1. What symptoms should I expect in early pregnancy? Do all women experience vomiting and dizziness?
The first and most reliable sign of pregnancy is a missed period. Early symptoms often include breast tenderness and swelling, fatigue, sleepiness, nausea (with or without vomiting), and mood swings. However, not every woman experiences all these symptoms. Vomiting and dizziness vary widely—some women have them, others do not. Typically, these discomforts lessen during the second trimester, which is often the most comfortable period. In the third trimester, new symptoms related to the baby’s growth may appear, such as heartburn, constipation, swelling, and sleep disturbances. Remember, every pregnancy is unique—even for the same woman.
2. What is the nuchal translucency test? What does it detect?
The nuchal translucency scan is performed before the end of the first trimester. It combines an ultrasound measurement of the fetal neck fold thickness with a blood test to assess the risk of chromosomal abnormalities like Down syndrome. Definitive diagnosis requires invasive tests such as chorionic villus sampling (CVS) in the first trimester or amniocentesis between weeks 16 and 20.
3. What should I expect towards the end of pregnancy?
Most fetuses position themselves head-down by the final weeks. A full-term baby typically weighs between 2.5 and 4 kilograms and measures around 48 to 53 centimeters in length. Pregnancy is considered full-term at 37 completed weeks, when fetal organs are mature enough for independent function.
4. Does having a mother with diabetes increase my risk for gestational diabetes?
After a positive pregnancy blood test (beta-hCG), your doctor will recommend prenatal screening to identify any potential risks or deficiencies. Common tests include:
- Complete blood count
- Blood type, Rh factor, and antibody screen
- Rubella antibodies
- Hepatitis B
- Syphilis
- HIV
Your doctor may add additional tests based on your medical history.
5. What tests are recommended when pregnancy is confirmed?
You should inform your doctor about your concern. They will advise you when it is appropriate to undergo a glucose tolerance test.
6. I missed my period but got a negative pregnancy test. Could I still be pregnant?
Yes, especially if the test was taken too early or incorrectly. Pregnancy tests detect the hormone hCG, which takes time to reach detectable levels. It’s best to wait until after a missed period to test.
7. Can I calculate exactly when I conceived?
Exact conception date is hard to determine because ovulation varies and sperm can survive several days inside the reproductive tract. Doctors estimate gestational age based on the first day of your last period and ultrasound measurements, but these are approximations. Only about 5% of women deliver exactly on their due date.
8. I’m pregnant and experiencing abdominal pain. Could these be contractions?
Mild cramps similar to menstrual pain can occur early on due to uterine changes or the presence of a corpus luteum cyst in the ovary, which produces progesterone until the placenta takes over.
9. I tested positive but then started spotting. What does this mean?
Light bleeding affects about 25–30% of pregnant women in early pregnancy. It could be implantation bleeding or caused by other factors like infection or cervical irritation. However, spotting can sometimes indicate miscarriage, especially if it worsens or is accompanied by pain. Contact your doctor immediately if bleeding increases or you experience painful contractions.
10. Can a woman be pregnant and still have her period?
True menstruation does not occur during pregnancy. Some women have light, irregular bleeding or spotting, which is different from a regular period. This bleeding is usually light and brownish or pinkish and can be mistaken for a period.
11. How do pregnancy tests work?
Pregnancy tests detect the hormone human chorionic gonadotropin (hCG) in urine or blood. The presence of hCG indicates pregnancy, as it is produced by the developing placenta shortly after implantation.