2.  Early Pregnancy Signs  Tender breasts  Darkening areolas  Spotting  Urinary frequency  Fatigue  Nausea  Smell sensitivity  Bloating  Rising temperature  Missed period

3.  Home Pregnancy Test  Measure levels of hCG—a placenta-produced hormone of pregnancy in urine  The Blood Test  Measure levels of hCG in the blood  The Medical Exam  Looks for enlargement of the uterus and color changes in the uterus and cervix

4. Weeks 1-4

5.  There’s no baby in sight—or inside  It’s hard to pinpoint the precise moment when sperm meets egg

6.  Still no baby yet  Body is preparing for ovulation  Lining of your uterus is thickening and ovarian follicles are maturing until one becomes the dominant one

7.  Congrats!! Conception has occurred!!  The baby has turned into a microscopic ball of cells, around 1/5 th the size of the period at the end of a sentence (.) (called a blastocyst)  The blastocyst begins its journey from your fallopian tube to your uterus

8.  Implantation time  Embryo has reached your uterus and is snuggling into the uterine lining where it connects to you until delivery  Cells split ( ½ becomes the child, ½ becomes the placenta)  Amniotic sac is forming  Endoderm—digestive system, liver, and lungs  Mesoderm—heart, sex organs, bones, kidneys, muscles  Ectoderm—nervous system, skin, hair, and eyes

9.  Physically  Spotting  Breast changes  Bloating, flatulence  Fatigue, lack of energy  Sleepiness  Frequent urination  Nausea  Smell sensitivity  Excess saliva  Emotionally  Mood swings  Irritability  Irrationality  Weepiness  Anxiousness

10.  Confirmation of Pregnancy  Complete Medical History  Complete Physical Examination  Battery of Tests  Blood Test  Urinalysis (screen for glucose, protein, WBC, blood, bacteria)  Test for STD’s  Pap Smear

11. Approximately 5 to 8 Weeks

12.  Fast growing embryo  Heart is taking shape & the circulatory system is soon to be operational  Heart is already beginning to beat  Neural tube is open but will become closed by the end of next week

13.  Crown to rump measurements are around 1/4 th an inch (no bigger than a nail head)  Jaws, cheeks, chin, ear canals are developing  Eye dots and nose bud is forming  Kidneys, lungs, liver is forming  Heart is beating 80 times per minute

14.  10,000 x bigger than at conception—about the size of a blueberry  Mouth and tongue are forming  Arm and leg buds  Kidneys are beginning to function

15.  Measures ½ inch—size of a raspberry  Lips, nose, eyelids, legs, and back are all taking shape  Heart is beating at 150 times per minute  Begins making spontaneous movements

16. PHYSICALLY  Fatigue  Lack of energy  Nausea  Excess saliva  Constipation  Heartburn  Food aversions and cravings  Headaches  dizziness EMOTIONALLY  Emotional ups and downs  Mood swings  Misgivings, fear, joy, elation  Sense of unreality about the pregnancy

17.  Weight and Blood Pressure  Urine Sample  Hands and Feet Check  Symptom Check  Questions/Problems

18.  Heartburn and Indigestion  Food Aversions and Cravings  Visible Veins  Spider Veins  Varicose Veins  Achy, Swollen Pelvis  Breakouts  Dry Skin/Eczema

19.  Based on BMI  If BMI is:  18.5-26: gain 25-35 pounds  26-29: gain standard pregnancy weight  Higher than 29: gain only 15 to 20 pounds  Less than 18.5: gain 28 to 40 pounds

20.  Baby7 ½ pounds  Placenta1 ½ pounds  Amniotic fluid2 pounds  Uterine enlargement2 pounds  Breast tissue2 pounds  Blood volume4 pounds  Material Fluids4 pounds  Fat Stores7 pounds Total Average= 30 pounds overall

21. Approximately Weeks 9 to 13

22.  No longer an embryo—now a fetus  Approximately 1 inch  Muscles are starting to form, which allows arms and legs to move  Heartbeat is audible

23.  1 ½ inches long  Bones and cartilage is forming  Indentations on the legs are becoming knees and ankles  Baby teeth are forming  Stomach is producing digestive juices, kidneys are producing urine  If it’s a boy, the testes are producing testosterone

24.  2 inches long  Torso is lengthening, hair follicles are forming  Nail beds are beginning to develop  Ovaries are developing  Fetus has distinct human characteristics  Hands and feet in front of the body  Ears in the final shape  Open nasal passages  Tongue and palate in the mouth  Visible nipples

25.  Weighs ½ an ounce and measures 2 ½ inches  Baby’s body is hard at work developing  Most systems are fully formed  Digestive system is practicing contraction movements (baby will be able to eat)  Bone marrow is making white blood cells (to fight infections)  Pituitary gland is producing hormones (so reproduction can occur one day)

26.  1 st trimester is coming to an end  Fetus is about 3 inches long  Intestines are not starting their trek to their permanent position in the baby’s abdomen  Vocal cords are developing

27. PHYSICALLY  Fatigue  Frequent urination  Nausea  Excess saliva  Constipation  Heartburn  Food cravings  Increasing appetite  Breast changes  Visible veins  Rounding of belly EMOTIONALLY  Mood swings  Irritability  Unreality  Sense of calm

28.  Weight and Blood Pressure  Urine, for sugar and protein  Fetal heartbeat  Size of uterus (by external palpation—feeling from outside)  Height of fundus (top of uterus)  Hands and feet for swelling, legs for varicose veins  Questions or problems

29.  Can be heard for certain by the 14 th week  Baby’s heartbeat will be around 110-160 beats per minute during early pregnancy  120-160 beats per minute by midpregnancy

30. Approximately 14 to 17 Weeks

31.  Size of a clenched fist  Sprouts some body hair—lanugo (used to keep the baby warm)  Your little one may have learned to suck his thumb by this point!

32.  Measures 4 ½ inches… size of an orange  Ears are positioned properly  Can wiggle fingers, toes, and suck the thumb  Can breathe, suck, and swallow  Kicking, flexing, and moving occurs

33.  Weight of 3-5 ounces  Length of 4-5 inches  Baby begins to straighten out—back muscles are stronger  Eyebrows and eyelashes are present  Becoming sensitive to touch (will squirm when you poke your belly )

34.  Palm-size  Body fat is forming  Sucking and swallowing increases  Heart rate is regulated by the brain and is about 140-150 beats per minute

35.  Same as Before…. Except:  End to or decrease in nausea and vomiting  Nasal congestion  Swelling of ankles and feet  Fetal movement near the end of the month  Scatterbrained, forgetful

36.  Weight and blood pressure  Urine check  Fetal heartbeat  Size of uterus, by external palpation  Height of fundus  Hands and feet for swelling  Symptoms you’re experiencing  Questions or problems

37.  Dental Problems  Breathlessness  Nasal Stuffiness/Nosebleeds  Snoring  Allergies  Vaginal Discharge  Elevated Blood Pressure  Sugar in the Urine  Anemia  Fetal Movement  Body Image  Forgetfulness

38. Approximately 18 to 22 Weeks

39.  5 ½ inches long... 5 ounces  Yawning and hiccupping  Unique fingerprints on fingertips/toes

40.  6 inches long  Size of a large mango  Vernix caseosa—greasy white protective substance (resembles cheese)—now covers your baby’s skin protecting it from amniotic fluid (coating sheds closer to delivery)

41.  Size of a small cantaloupe… about 10 ounces  Gender is visible by ultrasound  Ovaries are holding 7 million eggs  Still plenty of room in the womb  Room to feel movements

42.  The baby will be getting a taste of whatever is on your menu  Neurons are connected between the brain and muscles  Movements are more coordinated

43.  1 pound and nearly 8 inches  Developing senses  Begins to grab  Can perceive light and dark  Can hear your voice, partner’s voice, heart beating, blood circulating, gastric gurgles, dog barking, sirens, loud tv  Tastes everything you eat

44.  Physically  More energy  Fetal movement  Achiness in the lower abdomen and along the sides  Backache  Hearty appetite  Leg cramps  Swelling of ankles and feet  Skin color changes on abdomen and/or face  Protruding navel  Faster pulse

45.  Heating Up  Dizziness  Backache  Abdominal Aches  Foot Growth  Fast Growing Nails/Hair  Vision Problems

46. Weeks 23-27

47.  Baby begins to gain fat  Skin is see thru

48.  Weekly gain is now about 6 ounces  Face is almost fully formed  Complete set of eyelashes and eyebrows

49.  Capillaries are filling with blood  Vocal cords are functioning  Nostrils are opening up

50.  Weighs a full 2 lbs  Eyes beginning to open  Baby is now able to see  Has more taste buds than he/she will at birth and will react to foods you eat

51.  Swelling of ankles and feet and hands/face  Leg cramps  Stretch marks  Itchy abdomen  Skin pigmentation changes

52.  Fetal Heartbeat  Weight and blood pressure

53.  Trouble Sleeping  Protruding Navel  Baby Kicking  Itchy Belly  Clumsiness

54. Weeks 28-31

55.  Baby begins blinking  Kicking, jabs, and movements increase  Fat increases  Brain is growing and beginning to wrinkle  Begins to shed lanugo  Begins to sleep longer---begin to see patterns to awake and sleeping times

57.  Shortness of Breath  Sleepliness  Scattered Braxton Hicks Contractions  Colostrum  Excitement and apprehension  Strange and vivid dreams

58.  Blood test for anemia  Glucose screening test

59. Weeks 32-35

60.  Swallowing and breathing practicing occurs  Skin is no longer see through  Amniotic fluid is maxed out  Antibodies are being passed from you to your baby  Fingernails are at the tips of the fingers  Brain cells are developing  Baby’s head is still soft  Most babies in a head’s down position

62.  Group B Strep Test

63. Vertex Breech Oblique Transverse