The first three months are often punctuated by pregnancy symptoms such as nausea, as well as fatigue. During the first trimester of pregnancy, many blood tests and toxoplasmosis screening and a first ultrasound are on the program. What precautions to take and what to do during the 1st quarter? We take stock.
Before the end of the first quarter, The earliest will be best, even from the 3rd week or the 4th week of pregnancy, you must program the First gynecological consultation. Know that during your pregnancy, you will have in total 7 compulsory consultations. Of course, apart from these consultations, do not hesitate to call your attending physician or your gynecologist if you have any questions.
How many weeks or its 1st trimester of pregnancy?
1st trimester of pregnancy: from the 1st to the 13th week of pregnancy or 3 SA at 15 SA. The first trimester of pregnancy ends at the end of the third month of pregnancy. It therefore begins in the first week of pregnancy (or 3 weeks of amenorrhea) up to the 13th week of pregnancy (15 weeks of amenorrhea or 15 SA).
What should not do the first three months of pregnancy?
From the start of your pregnancy, it is strongly recommended to Monitor your diet. On the one hand, to limit too fast weight gain, but above all, to Avoid the risk of toxoplasmosis or listeriosis which will be the subject of analyzes throughout pregnancy. So we avoid consuming raw meat and fish, we forget some cheeses and cold meats, without forgetting alcohol and tobacco consumption. During the first 3 months, also try to spare yourself By avoiding in particular to wear heavy loads. You can continue a usual physical activity, avoiding extreme sports or those that could represent a risk for your pregnancy.
What are the symptoms of the 1st trimester of pregnancy?
The first three months of pregnancy are often the most difficult for pregnant women. Symptoms are nevertheless not common to all future mothers: some will not feel or very little nauseaothers will have it regularly, and they are sometimes accompanied by vomiting. Fatigue is also felt in the first months, generally with lower stomach painas well as in the breasts that start to pull and transform. Pregnancy hormones can also influence your emotional state … but don’t panic, all these little ailments of pregnancy will diminish at the end of the 1st trimester. The belly will also start to round in during the third month.
When to make the first pregnancy ultrasound?
During the 3rd month of pregnancy, make an appointment for your first ultrasound. For parents, this examination generally makes it possible to really become aware of pregnancy. For the first time, in fact, you can observe your baby and hear your heart beating, a big moment! Medically, this examination has the objectives of:
- date the beginning of pregnancy and childbirth,
- Evaluate baby’s growth: measurement of the biparic diameter (diameter of the head), the length of the femur, the heart rate,
- Measure the nuchal clarity. This edema at the nape of the neck is present in all the fetus at this period of pregnancy. Its volume may indicate a possible Risk of Down’s syndrome. For all women under the age of 38, a second exam is offered and combined with the result of ultrasound. It consists of a dosage of serum markers of Down’s syndrome by a simple blood test. After 38 years, an amniocentesis is systematically proposed,
- Ensure the smooth running of pregnancy: installation of the placenta in particular,
- Count the number of embryos: the ultrasound may tell you if you expect twins and the type of twinness.
It has a clinical examination (weight, blood pressure, palpation of the abdomen …) and an interrogation concerning in particular your medical history. This consultation, which is the most complete and the longest is an opportunity for the doctor to explain you The organization of monitoring your pregnancy, the exams to program, the key dates (ultrasounds, childbirth …). It also gives you lifestyle advice (tobacco, alcohol, food, etc.). On your side, do not hesitate to tell him about your questions. These tips are all the more important since the first three months correspond to the formation of the vital organs of the future baby. At the end of this consultation, your doctor prescribes a series of analyzes to you:
- plasma ßhcg dosage,
- Determination of the blood group (if this is your first pregnancy or if the blood group card does not have 2 determinations). It is a question of recognizing women whose rhesus is negative. Indeed, if the sire is rhesus positive, then the baby can also be positive. The mother can then manufacture positive anti-Rhesus antibodies, dangerous for the child,
- Virus screening (hepatitis B, syphilis, AIDS …) and search for immunization against rubella and toxoplasmosis. No immunity against toxoplasmosis involves controlling the possible presence of antibodies each month. The goal is not to catch it during pregnancy. And for good reason: if she is benign for the future mother, she can be serious for the child, especially if she is contracted during the first trimester.
- Urinary analysis To measure the level of glucose and albumin. Albumin must be monitored throughout pregnancy, especially if it is accompanied by hypertension and edema,
- Glucian screening with an empty stomach.
Where are consultations for pregnancy follow -up?
Generally, if pregnancy is going well, it is your usual gynecologist who ensures gynecological follow -up during the first months of pregnancy. Then, maternity unit takes over, around the 4th month of pregnancy.
