dec 2017 - 11:31

    Hi, I am unable to tell you whether you are or are not pregnant, you would need to do a pregnancy test to confirm this. If you are having intercourse without contraception even if your partner did not ejaculate in you there is a chance of pregnancy. If you continue to be late on your period, do a pregnancy test and if this is negative then I would suggest to repeat the test in a week. In the meantime, if you think you could be pregnant or having intercourse without contraception then we would recommend that you are taking a folic acid supplement in case you do get pregnant.

  • By Anonymous (not verified) on 30 Nov 2017 - 04:24

    Hi there, I found out 11/14 I was pregnant.
    Last cycle 10/9 average cycle is 33-35 days
    11/15 I had blood test which was 54

    11/22 My HCG was 1174
    Yesterday 11/28 I thought I had a UTI so went to Dr. They said everything was fine, but because they though I should be around 7 weeks did an ultrasound. Couldn't find baby, sack measured at 5 weeks 2 days, my HCG levels were almost 8,000
    Is this normal? Is it okay to be 5 weeks 3 days now and around 8,000 HCG level?

  • By Midwife @Tommys on 30 Nov 2017 - 14:45

    Hi, Thank you for your comment.

    Raising HCG levels are reassuring and this indicates that a pregnancy is progressing. Even woman's levels can be different. It sounds that at your scan you were less weeks then you thought your were and this can be normal. Your HCG levels are still increasing so the Dr may of booked you in for a repeat scan to check the progress of your pregnancy? If you are concerned then please contact your Dr who will be able to provide you with more information and reassurance. Take Care, Tommy's Midwives x

  • By Anonymous (not verified) on 30 Nov 2017 - 02:24

    I had my last period September 15th and it’s now November 29th still no period. I always get it every month and a half so and I’m about a month late. I took a few at home tests and they’re all negative. I looked up pregnancy symptoms and I have a few but not a lot I don’t have sore breasts and I haven’t had any nausea. What could it be?

  • By Midwife @Tommys on 30 Nov 2017 - 14:22

    Hi, Thank you for your comment.
    If you have been having unprotected sex and you have missed a period then there may be a possibility that you are pregnant. As you are still getting negative tests, it would be advisable to go and see your GP. Explain what you have been experiencing and then they may do a blood test to check for the pregnancy hormone HCG, this is the same hormone that is picked up on a urine test but can be stronger in the blood. Hope this helps, Take Care, Tommy's Midwives x

  • By Jade (not verified) on 30 Nov 2017 - 19:48

    The hormone levels may not be strong enough to detect on home pregnancy tests. You should go to your go where they can do a urine sample and send off bloods to know for certain. Could be due to stress also

  • By Anonymous (not verified) on 30 Nov 2017 - 00:48

    Hi
    I lost a baby september then i had my period on 29october we decided to try from then today i done pregnanvy test it came a cross but one of the line o could barely see it it it a positive or negative

  • By Midwife @Tommys on 30 Nov 2017 - 14:16

    Hi, Thank you for your comment.
    If you can see both lines even if it is faint then this could be a positive test. It may be worth doing another test to see what the result is. If you haven't missed a period yet, wait an see if you miss a period and then retest. Hope this helps, Take care, Tommy's Midwives x

  • By chi (not verified) on 27 Nov 2017 - 21:07

    Hi, am 7weeks pregnant, I had a scan yesterday but my baby was not seen, I was told to come back after 10 days,what will I do or eat to make things right.

  • By Midwife @Tommys on 28 Nov 2017 - 15:27

    Thank you for your comment. This must be such a worrying time for you. Sometimes it is not possible to see the baby clearly at such an early scan but this does not necessarily mean you are not pregnant. You have been advised to have another scan in 10 days time-this will check if the baby can be seen. However if you start to have bleeding or abdominal pain before then, please seek advice from A+E or your Early Pregnancy unit
    Please continue with taking your pregnancy vitamins and having a healthy diet, also not smoking or drinking alcohol. Whilst there is nothing specific we can advise to make things right, as you say, it is important to keep healthy

    Please do not hesitate to contact us for further advice or call Tommy's PregnancyLIne 0800 0147 800
    Take care
    Tommy's Midwife

  • By Lulu (not verified) on 26 Nov 2017 - 18:56

    I had a period on Oct 25 and it lasted four days and my period was suppose to come on nov23 28day cycle and wen I have a 30day cycle it was suppose to come on Nov 25 and my breast have been sore does that mean I'm pregnant

  • By Midwife @Tommys on 28 Nov 2017 - 09:59

    Thank you for your comment
    I would suggest that you do a pregnancy test-sore breasts can be a sign of early pregnancy. You can do the test even if your period is only a few days late
    I have attached 2 links that you may find helpful:

    https://www.nhs.uk/conditions/pregnancy-and-baby/pages/signs-and-symptoms-pregnancy.aspx
    https://www.nhs.uk/Conditions/pregnancy-and-baby/pages/pregnancy-test.aspx

    Take care
    Tommy's Midwife

  • By Anonymous (not verified) on 23 Nov 2017 - 13:00

    Hi - I need some advise. I had a period on 8th October, then tried to conceive the week I was ovulating around the 21st October. By end of October I felt pregnant, achy breasts, extreme fatigue along with some other symptoms that I felt with my first. I was then 6 days late on my period so was assuming that I was pregnant. Did a test, it was either negative or a very very faint line. The next day I bled. So I assumed that I was not pregnant or perhaps had a chemical. I did not experience any cramps with the bleed or my usual craving for chocolate. A few days after the bleed I felt the pregnancy symptoms again. I was driving myself mad so took another test to put my mind at rest and it said that I was 2-3 pregnant (which should be 5 weeks if you were to factor in the usual first day of last period). But this makes no sense as the last bleed I had was only 2 weeks ago and we didn't have sex as I was bleeding, also, I wouldn't be due to ovulate until this weekend but I am already 2-3 weeks pregnant. Could that have been an implantation bleed from me falling pregnant in October? Meaning I am 6 weeks pregnant? I am so confused.

  • By Midwife @Tommys on 23 Nov 2017 - 15:06

    Hi, Thank you for your comment.

    It could be that the bleed you had was an implantation bleed, if this wasn't a normal bleed for you. You could therefore be, like you say, 6 weeks pregnant. It would be advisable that you go and see your GP who can refer you for an early scan so that they can see how many weeks pregnant you are. If you are in fact 6 weeks, then the scan will be able to confirm this. Make sure you are taking pregnancy vitamins and eating and drinking well. Hope this helps, Take Care, Tommy's Midwives x

  • By Anonymous (not verified) on 23 Nov 2017 - 01:03

    Hi im 23 and I first got pregnant when I was 19 and by then I had an abortion, since last year 2016 I felt I was ready to have a baby with my boyfriend and we've been trying with no luck until now, I found out last week that I was pregnant, first by doing a home pregnancy test and also went to the clinic to get tested again and both were positive, im 6 weeks nw, so I would like to ask if my previous abortion will harm this pregnancy, I am always worried because I read somewhere on the internet where they said a previous abortion can result on a damaged cervix and it increases the chance of having a miscarrige, please help

  • By Midwife @Tommys on 23 Nov 2017 - 14:37

    Hi, Thank you for your comment and congratulations on your pregnancy.

    Depending on the method of termination, this should not be a danger to this pregnancy. Some terminations may effect the cervix but the majority are fine. Please try not to worry, if you are concerned then it would be advisable to speak to your GP about this, they may have the details of what procedure you had in your notes and can advice you further and hopefully relieve some of your worries. Hope this helps, take care, Tommy's Midwives x

  • By hellen (not verified) on 20 Nov 2017 - 12:31

    hi, am currently about three months pregnant and am experiencing some difficulties in eating. I vomit a lot that it makes me weak and afraid to eat. please what should I do and is it normal? thank you.

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