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First Month


The Growth and Development of Your Baby

About 5 to 7 days after a sperm fertilizes an egg, the egg attaches to the lining of the uterus. This process is called implantation. The fertilized egg then begins to grow in the uterus, doubling in size every day. At this stage of development the baby is called an embryo.

Shortly after implantation the placenta and umbilical cord begin to form. The placenta and umbilical cord provide nourishment and oxygen to your baby and carry away the baby's wastes. Your baby is enclosed in a sac of fluid, called the amniotic sac, to protect the baby from bumps and pressure.

In another week the baby has a spinal cord. A few days later, five to eight bones of the spinal column (vertebrae) are in place. Nerve development is beginning. By the end of your first 6 weeks of pregnancy, your baby has a head and trunk.

The embryo becomes three layers around the 5th week. The outer layer consists of the brain, nerves, and skin. The middle layer becomes the bones, muscles, blood vessels, heart, and sex organs. The inner layer holds the stomach, liver, intestines, lungs, and urinary tract. The eyes and other features begin to form, as do tiny buds that will be the arms and legs. The heart also forms, and it begins to beat on the 25th day after conception (5 to 6 weeks after the last menstrual period). However, it is impossible to hear the heart beating at this time.

By the end of 6 weeks, your baby is about 1/2 inch long and weighs a fraction of an ounce.

What is Happening With You

At your first prenatal care appointment, your health care provider will exam you to confirm your pregnancy and assess your health status, record your complete medical history, and give you some routine tests. You may be given some of the following common prenatal tests:

  • a pregnancy test;
  • a blood test to determine your blood type and to check for anemia;
  • urinalysis to screen for sugar, protein, white blood cells, blood, and bacteria;
  • blood screens to determine immunity to diseases such as rubella;
  • tests to disclose the presence of sexually transmitted infections and some other diseases;
  • genetic tests for sickle-cell anemia or Tay-Sachs disease;
  • a Pap smear for the detection of cervical cancer; and/or
  • a gestational diabetic screening test.

The tests you receive will depend on your personal and family medical history--you may not receive all of these tests.

During your first month of pregnancy, you may experience fatigue and sleepiness, frequent urination, nausea, vomiting, heartburn, indigestion, bloating, food aversions or cravings, and/or breast changes. These pregnancy symptoms vary from woman to woman. You may experience all of them, just a few, or none of them. Emotionally, you may feel irritable, have mood swings, may act irrationally, and be quick to cry. These emotions are similar to those experienced by women who have premenstrual syndrome. It is also common to have a variety of feelings about being pregnant, including misgivings, fear, joy, and elation.

What is Happening With Your Partner

Your partner also will likely feel many different emotions about your pregnancy. It is normal for one or both of you to feel scared, upset, joyous, or a combination of all of these emotions. It is important to talk with each other about how you are feeling. Click here to read more about "You and Your Partner".

Discomforts and Remedies

Visit the Common Discomforts section if you are experiencing any discomforts. You may or may not experience some of these discomforts and be sure to talk to your health care provider about them if you have any questions.

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9th Month



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