The Importance of Healthcare in the First Trimester of Pregnancy: Essential Tips and Tests for Mother and Baby

Getting healthcare during the first trimester of pregnancy is crucial for maintaining the health of both the mother and the baby. This care helps monitor the development of the pregnancy and early detection of any health issues that may affect the mother or the baby. The schedule for medical visits varies based on the mother's health condition, usually set at once every 4 to 6 weeks during the first trimester.

The first doctor's visit includes discussing the pregnant woman's medical history, such as past gynecological diseases and previous births, as well as reviewing the family's medical history that may influence the pregnancy. The expected delivery date is calculated during this visit, and a series of tests are conducted to ensure the health of the mother and baby.

The initial medical check-up

● A comprehensive physical examination, including weight and blood pressure measurement.

● A pelvic examination, a routine procedure used to assess the health of internal reproductive organs such as the vagina, uterus, ovaries, fallopian tubes, and cervix, and to detect any abnormal changes or diseases.

● Tests for sexually transmitted infections like gonorrhea and syphilis.

● Urine tests to detect the presence of bacteria, protein, or sugar.

● Hormone level assessments, iron levels, and tests for some other diseases.

● Ultrasound scans are also done to determine the number of fetuses and to evaluate the baby's size and expected delivery date. Checking the fetal heartbeat confirms the presence of the baby and measures the heart rate.

● Blood tests are conducted to determine the mother's blood type and the Rh factor. Blood tests help identify whether the mother has the Rh factor, which is a protein on the surface of red blood cells. It may be:

• Rh positive (Rh+): indicates that red blood cells contain this protein.
• Rh negative (Rh-): indicates that red blood cells do not contain this protein.

This test is important because Rh incompatibility between the mother and the baby can lead to health issues. If the mother is Rh-negative and the baby is Rh-positive, the mother's immune system might treat the baby's blood as a foreign substance, leading to the production of antibodies that can attack the baby's red blood cells.


The doctor may also discuss the importance of genetic tests that help determine the likelihood of the baby having certain genetic disorders. Among these tests is the Non-Invasive Prenatal Testing (NIPT), an advanced test performed using a blood sample from the mother to detect some genetic abnormalities in the baby. These tests provide important information for making informed decisions during pregnancy.

If the mother is expecting more than one baby, she might need additional visits during the first trimester to ensure careful monitoring.

Important Guidelines for Pregnant Women in the First Three Months

Maintaining good health is crucial throughout all stages of pregnancy, especially in the first trimester. Here are some tips to follow in the early weeks of pregnancy to ensure good health:

● Physical activity: If you regularly exercised before pregnancy, you can continue with safe pregnancy exercises, adjusting the intensity according to your health condition. If you're new to exercise, it's best to start with light activity like walking for 5 to 10 minutes daily, gradually increasing to 30 minutes daily, 5 days a week. If your pregnancy is high-risk or you have any health issues, consult your doctor before engaging in physical activity. It's advised to stop exercising immediately if you feel extremely tired, dizzy, or uncomfortable.

● Proper nutrition: It's recommended to eat a variety of healthy foods like fruits, vegetables, lean meats, eggs, and whole grains. In addition, prenatal vitamins that contain folic acid and iodine are recommended to ensure you get essential nutrients that may be hard to obtain from food alone.

● Hydration and rest: Maintaining proper hydration by drinking enough water supports vital body functions. Getting adequate rest and sleep helps manage the stress pregnancy puts on the body.

● Avoiding smoking and alcohol: Completely avoid smoking and alcohol during pregnancy, as both are linked to serious health problems for the mother and baby. Pregnancy is a good opportunity to quit smoking, and your doctor or pharmacist can provide the necessary support.

● Keeping up with medical check-ups: Attending all medical appointments is crucial to monitor baby growth and detect any potential issues early. It's preferable that these check-ups are regular and that any health concerns are discussed with your doctor.

Essential Vitamins and Minerals in the First Trimester of Pregnancy

● Folic acid: Helps prevent brain and spinal cord birth defects in the baby. Pregnant women need 400-600 micrograms daily, so it's recommended to take a supplement containing at least 400 micrograms from one month before pregnancy until the 12th week. Your doctor or obstetrician/gynecologist can discuss whether you need a higher dose based on your health and nutritional needs.

● Iron: Essential for helping red blood cells carry oxygen to the baby. Pregnant women need 27 milligrams daily to maintain healthy hemoglobin levels and prevent anemia.

● Calcium: Important for building strong bones and teeth in the baby. Pregnant women need:
• 1,300 milligrams daily if they are 18 years old or younger.
• 1,000 milligrams daily if they are 19 years old or older.

● Vitamin B6: Helps alleviate pregnancy-related nausea and vomiting, especially in the early months. The American College of Obstetricians and Gynecologists (ACOG) recommends taking 10-25 milligrams for nausea treatment. Consult your doctor before taking it to ensure the correct dosage.

Nifas Advice

Dear mother, at "Nifas," we know that the first trimester of pregnancy is a sensitive period that requires special care. Your health is the foundation for your baby's health, so make sure to take essential vitamins like folic acid to protect your baby from birth defects, and iron to maintain your energy and prevent anemia. Don't forget the importance of hydration and rest, as your body is working doubly hard to support a new life inside you. We are here to accompany you on this journey, so trust your body and listen to it, and regularly visit your doctor to ensure your and your baby's well-being.

Frequently Asked Questions (FAQs)