Your pregnancy, trimester by trimester
One clear map of the 40 weeks, built on NHS, ACOG and CDC guidance, so you can stop searching and start enjoying.
Updated October 13, 2026 · sources checked October 13, 2026
In short
Pregnancy lasts about 40 weeks, counted from the first day of your last period, and is split into three trimesters: up to 13 weeks and 6 days, 14 to 27 weeks and 6 days, then 28 weeks to birth. Each brings its own scans and tests. Severe headache, bleeding, fluid leaking or fewer baby movements always deserve a call straight away.
The three trimesters at a glance
ACOG defines the trimesters by completed weeks, counted from the first day of your last period. Knowing where you are tells you what your body is doing, which tests are coming and what you can prepare.
| Trimester | Weeks | What is happening for your baby | Key appointments |
|---|---|---|---|
| First | Up to 13 weeks + 6 days | Brain, spine and heart tissue begin to form; organs develop | First visit, blood tests, dating scan (NHS: 10 to 14 weeks) |
| Second | 14 weeks to 27 weeks + 6 days | Rapid growth; hearing develops; first movements felt | Anatomy scan (NHS: 18 to 21 weeks), glucose test at 24 to 28 weeks |
| Third | 28 weeks to birth | Weight gain; lungs, brain and nervous system mature | More frequent checks, group B strep test at 36 to 38 weeks (US) |
Not sure how far along you are? Our due date calculator and pregnancy week calculator do the arithmetic in seconds, privately in your browser.
Trimester by trimester
- First trimester: weeks 1 to 13 covers the early tiredness and nausea, folic acid, your first appointment and the dating scan.
- Second trimester: weeks 14 to 27 covers the energy comeback, the anatomy scan, first kicks and the glucose test.
- Third trimester: weeks 28 to 40 covers side-sleeping, baby movements, the last checks and getting ready for birth.
Feeling well: food, movement and sleep
Most questions in pregnancy come back to three things: what you eat, how you move and how you rest.
| Topic | The short version | Read more |
|---|---|---|
| Food safety | Avoid foods linked to listeria and high mercury, cook meat and eggs well | Foods to avoid in pregnancy |
| Drinks | Caffeine under 200 mg a day; no alcohol | Caffeine and alcohol limits |
| Blood sugar | Screening at 24 to 28 weeks for most people | Gestational diabetes |
| Movement | 150 minutes of moderate activity a week if your pregnancy is uncomplicated | Exercise during pregnancy and prenatal yoga |
| Sleep | On your side from 28 weeks | Sleeping positions |
Common discomforts and what helps
- Morning sickness: small, frequent, plain meals and when it becomes serious.
- Heartburn: eating and sleeping habits that ease it.
- Back pain and sciatica: posture, movement and support.
- Pregnancy pillow guide, maternity belt and compression socks: what each one is for and how to choose.
Is this normal? When to call
Tiredness, mild aches, nausea and a bit of anxiety are part of most pregnancies. The NHS and the CDC list the symptoms that should never wait for your next appointment.
| Symptom | Why it matters |
|---|---|
| Severe headache, or one that will not go away | Can be a sign of pre-eclampsia |
| Sudden vision changes, blurring or flashing lights | Can be a sign of pre-eclampsia |
| Sudden swelling of the face, hands or feet | Pre-eclampsia or a blood clot (DVT) |
| Vaginal bleeding, or fluid leaking | Needs checking at any stage |
| Your baby moving less, or a change in the pattern | Call your maternity unit immediately, day or night |
| Fever (NHS: 38°C or above; CDC: 100.4°F or higher) | Can be a sign of infection |
| Chest pain, trouble breathing, fainting | Needs urgent care |
| Thoughts of harming yourself or your baby | Help is available now |
In the UK, call 999 for a life-threatening emergency and NHS 111 if you are not sure what to do. In the US, call 911 in an emergency. Otherwise, call your midwife, maternity unit or OB-GYN, whatever the hour.
Every family, every path
Solo, with a husband, a wife or a co-parent, pregnant naturally or after IVF: every guide here is written for you. If you conceived through IVF, your clinic will give you your dates, and the trimesters work the same way from there.
Printable checklist: this week
Get organised
- Pregnancy checklist by trimester: what to book, buy and decide, and when.
- Prenatal appointments: the US and UK schedules side by side.
- Maternity clothes sizing: how to measure and when to size up.
All pregnancy guides
Questions parents ask
How are the weeks of pregnancy counted?
From the first day of your last menstrual period, not from conception. ACOG explains that this adds about two weeks at the start, which is why a full-term pregnancy is described as about 40 weeks.
How likely am I to give birth on my due date?
Not very. ACOG notes that only about 1 in 20 women give birth on their due date. The date is still useful because it sets the timing of your scans and tests.
Who should I call if something feels wrong?
Your midwife, maternity unit or OB-GYN office first. In the UK, call NHS 111 if you are unsure and 999 in an emergency; in the US, call 911 in an emergency.
Sources
- ACOG — How Your Fetus Grows During Pregnancy checked October 13, 2026
- ACOG — Routine Tests During Pregnancy checked October 13, 2026
- NHS — Pregnancy symptoms you need to get help for checked October 13, 2026
- CDC — Urgent Maternal Warning Signs (Hear Her) checked October 13, 2026
- NHS — 20-week scan checked October 13, 2026
- NHS — Foods to avoid in pregnancy (caffeine limit) checked October 13, 2026
- ACOG — Exercise During Pregnancy checked October 13, 2026
- NHS — Stillbirth (going to sleep on your side after 28 weeks) checked October 13, 2026
Mamavela explains; it does not replace your midwife, doctor or pediatrician, who know your situation. If something worries you, call them. In an emergency, call 911 (US), 999 (UK) or 112.