First Trimester

First Trimester, 1-12 weeks

During your first three months, you may or may not notice a lot of changes. This list is by no means all inclusive, if you are having symptoms that you do not think are normal please feel free to ask us at your visit.

Acne, during pregnancy?

While some lucky women notice an improvement in their acne during pregnancy, others find it becomes a problem, even if they have not been bothered by it in the past. Although old wives tales say this is somehow related to the baby’s gender, science does not back this theory. Acne can range from whiteheads and blackheads to inflamed red bumps. The acne occurs when hormone levels change and excess oil production is triggered. Pimples can even appear on the neck, shoulders, back and face.

Treating acne involves using a mild cleanser, followed by a mild, non-clogging moisturizer, one preferably with sunscreen. Avoid products that contain salicylic acid – their safety during pregnancy is suspect. Drinking a lot of water may help flush bacteria and oil from your pores.

Why are my breasts so sore?

Breast swelling and tenderness is frequently one of the earliest signs of pregnancy. There are lots of changes that occur to the breast tissue in preparation for breastfeeding. Most of the discomfort can be handled by wearing a comfortable but supportive bra.

Is cramping during pregnancy normal?

Early in pregnancy, uterine cramping can indicate normal changes of pregnancy initiated by hormonal fluctuations. This is usually mild and dull in nature, similar to premenstrual cramps. However, cramping that is different from previous pregnancies, worsening cramping, or cramping associated with any vaginal bleeding may be a sign that something is wrong. Please call the office immediately if this is the case.

Why am I so constipated?

Constipation is triggered by a decrease in bowel activity due to the rise in certain hormones and can also be associated with increased gas. Drinking plenty of water and eating fiber is the key to getting past this symptom. Do not use laxatives without your doctor’s approval.

Why do I feel tired all the time?

Fatigue in early pregnancy is very normal. Many changes are occurring as the new pregnancy develops, and women experience this as fatigue and an increased need for sleep. Lower blood pressure, lower blood sugar levels, hormonal changes due to the effects of progesterone, metabolic changes, and the physiologic anemia of pregnancy all contribute to fatigue. Women should check with their physician to determine if an additional workup, prenatal vitamin changes, and/or supplemental iron would be beneficial.

Why am I so nauseated?

Nausea and vomiting can be some of the first indications that you are pregnant. Blame it on rising hormones levels in early pregnancy. Not only could you notice a queasy feeling in your stomach but you may also have food and scent aversions. Just the sight of certain foods may send you running for the nearest bathroom. Perfumes, cologne and other aromas may do the same. It is best to avoid these triggers. For nausea, you can try smelling fresh lemons or peppermint. We also recommend small frequent meals. Eating in the first couple of hours of waking up will often times be helpful.

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