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What are the different stages of pregnancy?

Samantha Wild
Clinical Lead for Women's Health and Bupa GP
31 August 2023
Next review due August 2026

Pregnancy usually lasts between 37 and 42 weeks. It’s split into three stages, known as trimesters. Each stage of pregnancy lasts for around 12 to 13 weeks. During this time, your body goes through lots of changes to support your growing baby and prepare for birth.

Here I look at what happens during each trimester, and the changes you might experience week by week.

pregnant person holding the belly

When do you start to feel pregnant?

Pregnancy begins the moment a sperm joins with an egg (known as conception). But you might not start to feel pregnant, or notice symptoms, for a little while.

Missing a period is often the first sign that you might be pregnant, if you usually have regular periods. Most pregnancy tests can detect pregnancy from the first day of your missed period. You can usually buy tests at your local supermarket or pharmacy.

How many weeks pregnant am I?

Your doctor or midwife will calculate your due date based on the date you started your last period. Your due date is 40 weeks from this date. But it’s normal to give birth up to three weeks before, or two weeks after, your due date. And, your initial due date can change based on measurements taken at your ultrasound scan.

What happens during the first trimester? (1 to 12 weeks)

Below are some common symptoms that you might experience during this first stage of pregnancy.

  • Missing your period.
  • Having tender breasts.
  • Needing to pee (urinate) more often than usual.
  • Feeling tired.
  • Feeling sick or being sick. This is often called morning sickness, but it can happen at any time of day.
  • Being constipated. Drinking lots of fluids and getting plenty of fibre can help.

Many of these symptoms will fade as your pregnancy continues. Speak to your GP or midwife if you’re struggling with any of your pregnancy symptoms.

It’s important to try and be as healthy as possible during your pregnancy. You should:

  • stop smoking if you smoke
  • avoid drinking alcohol
  • not eat undercooked meat or unpasteurised dairy products
  • take folic acid (until you’re 12 weeks pregnant) and vitamin D supplements throughout your pregnancy

Speak to your GP and midwife about any lifestyle changes you could make.

How is my baby developing in the first trimester?

Your baby begins life as a tiny ball of cells. Some of the cells become an embryo and some form the placenta.

The placenta attaches to your womb and is linked to your baby by the umbilical cord. Oxygen, nutrients, and hormones from your blood pass through the placenta and umbilical cord into your baby. Your baby’s waste products pass back into your blood, so you can get rid of them.

During these first few weeks, all your baby’s organs and body parts start to form. The cells that create your baby’s heart start making beating movements. Your baby’s heartbeat can be detected during an ultrasound scan around week six of pregnancy. And, by week 12 your baby is starting to look more like a little person.

What happens during the second trimester? (13 to 27 weeks)

In your second trimester your body continues to change.

  • You’ll start to put on weight as your baby grows. This extra weight is made up of your baby, placenta, fluid in your womb, your growing breasts, extra fluid, and fat stores.
  • As your tummy and breasts grow, you may notice stretch marks on your skin. These are harmless and usually fade after your baby is born. Lots of moisturisers and lotions claim to prevent them but there’s little evidence that they work.
  • Morning sickness usually improves between 16 and 20 weeks pregnant.
  • You may get backache, and some people experience pelvic pain and find it harder to walk. Physiotherapy can help manage this.
  • You may first feel your baby move between 16 and 24 weeks pregnant. The movements will get stronger as your baby gets bigger and more active. Make time to notice your baby’s movements and get to know their usual pattern. Contact your midwife or antenatal ward immediately, at any time of day or night, if you notice less movement.

How is my baby developing in the second trimester?

Around this time your baby can hear some sounds. By 20 weeks, their digestive system is working.

Your baby’s skin will be wrinkled and covered with a greasy substance and fine hair called lanugo. They’ll sleep and wake regularly and may start to kick and stretch. Their sucking reflex is developing, and they may even suck their thumb.

You can usually find out the sex of your baby at your 20-week screening scan, if you choose to. This scan is offered when you’re between 18 and 20 weeks pregnant. But, this depends on your local hospital’s policy. Ask the person doing the scan beforehand if you’d like to try and find out.

From 24 weeks your baby has a chance of surviving if they’re born prematurely, but they’d need intensive care for a long time if they were born this early. Their chance of surviving improves the longer they stay inside your womb.

What happens during the third trimester? (28 to 40 weeks)

In your third trimester your baby continues to grow, and your body prepares for birth. Below are some symptoms you might experience at this stage of pregnancy.

  • You might feel tired and breathless as your baby grows. Sometimes, this may be caused by iron-deficiency anaemia. You’ll be offered blood tests to check your iron levels during your pregnancy.
  • You may find it harder to sleep.
  • You might start getting Braxton–Hicks contractions from about 30 weeks. These can be uncomfortable but shouldn’t hurt.
  • Heartburn. Try to eat little and often, stick to bland foods, and avoid eating late at night.
  • Swelling can happen later in pregnancy, in your ankles, feet, legs, hands, or fingers. If this happens suddenly or gets a lot worse, contact your midwife. It can be a sign of pre-eclampsia which can be very dangerous for you and your baby.
  • Varicose veins, when blood doesn’t flow properly through the veins closest to the surface of your skin.
  • You might notice a milky fluid called colostrum leaking from your breasts.
  • You may need to pee more often and might leak some urine when you cough or sneeze. Pelvic floor exercises can help with this.

How is my baby developing in the third trimester?

During the third trimester, your baby puts on weight and stores fat ready for when they’re born. Their skin starts to smooth out and they lose their coat of fine hair (lanugo).

During this time your baby will continue to move a lot. They usually turn into a head-down position by week 36, ready for birth. And, in the last few weeks, they tend to drop lower into your pelvis.

For more information, you can also watch our video below on the stages of pregnancy.


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Samantha Wild
Dr Samantha Wild
Clinical Lead for Women's Health and Bupa GP

 

Co-author

Lucy Kapoutsos, Health Content Editor at Bupa UK

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