10 Things to Do in Your First Trimester

Seeing that positive pregnancy test can feel like the world just shifted on its axis. One moment you're living your regular life, and the next, you're growing a tiny human and wondering what on earth comes next! It’s the best kind of whirlwind – one where you’re flooded with excitement, questions and a very long to-do list. Many new mamas have a hard time knowing where to start, but don’t worry! This blog breaks down the most important things to tackle in the first 12 weeks of pregnancy. Whether you're a planner, a researcher or someone who's just trying to keep your breakfast down, this first trimester checklist will help you feel a little more in control during early pregnancy.

If you've taken a home pregnancy test, you're probably pretty confident about the results (especially if you've taken three... or five!). Home tests are incredibly accurate when used correctly, but confirming your pregnancy with a healthcare provider is still an important first step. Your provider can perform a blood test that measures your hCG levels more precisely than home tests, which not only confirms your pregnancy but also helps establish a baseline for monitoring your baby's development. Your first appointment will likely include confirmation of pregnancy and estimated due date, review of your medical history and current medications, discussion of prenatal vitamins and lifestyle changes, an initial physical exam and possibly your first trimester ultrasound, plus plenty of opportunity to ask questions and address concerns.

Finding the right prenatal care provider is one of the most important decisions you'll make during pregnancy. Whether you choose an OB-GYN, midwife or family doctor depends on your personal preferences, medical history and birth plan goals.

Take time to research providers in your area and don't hesitate to schedule consultations. The right provider should make you feel comfortable, heard and supported throughout your pregnancy journey.

Prenatal vitamins help fill nutritional gaps during pregnancy when your body's needs increase significantly. The most crucial nutrients include folic acid (which helps prevent neural tube defects), iron (to support increased blood volume) and DHA (important for baby's brain development).

If you're dealing with morning sickness, taking your prenatal vitamin can feel like an additional challenge. Try taking it with food, switching to a different time of day or asking your provider about alternatives like gummy vitamins or liquid vitamins.

The first trimester is the perfect time to establish healthier habits that will benefit both you and your baby throughout pregnancy. 

While it might feel like there's a long list of "don'ts," focus on the positive changes you can make.

Foods and substances to avoid: Raw or undercooked meats, unpasteurized dairy products, high-mercury fish and alcohol should be eliminated from your diet. Limit caffeine to about 200mg per day (roughly one 12-oz cup of coffee). Drink at least 8-10 glasses of filtered water daily.

Safe exercise habits: Most forms of exercise are perfectly safe during pregnancy. Walking outside, swimming in a pool and prenatal yoga are excellent choices. Listen to your body and avoid activities with a high risk of falling or abdominal injury.

Sleep and rest: Your body is working overtime to grow your baby, so don't feel guilty about needing more rest! Aim for 7-9 hours per night of sleep during pregnancy and take naps when possible.

Every pregnancy is different but knowing what's typical can help you feel more confident about the changes happening in your body. Common first trimester symptoms include nausea, fatigue, breast tenderness and frequent urination.

Morning sickness (which can happen any time of day) affects about 70% of pregnant people. While unpleasant, it's usually a sign that pregnancy hormones are doing their job. However, severe nausea and vomiting that prevents you from keeping food or fluids down requires medical attention.

Deciding when and how to share your pregnancy news is deeply personal. Many people choose to wait until after the first trimester when the risk of miscarriage decreases significantly, but there's no "right" timeline.

Consider telling your partner first (if they don't already know), followed by immediate family and close friends who would provide support if something went wrong. Think about your workplace policies and when you'll need to inform your employer, especially if your job involves physical demands or exposure to hazardous materials.

Understanding your insurance coverage early in pregnancy helps you plan financially and avoid surprises later. Contact your insurance provider to learn about your maternity benefits, including what's covered for prenatal care, delivery and postpartum care.

Many insurance plans cover prenatal visits, genetic testing and ultrasounds, but coverage can vary significantly. Find out about your deductible, co-pays and out-of-pocket maximums so you can budget accordingly.

Start researching your company's parental leave policies and any state or federal benefits you might be eligible for. This information will help you plan for time off after your baby arrives.

While you don't need to register for everything right away, the first trimester is a good time to start researching the items that matter most for your baby's safety and health, like non-toxic nursery essentials and crib mattresses.

A crib mattress might not seem exciting compared to adorable onesies, but it's one of the most important purchases you'll make. Your little one will spend 12-16 hours a day sleeping, and a high-quality, breathable mattress supports safer sleep from day one. Focus your early research on safety essentials rather than convenience items, like wipe warmers.

First trimester fatigue is real and often more intense than anything you've experienced before. Your body is creating a placenta, increasing blood volume by 50% and producing new hormones – all while maintaining your regular daily activities.

Give yourself permission to rest without guilt. This might mean going to bed earlier, taking naps on weekends or saying no to social commitments that drain your energy. (A pregnancy self-care routine is great, too!) Your body is doing incredible work right now.

Emotional changes are also completely normal during the first trimester. Hormone fluctuations can cause mood swings, anxiety or feeling overwhelmed. Gentle exercise, meditation, journaling and talking with supportive friends or family can help manage stress.

Pregnancy can feel isolating, especially during the first trimester when you might not be ready to share your news widely. Finding community with other expecting parents can provide invaluable support and reassurance.

Pregnancy apps often include community features where you can connect with others who are due around the same time. Local prenatal classes, even those that start later in pregnancy, can help you build relationships with other families in your area.

Don't forget about your partner or support person's needs during this time. They're also adjusting to the idea of becoming a parent and may have their own questions and concerns about pregnancy and preparing for baby.

Right now, simply focus on taking care of yourself, following your provider's guidance and listening to your body. You don't need to have everything figured out in the first 12 weeks – pregnancy is a journey, and we promise you have time to prepare.

Be gentle with yourself, celebrate the small victories (like getting a good night's sleep) and if you’re reading this blog, you now have a better idea of what to do in the first trimester, which means you’re already doing better than you think.