Changes you may experience during First Trimester | Dr Monika Agrawal

You may now wonder how the days ahead will be like. Don’t worry ! If you know that what changes can happen during pregnancy, it can help you face the months ahead with confidence.

First Trimester : Begins from the first day of your last periods and last till the end of week 13

Bleeding

  • Some may bleed slightly during the first trimester.
  • No need to worry; light spotting may indicate that the fertilized embryo has got attached to the wall of uterus 

What can you do ?

Call your doctor immediately if you have 

  • Increased Bleeding 
  • Cramps or sharp pain in the abdomen; this could be a sign of miscarriage or ectopic pregnancy (embryo implanted outside the uterus )

Painful Breast 

  • One of the earliest signs of pregnancy, which can last till the last trimester.
  • Occurs because of the hormonal  changes, which are preparing your milk ducts to feed your baby 

What can you do ?

Increase your bra size and wear a more supportive bra. 

Constipation 

  • High hormone level during pregnancy may arise due to changes in muscle relaxing hormone 
  • Your iron supplements may also lead to constipation 

What can you do ?

  • Eat fiber rich diet 
  • Drink lots of fluid 
  • Increase physical activity 

Fatigue 

  • Your body is working hard to support a growing baby; it is common to feel exhausted 

What can you do ?

  • Make sure you eat a healthy diet and get plenty of rest and sleep 
  • Take iron supplements as prescribed by your doctor, as too little can lead to anemia and thereby increasing the fatigue 
  • Eat more proteins; they help in iron absorption and production of red blood cells, thereby preventing anemia 
  • Eat food rich in iron (jaggery, green leafy vegetables like spinach, mustard leaves, mear, organ meat, turnip green and sprouted pulses) to prevent anemia. 

Food Craving and Aversions 

  • Craving for food is common, while some may dislike food.
  • Craving from time to time is normal, provided you are having healthy, low calorie foods 

What can you do ?

  • If you experience craving for non-foods like clay, dirt etc, then report to your doctor immediately, as this could be dangerous for you and your baby 

Nausea / Morning Sicknes

  • Nausea is very common and occurs due to hormonal changes in your body; it can last through the first trimester 
  • It is usually worst in the morning, hence also called as “morning sickness” 
  • Nausea may be a warning sign that you are experiencing a protein deficiency. 

What can you do ?

  • Eat small, frequent meals throughout the day 
  • Eat food low in fats and easy to digest 
  • Eat meals high in protein
  • If your diet is low in protein, take protein supplements after consulting your doctor 
  • Avoid smells such as cigarette smoke or perfume that can worsen your nausea 
  • Drink plenty of fluids (clear fruit juice like apple)
  • Avoid coffee/ fluids containing caffeine and alcohol

If you have any query then feel free to ask me by commenting below.

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