First Trimester FAQs (Answered by a Certified Nurse Midwife)
The first trimester is exciting, overwhelming, and often full of questions. Whether this is your first baby or your third, those first twelve weeks bring change and curiosity. To guide you through, Rhonda—a certified nurse midwife and founder/owner of The Pregnancy Bar—shares answers to some of the most common first trimester pregnancy questions new moms ask.
1. When should I schedule my first prenatal appointment?
Most providers recommend scheduling your first prenatal visit between weeks 8 and 10. This first appointment usually includes a review of your health history, a physical exam, blood work, and sometimes an early ultrasound to confirm dating and viability.
2. What foods should I avoid in the first trimester?
Some foods can carry risks in pregnancy. In the first trimester (and throughout), it’s best to avoid:
Raw or undercooked meat, eggs, and seafood
Deli meats and unpasteurized cheeses
Fish high in mercury (like shark, king mackerel, swordfish, tilefish)
Excess caffeine (limit to ~200 mg/day)
Instead, aim for a balanced diet with whole grains, lean proteins, fruits, vegetables, and healthy fats.
3. Is spotting or mild cramping normal?
Light spotting and mild cramping can happen in early pregnancy as your body adjusts to hormonal changes and implantation. But if you experience heavy bleeding, severe cramping, or dizziness, call your provider right away for evaluation.
4. What about exercise — is it safe?
In most healthy pregnancies, moderate exercise is not only safe, it’s encouraged. Walking, swimming, and prenatal yoga & pilates can help boost energy, reduce stress, and support circulation. Always check with your provider before beginning or continuing any fitness program.
5. What’s the best prenatal vitamin to take?
Look for a prenatal vitamin that includes:
Folic acid (400–800 mcg daily) for neural tube development
Iron to support blood volume
Vitamin D for bone health
Calcium for both maternal and fetal needs
The first trimester is full of change, but it doesn’t have to be overwhelming. With the right information and support, you can feel confident and cared for as you step into this next chapter. And remember—there are no “silly” questions in pregnancy. Always bring your concerns to your provider.
