V. Stages of Pregnancy (what to expect when you are expecting plus, simple tips for all of them!)

I. Pre-Pregnancy Prep

i. Eat healthy, exercise and reduce/eliminate toxins such as smoking, caffeine and alcohol. Avoid contact with stray cats.

ii. Take a prenatal vitamin with folic acid, try to start 3 months before conception.

iii. Track your menstrual cycles so you can maximize the likelihood of conception.

iv. Stay up to date with medical and dental care. Make sure testing and vaccines are up to date.

v. Talk to your doctor about fertility, pregnancy, labor and delivery process.

 ii. First Trimester

i. Make an appointment when you are approximately 6-8 weeks from your last period. If you are having pain or bleeding, make sure you are evaluated sooner.

ii. Be sure to understand all prenatal testing including routine blood work and ultrasounds.

iii. Continue healthy eating, stay active and get (much needed) restful sleep.

iv. Talk to your doctor with any questions or concerns.

v. Review your results and prepare for the next steps.

 iii. Second Trimester

i Routine exams will include: blood pressure, testing your urine and recording your weight.

ii. The uterus and baby are growing and can be measured, the fundal height, and fetal heartbeat can also be heard.

Iii. If you have opted for fetal genetic testing, either through blood work, a CVS or amnio, then results should be reviewed. Screening for the neural tube is also done during the second trimester.

iv. Between 18 and 22 weeks an ultrasound is typically performed to check the baby’s anatomical development and growth, amniotic fluid and placenta.

v. Important diabetes testing is done during the second trimester.

 iv. Third Trimester

i. The third trimester starts at 28 weeks until delivery. It can be physically and emotionally challenging. 

ii. Full term is not until 37 weeks, so watch for signs of preterm labor prior. Braxton Hicks contractions are normal and not worrisome. They are mild tightening sensations of the uterus.

iii. Monitor blood pressure and urine in the third trimester to make sure you are not developing signs of preeclampsia which can also be associated with headaches and swelling.

iv. Iron levels are checked during the third trimester, the T-dap vaccine will be offered and testing for group B strep.

v. Checking the cervix for dilation and baby’s position will start in the later part of the third trimester as well as discussions about delivery expectations and anticipations.

V. Fourth Trimester (post-partum)

i. This is the time of transition for you and your baby. From birth to 12 weeks there is so much to be happy about but can also be physically and emotionally challenging.

ii. Hormonal and physical changes, social adjustments and sleep deprivation can be added stressors to emotional and physical well-being.

iii. New moms need to eat well and often and remain hydrated. This is especially important if you are nursing or pumping breast milk. 

iv. Take time to stay connected with friends and family as well as your partner.

v. Make time for yourself. Eat well, nap, shower, talk to friends & family and get some fresh air!

Verbena does not provide medical advice, diagnosis, or treatment and is not a medical provider. If you think you may have a medical emergency, call your doctor or 911 immediately.