Women's Health

First trimester: What not to expect when you’re expecting

Pregnant woman visiting with her doctor, holding her belly

07/18/2024

By Elizabeth Elsagga, DO

 

Pregnancy is a time filled with excitement and anticipation, especially for first-time mothers. However, the first trimester can also bring unexpected challenges and surprises. Here’s a guide on what not to expect during your first trimester, helping you navigate these early weeks with more realistic expectations.

 

1. Consistent symptoms


Many women expect that pregnancy symptoms will be consistent, but this is rarely the case. Symptoms can vary widely, not only from woman to woman but also from day to day for the same person. Some common first-trimester symptoms include:

  • Morning sickness: Despite the name, nausea and vomiting can occur at any time of day
  • Fatigue: One day you may feel exhausted and the next you might have a surprising amount of energy
  • Breast tenderness: This can fluctuate and might not be present all the time

2. Immediate baby bump


First-time mothers often expect to see a baby bump early on, but the first trimester is usually characterized by minimal visible change. Most women don’t start to show until the second trimester. What you might notice is bloating, which can mimic a small bump but isn’t the baby.


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3. Clear skin


While some pregnant women experience that “pregnancy glow,” others may find their skin behaving unpredictably. Hormonal changes can lead to acne, increased oiliness or pigmentation changes. Do not expect perfect skin; instead, be prepared for some fluctuations.


4. Stable emotions


Expecting stable emotions is a common misconception. The surge of hormones in the first trimester can lead to mood swings, irritability and heightened emotions. It’s normal to feel more emotional than usual, so give yourself grace during this time.


5. Constant hunger


Many people associate pregnancy with increased appetite, but during the first trimester, nausea and food aversions can make eating difficult. Some women struggle to maintain their usual diet, let alone eat more. If you’re dealing with food aversions or morning sickness, focus on eating small, frequent meals rather than expecting a constant appetite.


6. High energy levels


Fatigue is one of the most common symptoms in the first trimester. Don’t expect to have high energy levels; instead, listen to your body and rest when you need to. It’s OK to feel tired and take naps as your body adjusts to pregnancy.


7. Immediate maternal instinct


While some women feel an instant bond with their baby, others may not experience this right away. Don’t worry if you don’t feel an immediate connection; it can take time for the maternal instinct to develop, and it often grows as the pregnancy progresses.


8. Perfect health


Pregnancy can come with a range of minor ailments, such as constipation, frequent urination and headaches. It’s not realistic to expect perfect health. Instead, focus on managing symptoms and maintaining a healthy lifestyle.


Related Content: Understanding medication safety for expectant parents

9. Comprehensive knowledge


You might expect to know everything about your pregnancy, but even with all the resources available, there will still be uncertainties. Each pregnancy is unique, and it’s normal to have questions and concerns. Don’t hesitate to reach out to your healthcare provider for guidance.


10. No need for support


Many expectant mothers assume they can handle everything on their own. However, the first trimester can be physically and emotionally challenging. It’s important to seek support from your partner, family and friends. Don’t hesitate to ask for help when you need it.


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The bottom line: The first trimester is a period of significant change and adjustment. By understanding what not to expect, you can better prepare for the realities of early pregnancy. Embrace the unpredictability, listen to your body and seek support as you navigate this exciting journey. Remember, every pregnancy is unique and there’s no right or wrong way to experience it.


Speak to Dr. Elsagga and/or make an appointment