First Trimester Checklist: Things You Must Do After You Get a Positive Test

You’ve just seen those two pink lines or received the confirmation blood report — you’re pregnant! While this is an exciting milestone, it’s also the beginning of many new decisions and responsibilities. The first trimester (weeks 1 to 13) is a crucial period in fetal development, and following the right steps now can make a huge difference for both mother and baby.

First Trimester Checklist: Things You Must Do After You Get a Positive Test

At Nucleus IVF, Wakad Pune, Dr. Pritam Sulakhe outlines an essential checklist that every newly pregnant woman should follow during her first trimester.

✅ 1. Schedule Your First Prenatal Appointment

Booking a doctor’s appointment should be the first thing you do after getting a positive test.

Why it’s important:

  • Confirms pregnancy through blood test (beta-hCG)
  • Ultrasound to check for fetal heartbeat or gestational sac
  • Collects detailed medical history to evaluate potential risks

What to expect during your visit:

  • Pelvic exam
  • Blood and urine tests
  • Lifestyle assessment and future prenatal plan

🩺 At Nucleus IVF, Dr. Sulakhe takes the time to explain your baby’s early development and what you should expect in the coming weeks.

✅ 2. Start Prenatal Vitamins

Early in pregnancy, your baby’s brain and spine begin forming — which is why folic acid and other supplements are so crucial.

Essential supplements you should start immediately:

  • Folic Acid (400–500 mcg/day): Prevents neural tube defects
  • Iron: Helps prevent anemia
  • Calcium & Vitamin D: Strengthen bones for both mother and baby
  • Omega-3 & DHA: Promote healthy fetal brain development

📝 Consult your doctor before starting anything — not all over-the-counter brands are safe.

First Trimester Checklist: Things You Must Do After You Get a Positive Test

✅ 3. Focus on a Nutrient-Rich Diet

Your eating habits will directly impact your baby’s growth in the early weeks.

Eat more of:

  • Leafy greens (iron, calcium, folate)
  • Whole grains (fiber, energy)
  • Fruits like oranges, bananas, and apples (vitamins, hydration)
  • Proteins: dal, paneer, chicken, and eggs (muscle and tissue building)

Avoid or limit:

  • Raw/undercooked eggs and meat
  • Soft, unpasteurized cheeses
  • High-sugar snacks and sugary drinks
  • Fish with high mercury (like shark, swordfish)

💡 Tip: Try eating smaller, frequent meals throughout the day to reduce nausea and boost energy.

✅ 4. Learn the Do’s and Don’ts Early

This is the time to avoid harmful habits and make pregnancy-safe lifestyle choices.

DO:

  • Drink plenty of water
  • Sleep 7–8 hours per night
  • Practice light walks or prenatal yoga
  • Track your prenatal appointments

DON’T:

  • Drink alcohol or smoke
  • Take medicines without a doctor’s approval
  • Engage in high-risk activities or heavy lifting
  • Stress unnecessarily — stay calm and informed

⚠️ Always ask your doctor before taking painkillers, antibiotics, or herbal remedies.

✅ 5. Prepare for Common Pregnancy Symptoms

First-trimester symptoms can be challenging, but manageable with the right approach.

You may experience:

  • Morning sickness
  • Fatigue
  • Mood swings
  • Food aversions
  • Tender breasts

How to manage them:

  • Eat plain crackers before getting out of bed (reduces nausea)
  • Take vitamin B6 (with doctor’s approval)
  • Rest often and reduce screen time
  • Use warm compresses for breast soreness

💬 Remember, these symptoms are usually temporary — they signal that your hormones are working!

✅ 6. Know the Warning Signs

While most pregnancies progress smoothly, some warning signs should not be ignored.

Call your doctor immediately if you notice:

  • Heavy vaginal bleeding
  • Severe cramping or abdominal pain
  • Dizziness or fainting
  • Fever above 100.4°F (38°C)
  • Persistent vomiting and dehydration

🩺 Early intervention can prevent complications and save lives.

✅ 7. Emotional and Mental Health Support

Your body isn’t the only thing going through changes — your mind is too.

Tips for mental wellbeing:

  • Stay in regular touch with your doctor
  • Journal your feelings, fears, and joys
  • Practice guided breathing or meditation
  • Join prenatal groups or forums for support

🧘 Nucleus IVF provides emotional and psychological counseling services to support your journey from conception to delivery.

✅ 8. Get Early Screening and Lab Tests

During the first trimester, several important screenings help assess both your and your baby’s health.

You may need:

  • Blood group & Rh typing
  • Thyroid panel
  • HbA1c or blood sugar
  • Ultrasound for dating scan
  • NT scan for chromosomal abnormalities (at 11–13 weeks)

🧪 These tests help catch conditions like gestational diabetes, thyroid imbalances, and infections early.

✅ 9. Adjust Your Lifestyle and Environment

Your home, workplace, and daily routine will likely need small adjustments.

Consider:

  • Limiting exposure to harsh chemicals and pesticides
  • Avoiding climbing stairs frequently
  • Wearing non-slip footwear
  • Delegating physically strenuous chores
  • Preparing for future maternity leave

👟 Comfort, rest, and safety are priorities during these delicate weeks.

✅ 10. Educate Yourself Without Overloading

Pregnancy brings lots of advice — some helpful, some outdated.

How to stay informed:

  • Follow your doctor’s advice first
  • Subscribe to one trusted pregnancy app
  • Read Indian pregnancy blogs backed by doctors
  • Ignore unsolicited and superstitious advice

📱 At Nucleus IVF, we guide expectant mothers with scientifically correct information in simple language.

Final Words: You’ve Got This, One Week at a Time!

The first trimester can be overwhelming, but with the right steps, it becomes empowering. You’re creating a life — and that’s no small thing! Trust your body, trust your medical team, and take things one day at a time.

If you’re in Wakad, Pune or nearby areas like Hinjewadi, Baner, or Pimple Saudagar, visit Nucleus IVF for compassionate care, expert advice, and the best facilities.

📞 Book your first-trimester consultation with Dr. Pritam Sulakhe today!

Dr. Pritam Prakash Sulakhe

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