Skip to main content

The first trimester of pregnancy: The good, the bad, and the OMG

Everything you need to know about the first trimester

Positive home pregnancy test
SHVETS Production / Pexels

The first trimester of pregnancy is one of the most exciting times in a person’s life, especially if this is their first pregnancy. It’s also a bit confusing and sometimes uncomfortable, especially as the expectant parent is left wondering if all the new feelings they’re experiencing are something to worry about. We haven’t even touched on things like morning sickness and cravings. If you’re newly pregnant and curious if everything you’ve been experiencing is normal or not, we have the good, bad, and OMG of the first trimester.

What is the first trimester?

Woman sitting on couch and looking at a pregnancy test
G-Stock Studio / Shutterstock

The first trimester begins on the last day of your period and continues until the 13th week of pregnancy. You may not even realize you’re pregnant until well into your first trimester when symptoms become obvious, especially if you have a history of abnormal menstrual cycles.

Recommended Videos

During the first trimester, your baby develops rapidly, from a bundle of cells to having arms, legs, and even tiny little toes. The brain and spinal cord develop, as well as the circulatory and digestive systems. By the end of your first trimester, your baby is around three inches long and weighs about an ounce.

First trimester: The good

A pregnant woman sitting down eating a bowl of food.
Arturs Budkevics / Shutterstock

Lots of good things are happening both internally and externally. Your body is prepping for the long haul and you may notice your breast size increase as mammary tissue develops and your hips may gain a little extra curve as your body adds fat to fuel the enormous task ahead. There’s a chance your skin will clear up and develop that tell-tale pregnancy glow and your hair and nails will likely grow thicker, longer, and stronger.

During the first trimester, you will also have the opportunity to see your growing baby for the first time. At your first prenatal doctor’s appointment, you will most likely have an ultrasound to confirm that you are indeed pregnant and to make sure everything is developing normally. While it won’t look much like a baby on the screen, your ultrasound tech should be able to point out any vital parts and also let you listen to your baby’s heartbeat on a fetal Doppler.

First trimester: The bad

Pregnant woman not feeling well
Prostock-studio / Shutterstock

For many women, the first trimester isn’t all butterflies and rainbows, however. The flood of hormones your body puts out to nurture your baby can wreak havoc on your body. Morning sickness (which can really happen any time during the day or night), fatigue, heartburn, and constipation are just a few of the maladies that some people experience during those first 13 weeks.

The first trimester is also when the risk of miscarriage is the highest. Some bleeding or spotting is perfectly normal within the first 13 weeks, but if it’s accompanied by clots or cramping, you should see your healthcare provider immediately.

First trimester: The OMG

Woman excited at pregnancy test
David Prado Perucha / Shutterstock

With all these changes you can expect some weird stuff to happen during the first trimester as well. Those hormones that are working hard to make a safe environment for your developing baby can increase your need to urinate and increase your body temperature so that you feel warmer than usual. Hormones also cause your digestive system to slow down a bit, which can cause constipation and larger-than-normal bowel movements.

Hormones during early pregnancy can make your hair longer and thicker but can also cause hair to grow in places it normally doesn’t. Finding a rogue stray hair on your face, chin, chest, or breasts is common during pregnancy, so don’t be surprised if you need to pluck more frequently during your first trimester.

And because more your blood is being shunted to your uterus, you might experience dizzy spells or lightheadedness.

What else do you need to know?

Woman touching her belly
Laurence Monneret / Getty Images

Your body is going to experience a lot of changes during the first trimester, some that may be more comfortable than others. In addition to the symptoms we’ve outlined above, you may also start to have breast tenderness, mood swings, the need to pee all the time, headaches, heartburn, and extreme fatigue.

This may also be the time when you develop an aversion to certain foods or find yourself with uncommon or unusual cravings. Every pregnancy is different and you may experience some of these symptoms, all of them, or none at all. If you ever experience anything that makes you worried or concerned, don’t hesitate to reach out to your doctor for guidance.

There’s no denying that the first trimester is a time of major change for your body. Some of these changes are good, some of them aren’t so good, and some of them are just plain weird. The important thing is to listen to your body and pay attention to your instincts. If you’re concerned about any of the changes or if something just doesn’t feel right, contact your healthcare provider. Even if it’s perfectly normal, at least you’ll have peace of mind, which is important during pregnancy.

Kristi Pahr
Former Digital Trends Contributor
Kristi is a professional writer and mother of two. When she's not writing or playing chauffeur to her kids, she enjoys…
Is your baby done with breastfeeding? Watch for these 6 signs
Clues to look out for that your baby is ready to move on from breastfeeding
Mother holding her baby in bed

When you make the decision to breastfeed, it is a whole journey you and your baby go on together. But as with all stages, breastfeeding, too, will come to an end at some point. It's better to know the clues and tells your baby will give to be prepared for the newest adventure. If you're doing baby-led weaning, these are the signs your baby does not want to breastfeed anymore, so you know when it's time to transition to the next stage of feeding.
Signs to watch for during feedings

The feedings themselves will sprinkle clues your baby is ready to ditch breastfeeding for good. If something feels off about the feeds, start paying attention each time you go to sit down for a session.
Feeding sessions become shorter
You know how long your baby eats at each session. When you notice your baby not wanting to feed for the usual time, you might start to worry they're not getting enough to eat. But your baby cutting down on the duration of each meal is a clue they might want to stop breastfeeding.
Baby skips feeding sessions
This is more than your baby finally sleeping longer and missing a feeding in the middle of the night. If you notice your baby refusing those additional snack time feedings, they may be telling you they don't want to breastfeed anymore. Offer a bottle or sippy cup or solid food and see how they react to taking those options. Once the feedings become shorter and then get skipped, your baby has sent strong signals they are over breastfeeding.
Baby gets more distracted during feedings
Babies love to look at everything and check out every sound, but when it comes time to eat, they usually mean business. If your little one is looking around the room, playing with their hands, or generally more interested in what's going on around them than eating, that is a sign they are done breastfeeding.
Other feeding signs to watch for

Read more
5 natural ways to boost energy while pregnant: It’s not that difficult
How to get through pregnancy fatigue
Pregnant woman on couch experiencing cramps

Any person who has ever been pregnant knows that pregnancy-tired is a whole other level of exhaustion. It's only natural that your body would be extra tired, after all, it's growing a little human being, which takes a lot of work. That doesn't make the sudden lack of energy any less annoying, especially in the first trimester, when you’re not sleeping as much, you may not be able to keep food down, your hormones are working overtime, and your body is using all of the nutrients possible to do this new job that you’ve tasked it with.

In your pre-pregnancy days, if you felt this tired you may have immediately reached for a cup of coffee or an energy drink. But since those are mostly out of the question now, how can you fight through the tired, so you can go about living your daily life?

Read more
Your guide to a fantastic babymoon
Find out what a babymoon is and why everyone pregnant person should go on one
Pregnant woman enjoying a pool

You have so much to do before baby arrives. If it's your first child, you have the nursery to get up, the house to get ready, and all of the first-time parent jitters to work out. If it's your second or third or fourth child, you still have plans to make, like who will watch the other kids during the delivery. If you and your partner want to take some time to reconnect before baby makes their debut, we have your guide to a fantastic babymoon to get you both on the same page as parents and as people.
Babymoon basics

What a babymoon is
A babymoon is indulgent time away, typically before the birth of your first child. The purpose is to relax, get away, enjoy your last days before you don't remember when the last time you slept was, and if you have a spouse, reconnect as a couple before you go from partners to parents.

Read more