The three trimesters explained

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Published 21 May 2025 | Written by Dr Martin Jones

A Simple Guide to Understanding the Stages of Pregnancy

Pregnancy is an incredible journey filled with excitement, change, and a whole lot of learning. To make this beautiful experience easier to understand, it is divided into three main phases called trimesters. Each trimester lasts about three months and marks a different stage in the baby’s growth and the mother's body changes. Whether you're a first-time parent or just curious about what happens during pregnancy, here’s a simple breakdown of what to expect during each trimester.


First Trimester (Week 1 to Week 12): The Beginning

The first trimester starts from the very first day of your last period and continues until the end of week 12. During this time, even though your baby is still tiny, there’s a lot happening!

What’s happening to the baby?

  • The baby develops from a tiny cluster of cells into an embryo, and then a fetus.

  • Major organs like the brain, heart, and spinal cord start to form.

  • By the end of this trimester, the baby has arms, legs, fingers, and toes.

What changes in your body?

  • Hormonal changes can cause tiredness, morning sickness, mood swings, and breast tenderness.

  • You may need more rest and experience strong smells or food aversions.

Tips for the first trimester:

  • Start taking prenatal vitamins with folic acid.

  • Stay hydrated and eat nutritious, small meals.

  • Book your first prenatal check-up.


Second Trimester (Week 13 to Week 26): The Energy Phase

Often called the "golden period" of pregnancy, the second trimester is when many women start feeling better and more energetic.

What’s happening to the baby?

  • The baby starts to grow rapidly, and you may begin to feel movements (called “quickening”).

  • Features like eyebrows, eyelashes, and fingerprints develop.

  • The baby's heartbeat can be heard with a stethoscope or doppler.

What changes in your body?

  • Baby bump becomes noticeable.

  • Common symptoms include backache, leg cramps, and stretch marks.

  • You may feel more emotionally balanced and physically active.

Tips for the second trimester:

  • Go for your mid-pregnancy ultrasound to check baby’s development.

  • Start gentle prenatal exercises or yoga (with your doctor’s approval).

  • Begin planning your maternity leave and birth preferences.


Third Trimester (Week 27 to Birth): The Final Countdown

The third trimester is the last stretch of the pregnancy journey, where anticipation builds and preparations for delivery begin.

What’s happening to the baby?

  • The baby gains weight, and vital organs like the lungs mature.

  • Eyes open and close, and the baby starts responding to sounds and light.

  • Baby moves into a head-down position in preparation for birth.

What changes in your body?

  • Increased fatigue, frequent urination, and difficulty sleeping.

  • Braxton Hicks contractions (practice contractions) may begin.

  • The belly is at its largest, and you may feel pressure on your bladder and lower back.

Tips for the third trimester:

  • Pack your hospital bag and prepare for labor.

  • Attend birthing classes if available.

  • Keep track of baby movements and attend regular check-ups.


Final Thoughts

Each trimester of pregnancy brings its own joys, challenges, and milestones. Understanding what happens in each stage can help expectant parents feel more informed and prepared. Remember, every pregnancy is unique. Always consult with your doctor or midwife for personalized advice and support throughout your pregnancy.