Stephen J. Schueler, M.D.

Pregnancy Symptoms

Pregnancy is divided into 3 equal parts, known as trimesters. Each trimester is about 12 weeks long. The female hormones, which control pregnancy, cause most of the early symptoms of pregnancy.

Symptoms of early pregnancy include:


Symptoms that occur during the first trimester include:

Symptoms that occur during the second trimester include:

Symptoms that occur during the third trimester include:

Pregnancy First Trimester

Symptoms that occur during the first trimester include:

Pregnancy Second Trimester

Between the 18th to 20th week of pregnancy, most women will start to feel the baby move. Weight gain continues. In most cases, the mother gains about 1 pound (0.5 kg) per week.

Symptoms that occur during the second trimester include:

Pregnancy Third Trimester

During the third trimester, an expectant mother is eating, resting, and breathing for two people: fatigue is common. Weight increases at about 1 pound (0.5 kg) per week.

Symptoms that occur during the third trimester include:

Pregnancy Early Labor

Signs of early labor include:


Dropping
The fetus drops into the pelvis in a head down position.

Cervical Dilation
During pregnancy, the cervix remains tightly closed. In order for labor to begin, the cervix must begin to open. This is referred to as cervical dilation. Before the cervix begins to open, a plug of mucus that is blocking this channel must be pushed out. If the mucus is stained with blood, passing the plug may be called bloody show. Following the passage of a mucus plug or bloody show, cervical dilation starts. The cervix must open more than 10 centimeters before the baby can pass through it. First time mothers tend to dilate more slowly than mothers who have delivered a baby in the past.

Braxton-Hicks contractions
These contractions have been painless for the past several months. At this point, they become stronger and cause pain. The pain seems to come from within the pelvis, groin, or lower back. Many first time mothers are fooled by these contractions. This is why they are often referred to as false labor. False labor contractions have no pattern, change in strength, are located in the lower abdomen, and may change with activities, such as walking or resting. True labor contractions are regular and slowly build in strength. They are often felt in the abdomen and back, and do not go away with walking or resting. Time how long your contractions are from beginning to end, then time how far apart they are from the beginning of one contraction to the beginning of the next one. Write the information down in a logbook, so that you can track your progress.

Rupture of Membranes
A strong membrane makes up the amniotic sac, which contains the fetus and the amniotic fluid that surrounds the fetus. When the membranes rupture, amniotic fluid leaks from the uterus. This may be confused with bloody show and a mucus plug. Your doctor may perform tests to confirm that you have ruptured membranes. The membranes usually rupture after labor contractions have started. In about 1 out of 5 women, the membranes rupture before the onset of labor contractions: this is called premature rupture of membranes. Once the membranes rupture, labor is starting: you need to see your doctor immediately. More than 90% of women go into labor within 24 hours after the membranes rupture.

Continue to Pregnancy Evaluation

Last Updated: Jan 24, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor

PubMed Pregnancy References
  1. Blenning CE, Paladine H. An approach to the postpartum office visit. Am Fam Physician. 2005 Dec 15;72(12):2491-6. [16370405]
  2. Condous GS, Arulkumaran S. Medical and conservative surgical management of postpartum hemorrhage. J Obstet Gynaecol Can. 2003 Nov;25(11):931-6. [14608443]
  3. Magann EF, Evans S, Hutchinson M, Collins R, Lanneau G, Morrison JC. Postpartum hemorrhage after cesarean delivery: an analysis of risk factors. South Med J. 2005 Jul;98(7):681-5. [16108235]
  4. Malamitsi-Puchner A, Boutsikou T. Adolescent pregnancy and perinatal outcome. Pediatr Endocrinol Rev. 2006 Jan;3 Suppl 1:170-1. [16641854]
  5. Nanda K, Peloggia A, Grimes D, Lopez L, Nanda G. Expectant care versus surgical treatment for miscarriage. Cochrane Database Syst Rev. 2006 Apr 19;(2):CD003518. [16625583]
  6. Ozkaya O, Sezik M, et al. Placebo-controlled randomized comparison of vaginal with rectal misoprostol in the prevention of postpartum hemorrhage. J Obstet Gynaecol Res. 2005 Oct;31(5):389-93. [16176505]
  7. Tierney JP, Welsh J, Owen P; Effective Gynaecology in Glasgow Group. Management of early pregnancy loss--a complete audit cycle. J Obstet Gynaecol. 2006 Apr;26(3):229-32. [16736559]
  8. Vitzthum VJ, Spielvogel H, Thornburg J, West B. A prospective study of early pregnancy loss in humans. Fertil Steril. 2006 Aug;86(2):373-9. [16806213]
FreeMD is provided for information purposes only and should not be used as a substitute for evaluation and treatment by a physician. Please review our terms of use.