I’m Pregnant, What Do I Do Now?
First things first—congratulations! Discovering you’re pregnant can bring a mixture of joy, surprise, and maybe even a little anxiety. However you’re feeling, know that you are not alone. Here’s our helpful guide packed with first trimester tips, early pregnancy advice, and everything you need to know as you begin preparing for your baby’s arrival.
Be Aware of Early Pregnancy Symptoms
You might be wondering what to expect during these early weeks. Common early pregnancy symptoms include:
- Nausea (often called morning sickness)
- Tender or swollen breasts
- Fatigue
- Frequent urination
- Mood changes
- Bloating
- Mild cramping
You might also notice:
- A heightened sense of smell
- Food aversions or cravings
- Light spotting (known as implantation bleeding)
Every pregnancy is unique—some people experience many symptoms, while others may notice very few. If you’re ever worried about any symptoms, always check with your midwife or GP for peace of mind. The NHS also have a helpful guide here.
Confirm Your Pregnancy
Your first step is to confirm your pregnancy with a home pregnancy test. For the most accurate result, it’s best to use your first wee of the day, when the pregnancy hormone (hCG) is most concentrated. Home pregnancy tests are widely available in pharmacies and supermarkets and are generally very reliable if used correctly.
If you’re unsure of your result or want extra reassurance, your GP can confirm your pregnancy with a urine or blood test. It’s a good idea to note the date of your last period, as this will help calculate your due date.
Book Your First Midwife Appointment
Once your pregnancy is confirmed, it’s time to arrange your antenatal booking appointment with a midwife. This usually happens between 8 and 10 weeks and marks the start of your pregnancy care journey.
At your first appointment, you’ll chat about:
- Your health and wellbeing
- Your family’s medical history (and your partner’s, if applicable)
- Lifestyle factors like smoking, alcohol, and any medications
You’ll also have your:
- Height, weight, and BMI (Body Mass Index) checked
- Blood pressure taken
- Urine tested
A blood sample will likely be taken to check your general health, blood group, and screen for infections such as HIV, syphilis, and hepatitis B. Your midwife will also explain the antenatal screening tests available, which check for certain conditions and genetic risks.
If you’re unsure what to expect, preparing a few questions beforehand can help you feel more confident during the appointment.
Start Taking Folic Acid and Vitamin D
To support your baby’s healthy development, the NHS recommends you begin taking the following either while trying to conceive or immediately after discovering you’re expecting:
- Folic acid (400 micrograms daily) up to at least 12 weeks to help prevent neural tube defects
- Vitamin D (10 micrograms daily) throughout pregnancy to support your baby’s bones, teeth, and immune system
In some cases (for example, if you have a higher BMI, diabetes, or certain medical conditions), your midwife may advise a higher dose of folic acid. Always check if you're unsure.
A balanced pregnancy diet—rich in fruits, vegetables, whole grains, calcium, and iron—is also key to supporting your health. Staying hydrated and getting gentle exercise (like walking or pregnancy yoga) can help you feel your best.
Know What to Avoid During Pregnancy
Making a few small adjustments can go a long way in protecting you and your growing baby. Things to avoid when pregnant include:
- Alcohol
- Smoking and vaping
- Certain foods like soft cheeses with mould, pâté, raw eggs, and undercooked meat
- Fish high in mercury
- High doses of vitamin A
- Some over-the-counter medications (always check with your pharmacist or GP)
- Hot tubs, saunas, and steam rooms, which can raise your body temperature too high
It’s also wise to limit your caffeine intake to no more than 200mg per day (about two mugs of instant coffee).
You may want to start thinking about reducing any heavy lifting and ensuring your work environment is safe and supportive during your pregnancy.
Start Thinking About Your Baby’s Development
It’s never too early to begin learning about your baby’s development. During the first trimester, your baby’s:
- Brain, spinal cord, and heart begin to form
- Arms, legs, and facial features start developing
- Major organs begin to take shape
Following a week-by-week pregnancy guide can help you feel more connected and prepared as your baby grows.
Look After Your Emotional Wellbeing
Pregnancy is a time of exciting but significant change—not just physically, but emotionally too. It’s completely normal to feel a mix of emotions, including excitement, anxiety, or even moments of sadness. Hormonal shifts, lifestyle changes, and the reality of preparing for a baby can all affect your mood.
Always remember: your midwife and GP are there to support your mental wellbeing as much as your physical health. You might also find comfort in:
- Joining a pregnancy support group
- Attending antenatal classes
- Talking openly with your partner, family, or friends about how you’re feeling
Self-care matters—whether it’s taking a nap, getting fresh air, or setting aside time to unwind.
Every pregnancy is a unique and personal journey. Trust your instincts, lean on your support system, and never hesitate to ask questions—whether they feel big or small. Taking care of yourself is the very best way to care for your growing baby.
