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First trimester pregnancy: What to expect

Your relationship with your partner

Becoming a mother takes time away from other roles and relationships. You may lose some of your psychological identity as a partner and lover — but good communication can help you keep intimacy alive.

  • Be honest. Let your partner know that you need support and tenderness — sometimes without sexual overtones. Identify the stress points in your relationship before they become problematic.
  • Be patient. Occasional misunderstandings and conflicts are inevitable. Consider both sides. If your partner dives into work, for example, you may feel hurt and rejected because it appears as a withdrawal from your relationship. Your partner, on the other hand, may simply be trying to provide more security for your family.
  • Be supportive. Encourage your partner to identify any doubts or worries. Do the same yourself. Discussing your feelings honestly and openly will strengthen your relationship and help you begin preparing a home for your baby.

Appointments with your health care provider

Whether you choose a family physician, obstetrician or nurse-midwife, your health care provider will treat, educate and reassure you throughout your pregnancy. He or she is there to help you celebrate the miracle of birth.

Your first visit will focus mainly on assessing your overall health, identifying any risk factors and determining your baby's gestational age. Your health care provider will ask detailed questions about your health history. Be honest. The answers you provide will help you and your baby receive the best care. If you're uncomfortable discussing your health history in front of your partner, schedule a private consultation with your health care provider.

After the first visit, you may be asked to schedule checkups every four to six weeks until the last month of your pregnancy, when you may need checkups every week or two. During these appointments, raise any concerns or fears you may have about pregnancy, childbirth or life with a newborn. It may help to write down your questions so that you remember to discuss them. No question is silly or unimportant — and the answers can help you take the best care of yourself and your baby.

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References
  1. Hill CC, et al. Physiologic changes in pregnancy. Surgical Clinics of North America. 2008;88:391.
  2. Stress and prematurity. March of Dimes. Accessed March 9, 2009.
  3. Healthy pregnancy. U.S. Department of Health and Human Services. http://www.womenshealth.gov/pregnancy/you-are-pregnant/stages-of-pregnancy.cfm#c. Accessed March 9, 2009.
  4. Breast changes. March of Dimes. http://www.marchofdimes.com/pnhec/159_15243.asp. Accessed March 9, 2009.
  5. Ectopic pregnancy. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp155.cfm. Accessed March 9, 2009.
  6. You and your baby: Prenatal care, labor and delivery, and postpartum care. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/ab005.cfm. Accessed March 9, 2009.
  7. Fatigue. March of Dimes. http://search.marchofdimes.com/cgi-bin/MsmGo.exe?grab_id=6&page_id=5439744&query=dizziness&hiword=dizziness+. Accessed March 10, 2009.
  8. Prenatal care. March of Dimes. http://search.marchofdimes.com/cgi-bin/MsmGo.exe?grab_id=6&page_id=11010048&query=prenatal&hiword=PRENATALLY+prenatal+. Accessed March 10, 2009.
  9. Morning sickness. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp126.cfm. Accessed March 11, 2009.
  10. Urinary tract infections. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp050.cfm. Accessed March 11, 2009.
  11. Harms RW (expert opinion). Mayo Clinic, Rochester, Minn. March 12, 2009.
  12. Murry MM (expert opinion). Mayo Clinic, Rochester, Minn. March 17, 2009.

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June 20, 2009

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