Early Pregnancy Worries: What's Normal and What's Not?

Pregnancy is an exciting, life-changing journey—but it can also be a time full of uncertainty, especially in those early weeks. As a midwife, We understand that during the first trimester (0-16 weeks), it’s common for expectant mums to have a lot of questions about what’s normal and what isn’t. It’s important to remember that each pregnancy is unique, but some concerns are quite common. Let’s talk through some of the worries many women experience early on and how to recognise whether they are normal or something to seek help for.

1. Morning Sickness: Is It Really All Morning?

What’s Normal: Morning sickness (or nausea and vomiting in pregnancy) typically starts around 6 weeks and can last until the end of the first trimester, though it can last longer for some women. While it's most common in the morning, it can strike at any time of day. It’s a result of hormonal changes and is a sign that your body is adjusting to pregnancy.

What’s Not: If you’re vomiting excessively or unable to keep anything down (including fluids), it could be a condition called hyperemesis gravidarum, which requires medical treatment. Dehydration can be dangerous, so if you feel this is happening, reach out to your GP or midwife for support.

2. Cramping and Spotting: Is It a Cause for Concern?

What’s Normal: Mild cramping and spotting are quite common in early pregnancy. This can be due to the embryo implanting into the uterine wall, and as your body begins to grow, it stretches and adjusts. A small amount of light spotting, especially after sex or a pelvic exam, is usually nothing to worry about.

What’s Not: Heavy bleeding, or cramping that becomes severe and is accompanied by heavy bleeding, can be a sign of a miscarriage or an ectopic pregnancy. It’s important to contact your healthcare provider immediately if you experience heavy bleeding or severe pain.

3. Fatigue: Feeling Exhausted All the Time

What’s Normal: Feeling more tired than usual in early pregnancy is completely normal. Your body is working hard to support your growing baby, and the surge of hormones (like progesterone) can make you feel drained. It’s important to rest and listen to your body during this time.

What’s Not: If fatigue is accompanied by other signs like dizziness, feeling faint, or extreme tiredness that doesn’t improve with rest, it could be a sign of anaemia, dehydration, or other health issues. Speak to your GP or midwife for advice.

4. Breast Changes: Sensitivity, Tenderness, and Growth

What’s Normal: Many women notice changes in their breasts early on in pregnancy. You might feel more sensitive, sore, or even notice your breasts are growing. This is due to hormonal changes and your body’s preparations for breastfeeding.

What’s Not: Severe pain, redness, or swelling could indicate an infection or other issues that need attention. If you have concerns, it’s always best to speak to your healthcare provider.

5. Mood Swings: Is It Just Hormones?

What’s Normal: Mood swings are very common in the first trimester. The rapid changes in your hormone levels can make you feel a rollercoaster of emotions—excited one minute, anxious the next. This is totally normal, and it’s okay to feel overwhelmed.

What’s Not: If you feel constantly sad, anxious, or depressed, or if you have thoughts of harming yourself or your baby, it’s essential to seek help immediately. Mental health is just as important as physical health, and there are lots of support systems available to help you during pregnancy.

6. Bloating and Gas: Why Do I Feel So Bloated?

What’s Normal: Hormonal changes can cause your digestive system to slow down in early pregnancy, which leads to bloating, gas, and sometimes constipation. Many women experience this uncomfortable feeling in the first trimester.

What’s Not: If bloating is accompanied by severe pain, or if you notice any blood in your stool or changes in bowel movements, it could be a sign of another issue, such as a digestive problem or infection. Don’t hesitate to reach out to your healthcare provider.

7. Urinary Frequency: I’m Always Running to the Toilet

What’s Normal: In early pregnancy, your body produces more blood and fluids, which leads to increased urine production. Additionally, the growing uterus can put pressure on your bladder, causing frequent trips to the toilet. This is normal, especially during the first trimester.

What’s Not: If you experience burning, discomfort, or strong-smelling urine, it could be a sign of a urinary tract infection (UTI), which should be treated promptly to avoid complications.

8. Weight Gain: When Should I Start Gaining Weight?

What’s Normal: In the early weeks, weight gain isn’t usually noticeable. In fact, many women lose weight early on due to morning sickness or changes in appetite. By the end of the first trimester, you may notice a slight increase in weight, but this varies greatly from person to person.

What’s Not: Excessive weight gain early in pregnancy can sometimes be a sign of an underlying issue such as gestational diabetes. If you’re concerned about your weight gain, it’s always a good idea to talk to your midwife or GP.

When to Call Your GP or Midwife

It’s always better to be safe than sorry, so if you have any concerns at all during early pregnancy, don’t hesitate to contact your healthcare provider. If you experience the following symptoms, make sure to reach out right away:

• Heavy bleeding
• Severe cramps or abdominal pain
• Uncontrolled vomiting
• Severe headache or vision changes
• Fainting or dizziness
• Persistent or severe mood changes

It’s natural to feel a little worried during the early stages of pregnancy, as your body is going through so many changes. While many of the symptoms you experience are completely normal, if you have any doubts or worries, don’t hesitate to get in touch with your midwife or GP. They are there to help you through every stage of your pregnancy, ensuring that both you and your baby are healthy and safe.

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As you start off your pregnancy, it’s normal to have lots of questions and even some anxieties about the process and what to expect. The good news is that you don’t have to navigate this stage alone! Bloom Club offers an amazing range of resources to support you through your pregnancy and birth journey, including expert advice and helpful videos on the signs of labour, breathing techniques, and what to expect during your birth.

For just £9.99 a month, you’ll get access to exclusive videos, in-depth educational content, and expert guidance from experienced midwives. Whether you want to understand the stages of labour better or get tips on how to manage contractions, Bloom Club is here to provide you with everything you need to feel confident and supported as you approach your big day.

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