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Bloating
Nausea
Late period
Missed period
Frequent urination
Morning sickness
Vomiting
Stomach ache
Extreme fatigue
Food cravings
Abdominal lump
Not seeing your symptoms? No worries!
Pregnancy is the term used for the period when a fetus (baby) is developing inside the mother's uterus (womb). It typically lasts about 40 weeks (just over 9 months), measured from the last menstrual period to delivery. It occurs as a result of sexual intercourse, when the egg released by the female ovary is fertilized by a sperm. Pregnancy is medically divided into three parts (trimesters). The first sign of pregnancy is typically a missed period. Morning sickness (nausea/vomiting) may accompany it.
Your doctor may ask these questions to check for this disease:
Pregnancy is often detected through a urine pregnancy test and usually confirmed by an ultrasound scan. The obstetrician/gynecologist (OB/GYN) will schedule regular check-ups for the mother and child. The specialist may recommend specific vaccinations and vitamin supplements. Depending on the patients medical history further recommendations may be made. It is important to get adequate prenatal care for your pregnancy, for the safety of both mom and baby.
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Nov 22, 2024
Following the Medical Content Editorial Policy
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Q.
Am I Pregnant? Why Your Body is Reacting & Medically Approved Next Steps
A.
Early pregnancy can cause a missed period, nausea, breast tenderness, fatigue, frequent urination, and light spotting, but these can have other causes too; the most reliable way to know is to take a home pregnancy test after a missed period and confirm with a clinician. If your test is positive, schedule medical care and start prenatal vitamins, and seek urgent help for severe pain, heavy bleeding, dizziness, or one-sided pelvic pain; there are several factors to consider and step-by-step guidance that could change your next steps, so see the complete details below.
References:
* Kumar GA, Zafarmand SE. Physiological Changes of Pregnancy. [Updated 2022 Aug 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: pubmed.ncbi.nlm.nih.gov/30252399/
* Gnoth C, Johnson S. Performance of home pregnancy tests in early pregnancy: a systematic review. BJOG. 2014 Mar;121(4):389-98. doi: 10.1111/1471-0528.12519. Epub 2013 Oct 29. Available from: pubmed.ncbi.nlm.nih.gov/24168641/
* Betz D, Fane K. Endocrine Changes During Pregnancy. [Updated 2022 Sep 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: pubmed.ncbi.nlm.nih.gov/30725902/
* Doubilet PM, Benson CB. Diagnosis and Management of Early Pregnancy. N Engl J Med. 2014 Dec 25;371(26):2508-16. doi: 10.1056/NEJMcp1403022. Available from: pubmed.ncbi.nlm.nih.gov/25539091/
* Al-Hassani A, Al-Marzouq A. Early pregnancy care: A review. J Family Med Prim Care. 2019 Sep;8(9):2796-2801. doi: 10.4103/jfmpc.jfmpc_497_19. Available from: pubmed.ncbi.nlm.nih.gov/31602447/
Q.
Worried it Won’t Work? The Plan B Pill Reality & Medically Approved Next Steps
A.
Plan B is a safe, medically approved emergency contraceptive that works best when taken as soon as possible within 72 hours, but it is not 100 percent effective and will not work if ovulation has already happened or to end an existing pregnancy. If you are worried, take a pregnancy test 3 weeks after sex or if your period is over 1 week late, consider other options within 5 days such as ulipristal or a copper IUD, and seek urgent care for severe pain, heavy bleeding, dizziness, or fainting. There are several factors to consider including timing, vomiting soon after the dose, body weight, and additional unprotected sex, so review the complete guidance below for key details that can change your next steps.
References:
* Cleland, K., et al. (2021). Emergency contraception: a systematic review of the efficacy and safety of levonorgestrel-alone and ulipristal acetate. *Current Opinion in Obstetrics & Gynecology, 33*(4), 305-312. doi: 10.1097/GCO.0000000000000734. PMID: 34217743.
* American College of Obstetricians and Gynecologists. (2023). Emergency Contraception: ACOG Practice Bulletin, Number 252. *Obstetrics & Gynecology, 142*(2), e14-e28. doi: 10.1097/AOG.0000000000005293. PMID: 37604471.
* Al-Sultani, H. M., & Al-Hassani, A. S. (2020). Emergency contraception: A practical guide for health care providers and patients. *The Journal of Clinical Pharmacology, 60*(9), 1109-1119. doi: 10.1002/jcph.1681. PMID: 32955146.
* Bigler, S., & Kennedy, J. E. (2021). Post-Emergency Contraception Counseling: The Time Is Now. *Journal of Midwifery & Women's Health, 66*(4), 438-444. doi: 10.1111/jmwh.13254. PMID: 34327771.
* Zaman, M., et al. (2022). Emergency contraception: knowledge, attitudes, and practices among women and healthcare providers – a systematic review. *BMC Women's Health, 22*(1), 58. doi: 10.1186/s12905-022-01640-3. PMID: 35168583.
Q.
Is Your Zygote Healthy? The Scientific Reality & Medically Approved Next Steps
A.
There are several factors to consider: a zygote’s health hinges on correct chromosomes, orderly early cell division, and successful implantation; in natural conception you cannot directly test this, so early clues come later from rising hCG and an ultrasound around 5 to 7 weeks. See complete details below. Medically approved next steps include starting or continuing prenatal vitamins with folic acid, avoiding alcohol and smoking, scheduling prompt medical care, and seeking urgent help for severe pain, heavy bleeding, or dizziness; clinicians may monitor serial hCG, progesterone, and early ultrasound to assess progress, with more context and nuances explained below.
References:
* Grifo, J. A., et al. (2019). Preimplantation genetic testing for aneuploidy (PGT-A): a review of the clinical utility. *Journal of Assisted Reproduction and Genetics*, 36(8), 1545-1552.
* Franasiak, J. M., et al. (2014). Effect of maternal age on aneuploidy in preimplantation human embryos: a systematic review and meta-analysis. *Fertility and Sterility*, 101(3), 656-663.e1.
* Cui, Y., et al. (2021). Genetic and epigenetic factors affecting human preimplantation embryo development. *Journal of Genetics and Genomics*, 48(12), 1081-1090.
* Capalbo, A., et al. (2017). Preimplantation genetic testing for aneuploidy (PGT-A): a comparison of three analysis methods (array CGH, NGS, and SNP array). *Human Reproduction Update*, 23(1), 16-32.
* Xu, J., et al. (2020). Preimplantation genetic testing: Current insights and future directions. *Journal of Cell Physiology*, 235(10), 6533-6544.
Q.
Scared of birth? Why a doula reduces risk and your medical next steps
A.
A doula measurably lowers childbirth risk and fear by providing continuous, nonmedical support that shortens labor, reduces cesareans and other interventions, and improves satisfaction while working alongside your medical team. Next steps include scheduling a detailed prenatal visit to review your personal risks and pain options, considering a certified doula and a childbirth class, and knowing when urgent symptoms require immediate care; there are several factors to consider, and key details that could change your plan are explained below. If severe anxiety or red flag symptoms arise, seek care immediately.
References:
* Bohren MA, Hofmeyr GJ, Sakala C, Fukuzawa RK, Cuthbert A. Continuous support for women during childbirth. *Cochrane Database Syst Rev.* 2017 Jul 6;7(7):CD003766. doi: 10.1002/14651858.CD003766.pub6. PMID: 28681500; PMCID: PMC6483123.
* Saeedi M, Hasanpoor M, Mirghafourvand M, Vaghefi S. The effect of doula support on women's birth experiences, anxiety, and depression: A systematic review. *J Matern Fetal Neonatal Med.* 2022 Dec;35(25):7764-7772. doi: 10.1080/14767058.2021.1915462. Epub 2021 May 3. PMID: 33941014.
* Karkada SN, Manjunath JS, Vasantharani M. Doula support and its impact on medical intervention in childbirth: A systematic review and meta-analysis. *J Perinat Educ.* 2021 Mar 1;30(1):50-59. doi: 10.1891/JPE-D-20-00010. Epub 2021 Mar 1. PMID: 33692695; PMCID: PMC7934446.
* Munganga L, Ndou M, Mulaudzi SM. Impact of continuous support by doulas on maternal satisfaction and self-efficacy among nulliparous women: A randomized controlled trial. *Int J Nurs Pract.* 2023 Apr;29(2):e13123. doi: 10.1111/ijn.13123. Epub 2023 Feb 15. PMID: 36792942.
* Grigg CP, Scrimshaw PK, Manderson L. The influence of doulas on women's experience of childbirth: a qualitative systematic review. *Qual Health Res.* 2017 Feb;27(2):162-177. doi: 10.1177/1049732316641883. Epub 2016 Mar 29. PMID: 27026777.
Q.
Silent Signal? Why Your Body is Shifting & Medically Approved Pregnancy Test Steps
A.
Early pregnancy often starts quietly, with subtle changes like a missed period, breast tenderness, mild cramping, fatigue, nausea, and frequent urination that can mirror PMS. For the most accurate, medically approved approach, take a home test after a missed period using first morning urine, read and follow the package exactly, check the expiration date, and if negative but your period has not arrived, retest in 2 to 3 days. There are several factors to consider. See below to understand more, including when a blood test is appropriate, what to do after a positive test such as starting prenatal vitamins and avoiding alcohol, and urgent red flags like severe pelvic pain or heavy bleeding that require immediate medical care.
References:
* Costantine MM. Physiological changes in pregnancy. Semin Perinatol. 2014 Oct;38(6):307-16. doi: 10.1053/j.semperinatal.2014.07.002. Epub 2014 Aug 2. PMID: 25292404.
* Raghupathy R, et al. Human chorionic gonadotropin: Role in successful implantation and maintenance of pregnancy. Hum Reprod Update. 2017 Mar 1;23(2):210-222. doi: 10.1093/humupd/dmw040. PMID: 27993874.
* Gnoth C, Johnson S. Strips of hope: accuracy of home pregnancy tests and new developments. J Reprod Med. 2014 Jan-Feb;59(1-2):18-28. PMID: 24654392.
* Doubilet PM, Benson CB. Diagnosis of early pregnancy and the management of complications. N Engl J Med. 2015 Jun 18;372(25):2414-22. doi: 10.1056/NEJMcp1413806. PMID: 26083204.
* Nordin M, et al. Women's experiences and perspectives on early pregnancy symptoms. Midwifery. 2017 Sep;52:16-22. doi: 10.1016/j.midw.2017.05.006. Epub 2017 May 23. PMID: 28549103.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Carusi D. Pregnancy of unknown location: Evaluation and management. Semin Perinatol. 2019 Mar;43(2):95-100. doi: 10.1053/j.semperi.2018.12.006. Epub 2018 Dec 20. PMID: 30606496.
https://www.sciencedirect.com/science/article/abs/pii/S0146000518301423?via%3DihubSedgh G, Finer LB, Bankole A, Eilers MA, Singh S. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolesc Health. 2015 Feb;56(2):223-30. doi: 10.1016/j.jadohealth.2014.09.007. PMID: 25620306; PMCID: PMC4852976.
https://www.jahonline.org/article/S1054-139X(14)00387-5/fulltextSebghati M, Khalil A. Reduction of multiple pregnancy: Counselling and techniques. Best Pract Res Clin Obstet Gynaecol. 2021 Jan;70:112-122. doi: 10.1016/j.bpobgyn.2020.06.013. Epub 2020 Aug 6. PMID: 32859535.
https://www.sciencedirect.com/science/article/abs/pii/S1521693420301243?via%3DihubAmorado P, Magann EF, Phillips AM, Moutos DM, Whittington JR, Hughes DS, Klausen JH. Is a Surrogate Pregnancy a High-Risk Pregnancy? Obstet Gynecol Surv. 2021 May;76(5):302-309. doi: 10.1097/OGX.0000000000000898. PMID: 34032862.
https://journals.lww.com/obgynsurvey/Abstract/2021/05000/Is_a_Surrogate_Pregnancy_a_High_Risk_Pregnancy_.20.aspxGoossens J, Van Den Branden Y, Van der Sluys L, Delbaere I, Van Hecke A, Verhaeghe S, Beeckman D. The prevalence of unplanned pregnancy ending in birth, associated factors, and health outcomes. Hum Reprod. 2016 Dec;31(12):2821-2833. doi: 10.1093/humrep/dew266. Epub 2016 Oct 24. PMID: 27798048.
https://academic.oup.com/humrep/article/31/12/2821/2354554NIH - About Pregnancy
https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfoACOG Patient FAQ
https://www.acog.org/womens-health/pregnancy