Early Pregnancy Signs Tender breasts Darkening areolas Spotting Urinary frequency Fatigue Nausea Smell sensitivity Bloating Rising temperature Missed period

Home Pregnancy Test Measure levels of hCG—a placenta-

produced hormone of pregnancy in urineThe Blood Test

Measure levels of hCG in the bloodThe Medical Exam

Looks for enlargement of the uterus and color changes in the uterus and cervix

Weeks 1-4

There’s no baby in sight—or inside It’s hard to pinpoint the precise

moment when sperm meets egg

Still no baby yetBody is preparing for ovulationLining of your uterus is thickening

and ovarian follicles are maturing until one becomes the dominant one

Congrats!! Conception has occurred!!

The baby has turned into a microscopic ball of cells, around 1/5th the size of the period at the end of a sentence (.) (called a blastocyst)

The blastocyst begins its journey from your fallopian tube to your uterus

Implantation time Embryo has reached your uterus and is

snuggling into the uterine lining where it connects to you until delivery

Cells split ( ½ becomes the child, ½ becomes the placenta)

Amniotic sac is forming

Endoderm—digestive system, liver, and lungs

Mesoderm—heart, sex organs, bones, kidneys, muscles

Ectoderm—nervous system, skin, hair, and eyes

Physically Spotting Breast changes Bloating, flatulence Fatigue, lack of

energy Sleepiness Frequent urination Nausea Smell sensitivity Excess saliva

Emotionally Mood swings Irritability Irrationality Weepiness Anxiousness

Confirmation of PregnancyComplete Medical HistoryComplete Physical ExaminationBattery of Tests

Blood Test Urinalysis (screen for glucose, protein,

WBC, blood, bacteria) Test for STD’s Pap Smear

Approximately 5 to 8 Weeks

Fast growing embryoHeart is taking shape & the

circulatory system is soon to be operational

Heart is already beginning to beatNeural tube is open but will become

closed by the end of next week

Crown to rump measurements are around 1/4th an inch (no bigger than a nail head)

Jaws, cheeks, chin, ear canals are developing

Eye dots and nose bud is formingKidneys, lungs, liver is formingHeart is beating 80 times per minute

10,000 x bigger than at conception—about the size of a blueberry

Mouth and tongue are formingArm and leg budsKidneys are beginning to function

Measures ½ inch—size of a raspberry

Lips, nose, eyelids, legs, and back are all taking shape

Heart is beating at 150 times per minute

Begins making spontaneous movements

PHYSICALLY

Fatigue Lack of energy Nausea Excess saliva Constipation Heartburn Food aversions and

cravings Headaches dizziness

EMOTIONALLY

Emotional ups and downs

Mood swings Misgivings, fear, joy,

elation Sense of unreality

about the pregnancy

Weight and Blood PressureUrine SampleHands and Feet CheckSymptom CheckQuestions/Problems

Heartburn and IndigestionFood Aversions and CravingsVisible VeinsSpider VeinsVaricose VeinsAchy, Swollen PelvisBreakoutsDry Skin/Eczema

Based on BMI If BMI is:

18.5-26: gain 25-35 pounds 26-29: gain standard pregnancy weight Higher than 29: gain only 15 to 20

pounds Less than 18.5: gain 28 to 40 pounds

Baby 7 ½ pounds Placenta 1 ½ pounds Amniotic fluid 2 pounds Uterine enlargement 2 pounds Breast tissue 2 pounds Blood volume 4 pounds Material Fluids 4 pounds Fat Stores 7 pounds

Total Average= 30 pounds overall

Approximately Weeks 9 to 13

No longer an embryo—now a fetus

Approximately 1 inchMuscles are starting to

form, which allows arms and legs to move

Heartbeat is audible

1 ½ inches long Bones and cartilage is

forming Indentations on the legs are

becoming knees and ankles Baby teeth are forming Stomach is producing

digestive juices, kidneys are producing urine

If it’s a boy, the testes are producing testosterone

2 inches long Torso is lengthening, hair follicles

are forming Nail beds are beginning to develop Ovaries are developing Fetus has distinct human

characteristics Hands and feet in front of the

body Ears in the final shape Open nasal passages Tongue and palate in the mouth Visible nipples

Weighs ½ an ounce and measures 2 ½ inches

Baby’s body is hard at work developing Most systems are fully formed Digestive system is practicing

contraction movements (baby will be able to eat)

Bone marrow is making white blood cells (to fight infections)

Pituitary gland is producing hormones (so reproduction can occur one day)

1st trimester is coming to an end

Fetus is about 3 inches long

Intestines are not starting their trek to their permanent position in the baby’s abdomen

Vocal cords are developing

PHYSICALLY

Fatigue Frequent urination Nausea Excess saliva Constipation Heartburn Food cravings Increasing appetite Breast changes Visible veins Rounding of belly

EMOTIONALLY

Mood swings Irritability Unreality Sense of calm

Weight and Blood PressureUrine, for sugar and proteinFetal heartbeatSize of uterus (by external palpation

—feeling from outside)Height of fundus (top of uterus)Hands and feet for swelling, legs for

varicose veinsQuestions or problems

Can be heard for certain by the 14th week

Baby’s heartbeat will be around 110-160 beats per minute during early pregnancy

120-160 beats per minute by midpregnancy

Approximately 14 to 17 Weeks

Size of a clenched fist

Sprouts some body hair—lanugo (used to keep the baby warm)

Your little one may have learned to suck his thumb by this point!

Measures 4 ½ inches… size of an orange

Ears are positioned properly

Can wiggle fingers, toes, and suck the thumb

Can breathe, suck, and swallow

Kicking, flexing, and moving occurs

Weight of 3-5 ounces Length of 4-5 inches Baby begins to

straighten out—back muscles are stronger

Eyebrows and eyelashes are present

Becoming sensitive to touch (will squirm when you poke your belly )

Palm-size Body fat is forming Sucking and

swallowing increases

Heart rate is regulated by the brain and is about 140-150 beats per minute

Same as Before…. Except: End to or decrease in nausea and

vomiting Nasal congestion Swelling of ankles and feet Fetal movement near the end of the

month Scatterbrained, forgetful

Weight and blood pressureUrine checkFetal heartbeatSize of uterus, by external palpationHeight of fundusHands and feet for swellingSymptoms you’re experiencingQuestions or problems

Dental Problems Breathlessness Nasal Stuffiness/Nosebleeds Snoring Allergies Vaginal Discharge Elevated Blood Pressure Sugar in the Urine Anemia Fetal Movement Body Image Forgetfulness

Approximately 18 to 22 Weeks

5 ½ inches long... 5 ounces

Yawning and hiccupping

Unique fingerprints on fingertips/toes

6 inches long Size of a large mango Vernix caseosa—

greasy white protective substance (resembles cheese)—now covers your baby’s skin protecting it from amniotic fluid (coating sheds closer to delivery)

Size of a small cantaloupe… about 10 ounces

Gender is visible by ultrasound

Ovaries are holding 7 million eggs

Still plenty of room in the womb

Room to feel movements

The baby will be getting a taste of whatever is on your menu

Neurons are connected between the brain and muscles

Movements are more coordinated

1 pound and nearly 8 inches

Developing senses Begins to grab Can perceive light and

dark Can hear your voice,

partner’s voice, heart beating, blood circulating, gastric gurgles, dog barking, sirens, loud tv

Tastes everything you eat

Physically More energy Fetal movement Achiness in the lower abdomen and along the sides Backache Hearty appetite Leg cramps Swelling of ankles and feet Skin color changes on abdomen and/or face Protruding navel Faster pulse

Heating UpDizzinessBackacheAbdominal AchesFoot GrowthFast Growing Nails/HairVision Problems

Weeks 23-27

Baby begins to gain fat

Skin is see thru

Weekly gain is now about 6 ounces

Face is almost fully formed

Complete set of eyelashes and eyebrows

Capillaries are filling with blood

Vocal cords are functioning

Nostrils are opening up

Weighs a full 2 lbs Eyes beginning to

open Baby is now able to

see

Has more taste buds than he/she will at birth and will react to foods you eat

Swelling of ankles and feet and hands/face

Leg crampsStretch marks Itchy abdomenSkin pigmentation changes

Fetal HeartbeatWeight and blood pressure

Trouble SleepingProtruding NavelBaby Kicking Itchy BellyClumsiness

Weeks 28-31

Baby begins blinking Kicking, jabs, and movements increase Fat increases Brain is growing and beginning to

wrinkle Begins to shed lanugo Begins to sleep longer---begin to see

patterns to awake and sleeping times

Shortness of BreathSleeplinessScattered Braxton Hicks ContractionsColostrumExcitement and apprehensionStrange and vivid dreams

Blood test for anemiaGlucose screening test

Weeks 32-35

Swallowing and breathing practicing occurs

Skin is no longer see through Amniotic fluid is maxed out Antibodies are being passed from you to

your baby Fingernails are at the tips of the fingers Brain cells are developing Baby’s head is still soft Most babies in a head’s down position

Group B Strep Test

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