Early Pregnancy Signs and Symptoms

Pregnancy tests are now very sensitive so it is common to find out that you are pregnant before you develop any signs or symptoms of pregnancy. However, as your pregnancy continues you are likely to experience various symptoms and signs.

Pregnancy tests are available from chemists and supermarkets and are now very sensitive. They test for the presence of a hormone called beta human chorionic gonadotrophin (beta-hCG) in your urine. Beta-hCG is produced by your body when an egg (which has been fertilised by a sperm) implants into the wall of your womb (uterus).

Different makes of pregnancy tests vary in how sensitive they are, but the more sensitive ones can now become positive when you are only a few days pregnant. However, a negative test does not mean that you are not pregnant; it may just mean that the levels of this hormone are not high enough to be detected.

As pregnancy tests vary in how you use them, it is important to read the instructions carefully before you do the test.

If your first pregnancy test is negative but you think you may be pregnant then you should repeat the pregnancy test one week later. If you have a positive pregnancy test, this does not need to be repeated by a doctor or a midwife.

The symptoms of early pregnancy vary tremendously between women. Some women hardly have any symptoms whereas others have very severe symptoms. It is impossible to predict which women will have more severe symptoms. However, in general, if you are expecting twins or triplets then it is likely that your symptoms will be more severe.

Tiredness

Extreme tiredness is often the most common sign of an early pregnancy. Although it is common to become more tired in the later stages of pregnancy, this extreme tiredness and lack of energy (lethargy) usually last for the first twelve weeks (first trimester). They usually then improve.

Urinary symptoms and constipation

You may notice that you need to pass urine more frequently than you used to. This is actually due to the effect of the beta-hCG hormone which leads to your kidneys working harder to produce more urine. This is different to the reason you will need to pass urine more often in the later stages of pregnancy, which is due to the pressure of the baby's head on your bladder.

Note: if you experience any burning, stinging or high temperature (fever) with these urinary symptoms, see your doctor or midwife. They will test your urine for an infection.

It can be common to find that you are more constipated than usual in the early stages of pregnancy. This is due to the chemical (hormone) progesterone acting directly on your bowel, making it more relaxed and sluggish. It is important to have a healthy diet throughout your pregnancy. If you do become constipated then you should increase your fibre content and make sure you are drinking plenty of fluids, especially water.

Breast tenderness

Another very early sign of pregnancy is breast tenderness. You may find that just the water from your shower on your breasts makes them feel uncomfortable and very tender. Your breasts may tingle at times or even have stabbing pains in them. You may also notice that your breasts become fuller and more swollen over the first few weeks of pregnancy. As your pregnancy develops it is common to notice some veins under the surface of your skin over your breasts. This is entirely normal.

After a few weeks you may notice that the coloured skin around your nipples (the areolae) becomes darker.

Feeling sick (nausea)

Although most women think that feeling sick is the first sign of being pregnant, it is more common to develop other symptoms first. Feeling sick usually starts around the sixth week of your pregnancy. This can, however, vary between pregnancies and in different women. You may find that you are being sick (vomiting) as well as feeling sick. The amount and frequency really does vary between women and also can differ in subsequent pregnancies.

This sickness is commonly referred to as morning sickness. It is more common to experience feeling sick only in the mornings. However, you may find that this feeling continues throughout the afternoons and even into the evenings.

Food cravings

You may find that you crave certain foods during your pregnancy or even go off some foods. Some women experience a metallic taste in their mouth. You are likely to have a heightened sense of smell during your early pregnancy. This may worsen any feelings of nausea that you have.

Irritability

The changes in hormone levels in early pregnancy may result in your feeling more moody and irritable than usual.

Missed period

Although this has always been the most obvious sign of pregnancy, many women now find out they are pregnant before they miss their first period.

Many women may have a small amount of bleeding (spotting) at the time of their missed period. This is sometimes called an 'implantation bleed'. It happens when the fertilised egg implants itself in the wall of your womb (uterus). It is harmless.

However, if you have any spotting or heavy bleeding when you are pregnant then you should inform your doctor or midwife. In some cases further tests (for example, a scan) are necessary. This is because bleeding can sometimes be a sign of a miscarriage or (less commonly) an ectopic pregnancy. 'Ectopic' refers to a pregnancy which occurs outside the womb.

Once your pregnancy has been confirmed by a pregnancy test then you should arrange to see your doctor. Your doctor will arrange for you to see a midwife at around twelve weeks of your pregnancy.

It is important to have a healthy lifestyle during your pregnancy.  This includes healthy eating and taking folate and vitamin D supplements. See separate leaflet called Diet and Lifestyle during Pregnancy for further information.

Original Author:
Dr Louise Newson
Current Version:
Peer Reviewer:
Dr Hayley Willacy
Last Checked:
07/03/2014
Document ID:
28816 (v1)
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