Since the first positive pregnancy test, doubts and fears have already begun regarding how to address this new situation:
– What symptoms at this stage are normal?
– When do I go to the gynaecologist and midwife’s first visit?
– What care should be taken in this first trimester?
– What risks exist?
It is interesting to know that during this first trimester, it is when the organogenesis (formation of the organs) of the fetus occurs, one of the most important phases, if not the most. We should also know that during these first weeks, there is an increased risk of pregnancy loss in relation to the other trimesters for various reasons. In this first trimester (and in the following ones) the care and advice that would have been followed during the preconception stage should be maintained since they are the ones that have achieved the pregnancy.
It is important, as is already known, to lead a healthy and healthy life but by adding some more specific care such as the appropriate medical controls on the correct dates, the taking of folic acid and other vitamins and/or iron if needed, lead a correct diet, healthy habits.
It is highly recommended that as soon as you know that you are pregnant, contact your gynaecologist or your primary care doctor to refer you to him, for the first control (if possible before week 8- 10). It will be on this first visit, where a complete blood and urine analysis will be requested, including serology to know the mother’s health status. An ultrasound will also be done, which will show if the fetus has vitality and possibility of viability. Already at week 12 a more specific ultrasound is performed, in which other parameters are seen, and where the gestational age of the fetus (the exact weeks) is determined by ultrasound measurements.
Relaxation in pregnancy
It is equally important to meet with the midwife of your health centre, since it will be with her, with whom the pregnancy will be monitored at the same time as with the gynaecologist. She will solve all the doubts that arise along this first stage, and the ones that will come, on topics such as: the different tests that are performed, the analytical tests, the different stages and more specific care, among many others. It is with the midwife, with which different courses and workshops are organized: preparation for childbirth, postpartum, baby massage, etc. Although unfortunately, the same activities are not offered in all health centres.
Symptoms in the first trimester of pregnancy
In order to deal with this new initial stage in the best possible way, we must know what are the most common and normal signs that may appear during the first three months:
- Tiredness and accentuated sleep.
- Nausea and vomiting, may be accompanied by malaise.
- Breast augmentation with greater sensitivity of them, even painful.
- Increased frequency of going to the bathroom, especially to urinate.
- Pain type ruler.
- Increased sensitivity to odours (hyperosmia).
- Changes in tastes with some foods.
- Changes in an emotional state.
All these changes that I have quoted, are due to the fact that the body is preparing to welcome a new life in its interior, so that the metabolic demand increases and maternal exhaustion and fatigue occurs. That is why it is important to have a correct rest, in order to alleviate, as far as possible, said exhaustion.
The hormonal adjustment that is suffered causes emotional disturbances (as happens during menstruation), increased breast tenderness and abdominal pain. At which the uterus grows, the uterine ligaments are pulling, causing inguinal and suprapubic pain. Besides, this growth will produce a pressure in the bladder, which means that you have to go to the bathroom more regularly.
Tips to relieve nausea and vomiting in pregnancy
As for nausea and vomiting of these first months, knowing that the cause of this great discomfort is the hormone BHCG. To cope with them I quote some recommendations below:
- When they are preferably morning, leave a cookie or something on the bedside table, to take it before getting up.
- Make 5 -6 meals a day, distributing them in small quantities.
- Avoid certain foods: irritants, high in fat, with high levels of caffeine and theine.
- Avoid strong odours of colonies, detergents, softeners.
It is necessary to think that this quarter passes soon, because until you find out that you are pregnant, a few weeks have passed and then think that the second trimester is usually the best, and already the last and the “heaviest”, after which the best comes: your child