What to Do After Getting Pregnant: A Comprehensive Guide for First-Time Moms

Discovering you’re pregnant can be one of the most exciting and overwhelming times for any woman. As you prepare to embark on the journey of motherhood, there are many important things you need to know and do after that positive pregnancy test. This comprehensive guide covers everything first-time moms need to be aware of in the early stages of pregnancy.

Key Takeaways:

  • Confirm the pregnancy with your doctor and estimate your due date
  • Make lifestyle changes like taking prenatal vitamins, eating healthy, exercising safely, and avoiding harmful substances
  • Choose an obstetrician or midwife and understand the prenatal care schedule
  • Manage common early pregnancy symptoms like nausea, fatigue, and frequent urination
  • Tell your partner, close friends and family when you feel ready
  • Learn about your health insurance, disability and leave options well in advance
  • Deal with emotions like anxiety, fear, excitement and make mental preparations
  • Understand pregnancy dos and don’ts, safe practices, and how your body is changing

Confirming the Pregnancy

The first thing to do after a positive at-home pregnancy test is schedule an appointment with your primary care doctor or gynecologist to confirm the pregnancy with a blood test or sonogram. This will verify how far along you are and your projected due date, which is important for guiding prenatal care. An exam will also check your overall health to uncover any potential pregnancy complications early.

Making Lifestyle Changes

One of the most vital things for expectant mothers is making wise lifestyle choices to nurture your health and the development of your baby. Here are some of the top recommendations:

Take Prenatal Vitamins

Prenatal vitamins provide extra folic acid, iron, calcium and other essential nutrients that help prevent birth defects and support the baby’s growth. Taking them for at least 3 months before conception is ideal. Ask your doctor to recommend the best brand.

Eat a Balanced Diet

Focus on getting plenty of protein, fruits and vegetables, whole grains, fiber and healthy fats like avocado. Stay hydrated by drinking at least 64 ounces of water daily. Gain weight steadily within recommended guidelines.

Be Cautious About Certain Foods

Avoid raw meat, fish, eggs, unpasteurized products, excessive caffeine and alcoholic beverages. These foods have a higher risk of toxins and bacteria. Also be mindful of vitamin A intake.

Exercise Safely

Unless your doctor instructs otherwise, aim for about 30 minutes per day of safe moderate exercise like walking, swimming, prenatal yoga or light strength training. This benefits your cardiovascular health, mood, energy levels, sleep and prepares your body for labor. Avoid contact sports, hot yoga, and high intensity workouts.

Reduce Stress

Anxiety and stress are detrimental to maternal and fetal health. Make rest, relaxation and self-care a top priority. Try prenatal massages, meditation, journaling, or talking with a therapist. Look for social support and practice positive coping strategies.

Avoid Toxic Substances

Steer clear of tobacco, second-hand smoke, alcohol, recreational drugs, and chemical or environmental toxins that could be harmful. Talk to your doctor about limiting caffeine intake. Know any medications or supplements should be pregnancy-safe.

Choosing a Healthcare Provider

Research obstetricians (particularly important for high risk pregnancies) and midwives in your area to find one you trust for prenatal care and delivery. Make sure they accept your health insurance. Ask about their credentials, experience, hospital affiliations, philosophies on interventions, and Cesarean rates if choosing an obstetrician. Schedule your first visit early on.

Understanding Prenatal Care

Prenatal visits are essential for monitoring your health and your baby’s development, usually occuring:

  • Once a month until week 28
  • Twice a month until week 36
  • Weekly after that until delivery

Testing includes blood work, urinalysis, ultrasounds, nonstress tests, and screening for medical conditions and genetic abnormalities. Testing schedules vary – discuss a routine with your provider. Get all recommended immunizations, like the flu and Tdap vaccines. Report any concerning symptoms immediately.

Coping With Early Pregnancy Symptoms

Nausea, vomiting, fatigue, food aversions, frequent urination and tender breasts are common in early pregnancy. To minimize discomfort:

  • Eat small, frequent meals of bland foods high in protein and vitamin B6
  • Stay hydrated with water or electrolyte drinks
  • Rest as much as possible
  • Take over-the-counter medications only if approved by your doctor
  • Use Sea-Bands, ginger supplements, or essential oils for nausea
  • Urinate frequently to avoid UTIs
  • Wear loose, comfortable clothing and bras

Symptoms should lessen and energy levels rise during the second trimester. Discuss persistent symptoms with your doctor.

Sharing Your News

Deciding when to tell close friends, family, and coworkers is a personal choice. Some announce it immediately, others after the first trimester when the risk of miscarriage drops. Think about who will provide the support you need and when you must notify your employer. However, you may choose to keep it private longer. There are no rules – do what feels right for you.

Handling Finances, Insurance and Leave

Pregnancy and childbirth costs can be expensive. Review your health insurance policy and account for out-of-pocket fees like deductibles, co-pays, and hospital stays. Look into supplemental maternity benefits or pregnancy Medicaid if uninsured. Investigate eligibility and timing for FMLA, short-term disability, PTO, and unpaid leave that may apply. Make a budget for baby gear, supplies, classes, and other upcoming costs.

Processing Your Emotions

It’s normal to experience a wide spectrum of emotions after finding out you’re pregnant – joy, fear, anxiety, excitement, gratitude, overwhelm, and everything in between! Share feelings openly with loved ones. Journal. Make mental space to accept this life transition. Visualize your hopes and dreams for your child. Surround yourself with positivity. Know that some anxiety is common, but seek professional help if it becomes severe. Your emotions help shape your child’s emotional development, so foster inner calm and self-love. This is a precious time!

Understanding the Dos and Don’ts

Once pregnant, there are many dos and don’ts to be aware of for protecting your health and safety:


  • Take a prenatal vitamin with folic acid daily
  • Drink plenty of water and eat small, frequent nutritious meals
  • Exercise for 30 minutes per day (with medical approval)
  • Get adequate sleep and take breaks to rest
  • Use heating pads or warm baths to ease aches and pains
  • Have sex if desired, unless your doctor instructs otherwise


  • Smoke, vape, drink alcohol or use recreational drugs
  • Change kitty litter due to toxic parasites
  • Skip meals for long periods
  • Eat undercooked meat, fish, eggs or unpasteurized products
  • Overheat in hot tubs, saunas or tanning beds
  • Douche or take unnecessary medications or herbs

Follow all medical instructions. Make sure home and work environments are safe – avoid toxins, chemicals, heavy lifting over 20 lbs, high stress, and cat feces.

How Your Body Changes

Throughout pregnancy, your body undergoes incredible changes to support the developing baby. Here’s an overview of what to expect:

First Trimester

Your uterus expands, breasts become tender and swollen, frequent urination begins, pregnancy hormones increase causing nausea, fatigue sets in, and subtle weight gain starts. Cramping may occur.

Second Trimester

You’ll really start showing! Your uterus continues growing up past your belly button. Symptoms subside while your energy increases. Your body produces more blood and fluids. Fetal movement becomes noticeable. Stretch marks may develop.

Third Trimester

Rapid baby growth makes your belly very large. Contractions might begin. Breathing is easier with baby dropping lower. Swelling in hands and feet happens. Heartburn, leg cramps and other discomforts are common. Prepare your body for labor and delivery.

Each woman experiences pregnancy differently – embrace all the beauty and challenges. Talk to other moms and trust your maternal instincts!

Frequently Asked Questions

What pregnancy tests are most accurate?

Blood tests at your doctor’s office and digital tests that read “pregnant” or “not pregnant” are more accurate than traditional line tests, especially if taken after a missed period. Line tests work best first thing in the morning using concentrated urine. False negatives are more common than false positives. Confirm with a doctor regardless.

Can I exercise regularly while pregnant?

Unless your provider instructs otherwise, aim to exercise about 30 minutes per day with your doctor’s approval. Walking, swimming, prenatal yoga and light strength training are great options that benefit your health. Avoid contact sports, hot yoga, activities with high fall risk, and working out to exhaustion. Stay hydrated and listen to your body.

When will I start showing with my first pregnancy?

Most women start subtly showing between 12-16 weeks with first pregnancies as the uterus grows upwards. However, factors like your body type, abdominal muscles, hydration levels, bloating and weight gain impact when you show. Don’t worry if you show early or late – each pregnancy is unique!

How much weight should I gain during pregnancy?

The amount depends on your pre-pregnancy BMI. Average guidelines are 25-35 lbs for women with normal BMI, 15-25 lbs for overweight women, and 28-40 lbs for underweight women. Focus on healthy eating patterns rather than strict weight targets. Your doctor will guide you.

What over-the-counter medications are safe?

Acetaminophen, certain allergy, heartburn or stool softener medications may be deemed safe by your provider. Avoid ibuprofen. Check with your doctor before taking anything as certain drugs could harm your baby. Don’t take herbal supplements. Staying hydrated and resting eases many first trimester woes best of all.

Discovering you are pregnant sparks immense joy, nerves, physical changes and preparation for the months ahead. Take it one step at a time. Savor your pregnancy journey and know you have resources and support around you. Trust your body, advocate for your needs, and get ready to welcome your precious little one into the world!

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