Pap test during first trimester of pregnancy

First Trimester of Pregnancy

First Trimester of Pregnancy

Pregnancy is the process of childbearing. Measured from the start of a woman’s last normal menstrual period, or LMP, it usually lasts about 40 weeks, or roughly 9 calendar months.

The first trimester of pregnancy lies between weeks 0 to 13. Although women experience many of the same physical changes during this time, no two pregnancies are alike.

What is the information for this topic?

A woman can learn if she is pregnant within a few weeks after an egg is fertilized during conception. Pregnancy tests check for rising levels of a specific hormone. Home pregnancy tests may be done on urine. Tests done at a lab may use urine or blood.

The fertilized egg is called an embryo for the first 8 weeks. After that it is called a fetus. Its links to the mother appear quite early.

  • The placenta, also known as the afterbirth, begins to form the moment the fertilized egg attaches to the lining of the uterus. It grows inside the uterus, or womb, between the uterine wall and the developing embryo. The placenta is the channel through which oxygen, nutrients, drugs, hormones, and other substances pass from mother to fetus. Waste products from the fetus cross back through the placenta to the mother and are disposed of by the mother’s kidneys.
  • The umbilical cord links the fetus to the placenta. The spot at which the umbilical cord connects to the fetus will become its navel, or belly button.

    During the first trimester, growth and development in mother and fetus cause many changes to occur. A woman may notice:

  • no period or a light period
  • blue lines under the skin over her breasts and abdomen
  • waistline expansion
  • breasts that grow larger
  • protruding nipples

    Other common signs of early pregnancy in women include:

  • nausea sometimes coupled with vomiting known as morning sickness
  • food aversions and cravings
  • heartburn and indigestion
  • fatigue
  • tender breasts
  • complexion problems
  • a need to urinate often
  • constipation
  • headaches, dizziness, or faintness

    In the fetus:

  • the heart begins to beat
  • bones appear and the head, arms, fingers, legs, and toes form
  • major organs and the nervous system form
  • the placenta forms
  • hair starts to grow
  • 20 buds for future teeth appear

    By the end of the first trimester, the fetus is about 4 inches long and weighs just a bit more than 1 ounce.

    While many pregnancies run into no trouble during this time, problems can occur:

  • 10 in 1,000 pregnancies occur outside the womb. Usually a fertilized egg finds a home in one of the fallopian tubes on its way to the uterus. This is known as an ectopic pregnancy.
  • 1 in 3 pregnancies ends in miscarriage, often in the early weeks

    During the first trimester of pregnancy, monitoring may include:

  • First month: full physical examination and testing. These tests include a Pap smear, blood tests, urinalysis, TB test, and others.
  • Second month: weight and blood pressure and urine test for sugar and protein
  • Third month: height, weight, fetal heartbeat, size, shape and height of the uterus

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    First Trimester Tests

    During the first trimester of your first pregnancy, you may feel a bit like a human pincushion as your healthcare provider carries out tests to ensure you and your developing baby are both healthy.

    At your first appointment, you will be given a full physical. This will involve answering lots of questions about your medical history, talking about your lifestyle and how the pregnancy is going. You may be offered a pelvic exam including a routine culture to check for chlamydia and gonorrhea. If it has been a while since your last PAP smear, you may be offered one to check for abnormal cells.

    Samples of your blood will be taken to identify your blood type and Rh status. Blood samples will also be taken to test for anaemia, syphilis, Hepatitis B and HIV. Your blood will also be checked for immunities to certain illnesses including rubella, toxoplasmosis and chickenpox. Speak to your healthcare provider to determine what your blood is being tested for, as this can vary between providers.

    At each appointment, your healthcare provider will ask for a sample of your urine. A dipstick test will then be performed on the sample to determine sugar and protein levels in your urine. High levels of these may be indicative of conditions including urinary tract infections, preeclampsia and gestational diabetes. If you are at a high-risk of developing gestational diabetes, your healthcare provider may check for this at your first appointment.

    First trimester screening

    A first trimester screening test may be carried out between weeks 9 and 14. This test combines the use of ultrasound and blood screening. This test is used to identify the risk of your baby having Down syndrome, congenital heart problems and some other chromosomal disorders. This test will not give you a definite result, but it can highlight an increased risk that may lead you to investigate further testing.

    Depending on your ethnic and medical backgrounds, you may be offered a carrier test to determine your baby’s risk of developing genetic disorders such as cystic fibrosis, sickle cell disease, and Tay-Sachs disease.

    Chorionic Villus Sampling

    You have the option of a Chorionic Villus Sampling (CVS) between weeks 11 and 12. This test is invasive and should only be performed if necessary due to the slight risk of miscarriage associated with this procedure. CVS checks for chromosomal and genetic disorders. During the test, cells will be removed from the placenta and sent to a lab for testing.

    Written by Fiona, proud owner of a toddler, @fiona_peacock

    This information is not intended to replace the advice of a trained medical doctor. Health & Parenting Ltd disclaims any liability for the decisions you make based on this information, which is provided to you on a general information basis only and not as a substitute for personalized medical advice. All contents copyright © Health & Parenting Ltd 2017. All rights reserved.

    Comments 24

    I’m 18 with my first pregnancy!! I’m 10 weeks and 3 days, I’ve had severe morning sickness from 5 weeks up until 8 it’s slowed down at 9 but I’m still nauseous. I was so sick I was to the point of throwing up everything including water. I went to the hospital a few times because I was concerned for my baby’s growth and development when I couldn’t hold down anything! I was so dehydrated that they pumped me full of ivs and sent me home I still wasn’t able to eat but once I started experimenting with foods to see what I could hold down I’d eat that. Recently a friend of mine requested I tried sea bands (motion sickness bracelets/ also used for morning sickness) all they are; are bracelets you wear on both wrists and they have a bead in them that pushes on a pressure point that helps with feeling nauseous! They’re working phenomenally for me! I’d highly reccomend them to any mom that’s suffering from morning sickness! I haven’t puked in 2 days and I just bought them 2 days ago! ❤️

    I’m 10 weeks and 3 days. I got pregnant in 2013 and had a miscarriage after my appendix ruptured at 2 months and it took this long to get pregnant again. I’m very excited but very scared. I’m hungry all the time but I’ve only had morning sickness one time and it’s starting to worry me. My stomach started hurting today and it scared me to death but after a few hours of on and off stinging I eat in between to but it finally went away. I’m praying it was just hunger that made me start hurting. And my boobs hurt really bad then they don’t hurt. Should I be worried?I have my first appointment in 2 weeks. I’m praying everything works out this time but I’m very worried about my symptoms and lack of symptoms

    I am 10 weeks and 3 days and i had serve nausea in weeks 5 through 8. Sense week 9 it has started to slow down a lot. Should i be worried? I get nausea but not as bad as i did. My apt is Tuesday. Should i be worried? I am svared!

    My name is Selena. I am 21 years old and currently 11 weeks 4 days pregnant. My pregnancy is not really that great. I was 17 when I had my first daughter. But the fact that she was born with a thyroid problem has me a little scared. My babies father is currently in jail and he will not be home till may 2017 and I feel so depressed as I expect to count on someone to b by my side helping me throug all this morning sickness and fevers. Yes im currently alone with no family around my family(parents brothers sisters) all live in texas and I live in virginia with my 4 yr old. But I really hope I can overcome this once hes back home. I wish yall ladies the best for your unborn babies. And congratulations to all of you..

    I am 10 weeks 3 days and I have had terrible nausea and sickness. The sickness can hit me any time of the day mostly in the morning. When leaving the house in the morning I can’t stand the smell of other people on the bus or train and I have had to get off the bus to be sick. It got to the point that I was just so fed up and tired I went to the DR who put me on anti sickness tablets. These have worked a treat and feel I can actually get on with my life. I think if nausea and sickness is really taking over your life it is worth getting checked by a DR. Sickness isn’t dangerous however if you are failing to keep down solids and fluids for days you may become dehydrated which is a problem. Don’t suffer in silence, tell people how you feel and go to your GP to see if there are any options for you.

    Victoria…. I understand your pain. I lost my full term miracle (IVF) baby boy earlier this year because the hospital took too long to deliver him via C-Section (70 minutes). I am now almost 11 weeks pregnant after conceiving through another round of IVF. I will be facing a law suit in the coming year(s) and also have PTSD and depression. So sorry that you went though such a loss. It is really awful. Sending positive thoughts your way for this pregnancy.

    Thanks for the article but I wanted to update this info. You left out cell free fetal DNA testing which more and more is being used to rule out major chromosomal abnormalities. It is a better test overall than the ultrasound and quad screen which the author mentions. It can be done after 9-10 weeks and you can also choose to be told the gender as well if you want. It should be used before CVS because it has no risk of miscarriage, which CVS does.

    Hello I am Victoria

    I am 27 I was 16 with my first pregnancy he is now 10, second pregnancy I was 21 with identical twins boys both were 5 pounds when they were born 36 weeks but after 4 days of having them I had to turn the life support off on one of the boys had severe brain damage and there was no brain activity but he was perfectly formed and died as a delay in labour after fighting 5 whole long years I won his case this year, my feelings remained the same though I didn’t get closure, anyhow I never thought I would become pregnant again after but I’m currently 10 weeks and a few days I’m very sick currently on medication I am just about eating something but sadly my partner isn’t all supportive in this one maybe he feels scared as do it that it could be twins again but I suppose it wouldn’t be a bad thing and u belive things happen fir reasons I find out in a few weeks but in this pregnancy I don’t feel peaple congratulating me is making me better I don’t unappreciate the comments I try to put a front on I guess that peaple doctors midwife say to me I just feel sad and scared for labour they tell me this time round it will be diffrent and il get better care they tell me nothing will go wrong but that just makes me think of oliver who is not here today because of a busy labour suite and didn’t deserve what happened to him, I feel better talking about him though but I can’t communicate with the father atm it’s a volatile relationship I wish everyone well in there pregnancy I hope everyone gets the care and support they should have, if I end up been single and pregnant that doesn’t bother me anymore I think it’s just hard at first coming to terms with this pregnancy as I have depression and ptsd I wrote this to talk about oliver because October is baby loss awareness month and it’s good to talk especially when your feeling alone. Thank you for reading

    I am 10 weeks 3 days pregnant.Till 8weeks i was enjoying my pregnancy .And now having morning sickness and nausea .I heard that morning sickness and all ceases in 3rd month.but why its jus started for me in 3rd Month??😢

    I am 10 weeks 3 days pregnant and luckily haven’t had any morning sickness. I did have it once in my first pregnancy though. I am looking forward to the blood test that checks for Down’s syndrome bc it will tell us the sez of the baby. Very exciting. Best of luck to all!

    10 wks, 3 days with twins and possibly triplets. will find out at my apt next week for sure. Naseua ended last week. Still have an early bed time and have to eat every hour or I start feeling unwell. Shockingly im in a stage where im losing weight even though i eat all day. Ive been reassured that is normal and ill make up for it in the 2nd trimester. So many tests to be done. Hopefully we get the all clear after the first test.

    I am 10weeks 3days with my third baby.. I’ve got 2girls n I believe this pregnancy is so different it’s possible a boy!! Well I’m hoping as I can’t have no more after this baby fingers crossed.. And the fact that I never stop been sick I feel so ill with it 😥

    10 w 5 days ! 3rd pregnancy. My son is two, and i miscarried back in April. I eat everything. Have crazy mood swings. And no morning sickness. I wish though ! Instead I get the hormonal migraines. Its horrible .

    Iam 10 weeks and 3days 3rd baby i have 2 boys I had a etopic after my first son I feel different to when I had my boys I keep feeling sick but it’s just like am heaving and can not stop eating chocolate hope it’s a girl then my family is complete good luck to all you new to be Mums x

    am 10 weeks 3 days of pregnancy . Im in Venezuela. This is my second baby .my First one esa 9 years ago so this is new ,this pregnancy feels totally different. I had a lot of nausea the frist weeks. Eating crackers and fruits help me a lot to control the sickness also drinking a lot of water . Is hard being pregnant .now that my sickness pass im passing for a lot mudd changes. Im happy with my pregnancy but everyone is annoying even my husband . I dream a lot with my baby and i think this is magical even if i feel Bad sometimes. ❤

    Im 10 weeks and 3 days pregnant. From the minute I open my eyes to the second I fall asleep I’m sick. I can’t wait for this stage to pass. So I can start enjoying my pregnancy.

    I’m 10 weeks and 3 days pregnant and I haven’t yet had a call from the midwife since my doctors referral at 7 weeks!! This is my 2nd pregnancy, the 1st was a miscarriage unfortunately about a year ago. I was hoping I would be able to tell friends and family at the 12 week time as things should be well then but I hate not knowing if everything is okay. Just would like a call from the midwife to organise an appointment please! As for sickness, I haven’t had any vomiting however I do get nausea when I haven’t eaten and when I’m full and the pain I get when I need to have a bowel movement is unreal! Makes me sick! Ugh, just would like to get past this stage 🙁

    Am 11weeks today!not had much luck at all!my skin is dry n peeling and me ,food n water don’t get along!I can’t wait to pass this stage n enjoy my life with my family!all the best ladies

    Jennifer & Oniecia. I feel the same. I get nausea (no vomiting) if I don’t eat all day. But then I over eat and feel very uncomfortable and too full for hours!! But if I dont eat I feel nausea! So I feel hungry, very full and nausea at the same time!! Any tips?? I’m concerned I’ll put much more weight than the recommended so I try to eat healthier. I’m 10w 2days pregnant. Hi to all.

    There’s a shake called superfood it comes in many different brands but it’s all natural it contains vitamins a,b,c iron etc it’s basically fruits and veggies I can barely eat I am throwing up every day 2 maybe 4 times a day so me and our baby don’t get any nutrients but I started to take Flintstones vitamins and the superfood shake and I’m starting to feel better already especially since we are now getting the nutrients we need. You can find the superfood in just about any pharmacy or just ask the pharmacist they will point you in the right direction hope this helped!

    Oniecia ….. I’m 10 weeks and 3 days preggo. I am the same way, as long as I am eating I feel better, until I over eat. Then I feel sick. I’ve just been snaking all day on saltine crackers and fruit. My Dr. Prescribed some medicine for my nausea. It is helping but I still have to constantly eat.

    I thank God for the smooth ,10weeks and 3days now.I am having a great time no nausea nor vomiting.I sleep well at night and eat anything and DD is Dec 14th 2016

    I’m 8 weeks 5 days and I’m very nausea but not vomiting (knock on wood) I Gatto continue eating all day cause that’s the only time I don’t feel nausea isn’t that crazy. Happy and thankful tho..

    I can’t eat vomiting so much. What I wll do ,doctor given me medicine even its happening

    First Trimester Of Pregnancy: Tests, Nutrition & Fetal Development

    Question: I am in my first trimester of pregnancy, how often should I go for checkups?

    Answer: You may be on cloud nine when you found out that you are pregnant. Planned or unplanned pregnancy brings about varied spectrum of emotions. You may be anxious to know how these nine months are going to pass. It is a natural instinct a woman reacts to the joys and jeopardies of pregnancy.

    Even if you and your partner are healthy or if there is any history of past illness or medical disorder, it may have an impact on the developing fetus.

    Checkups During First Trimester Of Pregnancy

    Under ideal circumstances, it is recommended that you visit your doctor only once during the first trimester. However, if the doctor has recommended for more frequent visits, it is important that you follow the doctor’s advice.

    During the first trimester, the process of organogenesis takes place i.e. the fetus develops the various organs of the body.

    In case however, if you have a previous history of spontaneous abortions or have had convinced after a very long time, it is recommended that you visit your doctor more often, maybe once a month, to ensure that the fetal growth is on the right track.

    Medical Tests During First Trimester Pregnancy

    Normal tests that are advised during this period are complete blood count, urine test, ESR, VDRL, HIV, blood sugar etc. In specific cases, if there is previous history of abortion or birth defects, you may be advised to do other specific tests such as toxoplasmosis tests etc.

    Congenital anomalies in fetus are detected only after the process of organogenesis is complete. Hence towards the end of the trimester, it is essential to visit your gynecologist. If major congenital anomalies are detected, the doctor may suggest an abortion.

    During the first three months if you experience, unbearable abdominal pain, fluid or blood leaking from vagina, or any foul discharge from vagina you should consult your doctor immediately.

    Nutrition & Fetal Development During First Trimester

    Morning sickness (nausea, vomiting) is common in first trimester. If you cannot withstand morning sickness, certain supplements in diet may help to curtail it. Ginger snaps and ginger tea may be helpful in setting the stomach right. Eating smaller and more frequent meals is beneficial as empty stomach produces more acids and makes the symptoms of morning sickness worse.

    You may also be recommended dietary modifications to ensure adequate nutrition is passed on to the fetus. If there is iron deficiency, your doctor may prescribe iron supplements. He may also suggest taking foods that are rich in iron. Folic acid is crucial for normal development of fetus brain. He may also recommend foods that are rich in folic acid.

    As the pregnancy progresses it is essential to keep a watch on weight. If you are underweight, you may be encouraged to gain weight during the checkups.

    Pap test during first trimester of pregnancy

    First trimester is the period that begins from the LMP day (last menstrual period) and ends up after three months of pregnancy. Let us see what all happens during this first trimester of pregnancy.

    First Month of first trimester of pregnancy

    When a woman misses her menstrual cycle, this could be the only sign of getting alert that she is pregnant. Nevertheless, physical symptoms may soon follow that might include tiredness, insomnia (an inability to sleep), frequent micturation, nauseating feeling, food aversions and soreness of the breasts. The pregnant women might feel that their emotions are swinging from one end to another, and this is quite mistaken with something called premenstrual syndrome.

    Upon knowing that the woman is pregnant, she might feel elation, joyful, fear, peevish, or even melancholic. Some of the expecting mothers feel all of those emotions. It is very essential that women schedule their first prenatal visit when they come to know that they are pregnant. Women are generally given a prescription for prenatal supplements during this time.

    Second Month of first trimester of pregnancy

    As many women know that they have successfully conceived, they might not physically feel pregnant, however, in other case, women might feel bombarded physically and mentally with the changes which pregnancy is getting to their life. Physical symptoms involve fatigue, frequent micturation, nauseating feeling, heartburns, flatulence, hardened stools, food cravings or aversions, headache, giddiness, and breasts’ changes.

    Some women experience overwhelmed with the pending maternity and it is during this time that women might decide to share the fact of their pregnancies with family and friends for getting the support that they require. Other women may prefer keeping their pregnancies a secret a bit longer!

    By the end of the 2nd month, plenty of pregnant women might notice that the clothes are getting tighter. Many times a larger bra is required to be purchased to house breasts’ growth. Some women surely receive these physical changes, while other women might get uncomfortable by the changes and the learning that their looks are getting changed.

    During 2nd month prenatal visit, the women can expect to have their weight, blood pressure, urine and hemogram (blood tests) being examined and evaluated. Hands and feet might also be examined for other symptoms of swelling. Woman should feel comfortable with her doctor and tell them any symptoms those she might be experiencing, as well as ask any queries they may have.

    Third Month first trimester of pregnancy

    The 3rd month is the last month of first trimester of pregnancy wherein most women notice that a few of their early pregnancy sings are getting diminished. Morning sickness might subside and energy levels get increased. However, women might notice they have increased vaginal discharges and/or bouts of constipation or at least some disturbance in GI tract.

    Most of the pregnant women must have come to terms with their pregnancies by this time as expectant women might start educating themselves about pregnancies and childbirths. Many women may start reading literature or they can also start to ask female friends and family members queries about pregnancy, its symptoms and delivery.

    During his prenatal visit, the carrying woman again expects weight, blood pressure, urine and blood getting evaluated. Feet and hands can also be examined for signs of swelling as previous. The height of the uterus is to be measured, and the size of the womb will also be examined by external palpations.

    The first trimester is important for developing fetus and also for the mother. Inside her body, there are lots of hormonal changes and the fetus is developing very fast. The fetus has buds as extremities and its bodily organs have start forming. All the organs are getting developed and the heart is at its fully function.

    During first trimester of pregnancy, the mother needs extra care about taking foods, drinking water and many other things. Not only physically, but she is to be supported mentally and motivated for the pregnancy ending. She should be nourished well in order to end up with happy pregnancy.

    Sources of information:

    First Trimester Tests

    First Trimester Of Pregnancy: Tests, Nutrition & Fetal Development

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