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What you need to know: First Trimester

rachelcook by rachelcook Minti Founder(February 2006) (rank 28th)
Great news your pregnant! Now you have the difficulty of keeping your exciting secret, a secret for three months. However, it's a wonderful time to experience with your husband or partner, knowing you are both experiencing an amazing step in your lives.

What do you have to do in your first trimester?
Your pre-natal carer, in my case was my obstetrician, will conduct First Trimester tests. Your first ultrasound scan will be to check when your  baby will be due and make sure that there is a heart beat and is at the correct growth size for the pregnancy stage. Another test will be a first trimester screening test. This usually involves an ultrasound between 11 and 14 weeks.

This test picks up early chromosomal and structural abnormalities (including 90 percent of Down Syndrome cases) and identifies if your baby is a boy or girl, multiple pregnancies and identical twins. I had this test done with a specialist my obstetrician referred me to and I received a rating which showed that I was in a 1 in an infinite chance of our baby getting down syndrome. So we didn't have to consider the "amniocentesis" procedure, which is were a sample of your amniotic fluid is taken from the womb.

Considerations for "amniocentesis"
In my case I didn't have to consider this procedure. However, my husband and I seriously discussed the issue to see were we stood if we ever had to have this procedure with other future pregnancies. Some ladies over 35 have had this procedure done and are back exercising straight away. Others find it a concern as it can make the risk higher for a miscarriage and choose not to have the procedure. This may be even more of a concern if you had prior problems with miscarriage. From my experience, in having to confront the issue for not having the "amniocentesis", I believe, in this situation, you need to be comfortable with the outcome if there are abnormalities present on delivery. For me, if I had a result with my next baby that brought up red flags to have the procedure, I would prepare myself and have it done, but that is just me.

This decision to have the procedure is purely a personal one, my advice would be to get as much information as you can, read about the pros and cons, talk to your carer/doctor and friends who had to consider this. Once you have all the information, you may just go with your gut feelings or trust your doctors advice.

One thing is for sure, I really felt like I was growing up and having to make personal decisions, which I never really had to do. But in the end the journey to parenting is tough, but the rewards extremely huge.

Feeling tired and Morning Sickness
During your first trimester, you may feel fatigue and sick. Try and get some rest if you can, and get a little exercise, like walking or swimming when you feel okay. If you are working try and ask for lighter duties to limit the amount of stress you take on. In my experience, I remember just sleeping all the time.

With morning sickness, you may feel sick and become turned off from eating particular foods. Anything with ginger really helped my sickness which wasn't too severe. I did throw up though. Eat what your stomach can muster and don't worry, as consolation prize it's a good sign that you have high levels of pregnancy hormones in your system. This is great for baby. The first time round your body doesn't really know what is going on, so it's okay to take things easy.

As you progress through your first trimester, I remember feeling a little overwhelmed with 'too' much information of all the physical aliments and problems you 'may' experience. My advice here would be to take one piece of information at a time and at a time when you need to know it.

Congratulations on getting this far :)
Any contributed content above is the subjective opinion of that member or external author, and not of Minti.com Pty Ltd. If you are searching for health related advice we strongly suggest you seek professional medical support. View our Terms of Service for more details.

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MumKim
5.00 (Excellent) | August 2006 | MumKim
amnio
We had the high risk identified from the 11 week ultrasound and had to wait until 15 weeks for  the amnio. Just before we had the amnio we went to a genetic counsellor at King Edward Hospital (Perth,WA).  Amnio results take two weeks. The amino is performed during an ultrasound.The day following our amnio the doctor rang me and told me that he had looked at the measurements from the ultrasound and warned me that he expected me to miscarry any day. As we lived in a town without obstetric services or emergency surgery my husband (he's a nurse) insisted that I stay in Perth. I walked around for a week and a half feeling like a walking timebomb, but it gave us time to adjust to the idea that we were going to loose our baby.


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      rachelcook
4.00 (Good) | August 2006 | rachelcook
amnio
My heart goes out to you. I also had a miscarried twice (at 8 weeks and at 4 weeks) whilst trying for bub 2 and still trying. It was good that he insisted to stay in Perth.


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classyashy
4.11 (Good) | June 2006 | classyashy
good start to a great article
Lots of info here--I especially like that you mention that the decision over amniocentesis is a personal one because I find a lot of people can be pushy about things like that.
I'd suggest maybe adding something about miscarriage. I know this was a great concern of mine during the 1st trimester, mainly because I had a missed miscarriage before this pregnancy. I didnt know that miscarriage during the 1st trimester is a highly common occurrence. No one really wants to hear about it but it is a reality.
Also, I didn't do the AlphaFetaProtein testing which is what I think you're referring to in the section about testing. I've heard of so many people getting false positive results that I declined. I reasoned that as I was quite young and there is no history of down's or anything like that in my family or the father's family that I didn't need to have the testing done.
Lastly, maybe mention other types of healthcare providers during pregnancy such as a midwife, although I personally have been under the care of an OB since the beginning.


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      rachelcook
August 2006 | rachelcook
good start to a great article
yes excellent point, will research and add!


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Phen
3.00 (Average) | May 2006 | Phen
Subject couldn't get past spelling error
it's " Amniocentesis" not "amniosynthesis"


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      rachelcook
2.33 (Poor) | June 2006 | rachelcook
Re: Subject couldn't get past spelling error
thanks have updated


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