Are you wondering what to do after that positive pregnancy test? Looking for a first trimester checklist to put your mind at ease during these next 12 weeks? Well, mama, you are in the right place!
First of all, if no one has said it yet, let me be one of the first to give you a BIG congratulations! A positive pregnancy test comes with A LOT of emotions. Maybe this was something you’ve been hoping and praying for, maybe it was a bit of a happy accident, or maybe it’s a surprise you’re still processing.
But in any of these cases, there are definitely some first trimester checklist items that will set the stage for a healthy, happy, and less stressful pregnancy!
I know in these early weeks a lot of you might be keeping your pregnancy quiet. And that it can also be a time that’s filled with some anxiety and uncertainty. My hope is that this checklist will help you gain a little bit of control in a time that can feel like everything is left to chance. And that it can serve as a distraction when those first trimester symptoms hit, too.
Most of all, I’m so happy you’re here! And so honored to be a part of your pregnancy journey – right from the start!
Ready to dive in? Let’s do this!
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I always like to remind pregnant mamas that they are not ill or sick. For the most part, you can go on living your life just like you did before you were pregnant, just with a few tweaks and safety precautions in mind. Since your pregnancy is so new, it’s a good time to familiarize yourself with some of the dos and don’ts of pregnancy.
Of course, there are some aspects to this that will be unique to your situation that you should discuss with your provider, but here I put together a list that covers most of the basics:
Phew! While that list may seem like a lot, when you break it down, the lifestyle changes aren’t too drastic.
I know parting with sushi that contains raw fish for 9 months and not indulging in a glass of wine can be tough, but you’ve got this, mama! And the prize at the finish line is well worth the sacrifice.
The idea of researching your hospital right after you get your positive pregnancy test takes some first-time mamas by surprise, but I can’t emphasize this enough!
If you have more than one hospital or birthplace to choose from for your birth do some research so that you can schedule your prenatal care with an OB or midwife that delivers at your preferred hospital.
But aren’t most hospitals and L&D units the same? Actually, they can vary quite a bit!
I know it may seem a little early to be thinking about these things. And some of them might not even be things you’ve ever heard of! But trust me. Take the time now to learn the answers to these questions and make an educated choice about your provider and hospital! If you’re leaning towards a birth center for your delivery, all of this still applies!
And don’t forget to research your provider choices too! You’ll need to decide if you want to deliver with an OB or midwife. Check out the post below for more info.
A quick overview of OBsThey are doctors that specialize in pregnancy, childbirth, and women’s reproductive systems. Delivering with an OB is the norm in the U.S. with 9/10 births attended by a doctor. Doctors often approach pregnancy from a preventative standpoint and tend to favor more screenings and treatments (which isn’t a bad thing!). If you are pregnant with multiples or have a high-risk pregnancy, delivering with an OB may be necessary.
Midwives are registered nurses with extra training and certification in pregnancy, childbirth, and women’s reproductive health. They are highly trained and capable of providing prenatal care and delivering your baby.
Midwives are known for caring for the whole woman during pregnancy. They focus on both the emotional and physical changes that happen as you grow a baby. Appointments tend to be longer and more personal, and they take a “wait and see” approach whenever possible vs. a preventative approach. CNMs are an especially great choice for mamas with low-risk pregnancies hoping to have natural births.
Related Reading: What is a Midwife? All Your Questions Answered
Your first prenatal appointment is going to be here before you know it! Usually, you won’t have your first appointment until week 8-10 of pregnancy. I remember it feeling like an eternity waiting for that first appointment. It really helps it all feel more, well, real.
For the most part, this appointment is mostly a meet and greet with your provider. It’ll be one of your longest appointments, usually about an hour for first time mamas.
You’ll get to know each other and they’ll ask a lot of questions about your lifestyle, habits, diet and exercise, and family history. You’ll have a chance to ask all of your questions, too!
To get the most out of this appointment, I recommend preparing a list of questions ahead of time. It’s so easy to blank out in the moment! Also, if possible, this is a great appointment to have your partner join since it’s the first one!
At this appointment you will also give a urine sample, get a weight check, and have your blood pressure checked. These three things will happen at every . single . prenatal . appointment. So always come ready to pee ? These are all screenings that can alert your provider to possible issues and red flags.
Additionally, you will probably discuss first trimester screenings, possibly schedule a dating ultrasound, and listen to baby’s heartbeat. Sometimes, the baby’s heartbeat can’t be heard this early on, but it’s not a reason to panic! In fact, some providers don’t even try at the first appointment because it can cause undue stress.
Read more tips about How to Rock Your Prenatal Appointments before your first one! You might also be interested in reading up about early pregnancy scans and ultrasounds to discuss this at your first appointment, too.
Morning sickness, extreme fatigue, and other unpleasant early pregnancy symptoms usually start up between weeks 6 and 8. And let me tell you, they are seriously tough!
The first trimester is hard on a lot of mamas. You feel like crap and usually choose to keep your pregnancy a secret until week 13 when the risk of miscarriage diminishes, which leaves you alone and uncomfortable. Solidarity, mama! With my first, I was feeling overall SO terrible for the entire first trimester.
The good news is, for most the second trimester is FAR easier with symptoms like nausea and fatigue disappearing almost completely. There IS a light at the end of this tunnel!
So if you’re like me, you’ve probably googled every list, tip, and trick for dealing with the first trimester. And if your symptoms haven’t hit yet, then let me get you some info so you’re ready when they do!
As a labor and delivery nurse, and mama who also went through the throes of the first trimester, here are a few of my top tips:
Do yourself a favor and assemble a little morning sickness survival kit to keep in your car or at work. Include some ginger tea bags, alcohol swabs, Preggie Pop Drops, saltines, an extra hair tie, chapstick, toothbrush and toothpaste (in case of vomit), and a clean shirt!
Oh and don’t miss these related articles:
I know these early weeks of pregnancy can feel like an eternity – but really this special time in your life is going to fly by! I always like to tell mamas to take weekly pictures, journal, write letters to your baby, and document this special time in any other way that means something to you. You will love having these things to look back on and share with your son/daughter someday.
To help you with this, we’ve put together a totally FREE First Trimester Prep Pack. Inside you’ll find Weekly Pregnancy Journal Pages, a printable First Trimester Checklist to accompany this article, and a Prenatal Appointment Guide. Click here to grab yours today!
Okay, so now that you have a positive pregnancy test, I want to make sure you are familiar with all the things you should NEVER ignore during pregnancy. Many providers do a great job of letting mamas know when to call, but some don’t, which is why I’m including it here.
These are essentially the FIRST four questions I ask my patients when they come into triage. You should ALWAYS give your provider a heads up if any of these four things are happening regardless of how pregnant you are.
If you roll up to triage and answer no to these four questions it rules A LOT of scary stuff out, which is why we ask them! Now, you probably realize that baby moving around normally doesn’t apply (not yet anyway!) BUT the others are pretty much fair game no matter where you’re at in your pregnancy.
You can read a little more about signs to watch for in pregnancy HERE!
Hopefully, you never need to call your provider about a serious issue, but knowledge is power and it’s important to know these things! And believe me, your provider would rather you call and it NOT be serious than for you to have a serious complication. No issue is too small! Believe me, we’ve heard it all and will NOT judge you for calling.
I recommend making a little cheat sheet for your fridge with a list of reasons to call your provider, their phone number, and the 24/7 nurse line (if it’s a different number).
Okay so now that you’re pregnant, you probably have a sense that budgeting for your baby is a big task. You’ll undoubtedly need to acquire the baby basics, be ready to pay for a million diapers and wipes, and plan for a (likely) unpaid maternity leave (don’t get me started on that!). One thing mamas may overlook is the cost associated with prenatal care and birth.
Too often mamas are four weeks postpartum only to receive a HUGE and unexpected hospital bill that they hadn’t planned for. I don’t want this to happen to you. By researching and understanding your coverage now, you can’t change the amount of that bill, but you can plan for it financially.
Now, don’t stop there! If your partner has different insurance than you, find out the same things about their plan. If you act now, and their plan has better coverage for pregnancy and birth, you can try to switch to their plan!
If open enrollment falls during your pregnancy, get your paperwork together to switch to their plan during that window. If you plan to quit your job before you give birth, this is another opportunity to get on their plan regardless of it being open enrollment. There is usually a set time frame for you to be picked up by their plan. Contact their human resources personnel to get the details!
So yeah, mama, please do this! No but seriously. Make sure you understand your coverage and the costs associated with pregnancy and birth. This will help you plan better financially and avoid the shock and stress of a big bill down the road. If your partner’s plan is better, figure out if and when a switch is possible!
One of the first really big decisions you’ll face in your prenatal care has to do with first trimester screenings. There are two big first trimester screening choices, the NT scan and NIPT. Both of these screenings set out to assess your baby’s risk of chromosomal abnormalities which can indicate things like Down’s Syndrome, Edward’s Syndrome, Patau Syndrome, and a few others.
Both of these screenings also usually take place between weeks 11 and 14 of pregnancy. So let’s learn more about the differences to help you choose which is right for you:
That pretty much covers the basic points of each test…but a longer discussion with your partner and your provider about the pros and cons of the two options is a must!
You’ll want to take into consideration your age, your risk factors, and how the results would affect the remainder of your pregnancy.
Girl, yes! This is one of the things on your first-trimester checklist that is fun, and a total must! Apps and podcasts are SUCH a good distraction when you are in the throes of the first trimester, just trying to make it through the day.
If you haven’t checked out The Mommy Labor Nurse Podcast, definitely do! We feature expert interviews, birth stories, and Q&As on pregnancy, birth, and motherhood.
And for more suggestions check out these round-ups I put together:
How and when you announce your pregnancy is a big decision, and the truth is – there’s really no right or wrong way (or time!) to do it! Many families wait to publicly announce their news until week 12 because the rate of miscarriage drops off dramatically at that point. But at the end of the day, you do you!
Things to consider when announcing your pregnancyNow comes the fun part – planning out your pregnancy announcement! There are so many fun, custom ways to announce your pregnancy.
Here are some of my favorite ideas:
Don’t miss this article with TONS of great ideas for announcing your pregnancy to your family.
My big tip related to this is to make a pregnancy announcement plan with your partner. Even if you don’t want a big announcement, it’s important to get on the same page.
Discuss who you want to tell right away, whether or not you’ll put it on social media, and when you plan to tell your workplace (and theirs!). Discussing this now will prevent people finding out before you’re ready!
Well mama, my hope for this first trimester checklist is that it will feel a bit like a lifeline for these early weeks! I know that the first trimester is full of challenges from physical to mental to everything in between. This should make things a bit easier!
Here’s to a happy, healthy pregnancy!