Your First Trimester

Getting Through the First Trimester in a Pregnancy After Miscarriage

If you are pregnant after a miscarriage, or if you think you might be, you may be feeling joyful, scared, or even both. You may be wondering how careful you should be during your first trimester compared to if you hadn't had the miscarriage. Once your pregnancy is confirmed, however, it helps to take things one step at a time—and the first step is simply getting through that first trimester.

Here are some tips on how to handle your first twelve weeks of pregnancy after a miscarriage.

Take a Pregnancy Test

hands holding pregnancy test

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If your period is late, it's definitely time for a pregnancy test.

Home pregnancy tests are fairly reliable as long as you follow the instructions , which can vary by the brand of test you are using. Here are some general pointers to keep in mind that will help you understand what you're seeing in your test results.

  • Use first-morning urine, and if that is not possible, make sure the urine has been in your bladder for at least four hours.
  • Don't drink a ton of water in order to have enough urine to do the test. This can dilute your test, possibly giving you a negative reading even if you are pregnant.
  • Keep in mind that some fertility medications can affect test results.
  • Make sure to read the package directions carefully before taking the test.

Choose a Practitioner With Whom You Feel Comfortable

Pregnant woman talking to her doctor

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You may already have a doctor or midwife in mind for your prenatal care, but if you were not satisfied with your current practitioner's treatment during your miscarriage, you may want to consider choosing a new provider to manage your care during your next pregnancy.

Calculate Your Due Date

calendar with x's and a due date

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If you know the first day of your last menstrual period, you can calculate an estimated due date for your new pregnancy using Naegele's rule:

1. Determine the date of your last menstrual period and add seven days.

2. Now, subtract three months. This is your due date.

(For example, if your last menstrual period was March 7, add 7 days to get March 14. Now subtract 3 months. Your due date would be December 14.)

Talk to your doctor if you have an irregular menstrual cycle or if you conceived immediately after a miscarriage. Even though the due date calculator is fairly accurate for those with regular menstrual cycles, you may need an early ultrasound to more accurately establish your due date.

Understand Morning Sickness

Pregnant woman with morning sickness

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Morning sickness usually starts before the ninth week of pregnancy. Many pregnant women dread morning sickness, but many women who have had a miscarriage feel relief upon experiencing it, since research shows that feeling morning sickness may mean miscarriage is less likely. But keep in mind that lack of morning sickness, or even loss of morning sickness, is not a sign of miscarriage.

Know What Your Ultrasound Might Look Like

Woman examining ultrasound of fetus
Maria Teijeiro / Getty Images

If you're curious how your ultrasound pictures compare to others in the same point of pregnancy, you can take the time to look at other first-trimester ultrasound pictures. You can view pictures from singleton and twin pregnancies, ranging from four to 12 weeks' gestation.

Watch What You Eat

When you're pregnant, you're more susceptible to food poisoning—and food-borne infections can be more dangerous during pregnancy than when you're not pregnant. An example is listeriosis, which usually causes only mild symptoms in a pregnant woman, but can cause miscarriage, stillbirth, and other pregnancy complications.

Don't panic, however, because avoiding food-borne illness is relatively easy as long as you know what to look for and take precautions whenever you can. You can also ask your doctor about foods to avoid during pregnancy.

Have Sex If You Want To

Many couples are afraid of having sex during pregnancy after having experienced a miscarriage. However, there is no existing research evidence linking sex to miscarriage. There are certain conditions in which sex may not be advisable, but these are very uncommon. Your doctor will make you aware if there is any existing risks for your situation, but if you have any concerns, don't hesitate to bring it up yourself.

Announce Your Pregnancy

It is completely up to you to let others know that you are pregnant. Depending on how people reacted to your miscarriage news, if you told them, you may decide to announce your pregnancy immediately or wait until you finish the first trimester. This is a very personal decision and there is no right or wrong time to announce your pregnancy.

Start Planning

First trimester is not too early to begin planning. Photo © B2M Productions / Getty Images

You may feel it's too early to be thinking about baby names and baby showers quite yet, which is completely understandable. But there is also some planning that you can and should start during the first trimester, such as watching your nutrient intake, exercising appropriately, and avoiding alcohol and cigarette smoke. If you're known to be a planner, making a first-trimester checklist can help you streamline your planning accordingly.

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6 Sources
Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  2. Share with women. When is my baby due?. J Midwifery Womens Health. 2014;59(6):673-4.  doi:10.1111/jmwh.12267

  3. Morning sickness: nausea and vomiting of pregnancy. The American College of Obstetricians and Gynecologists. 2018.

  4. Hinkle SN, Mumford SL, Grantz KL, et al. Association of Nausea and Vomiting During Pregnancy With Pregnancy Loss: A Secondary Analysis of a Randomized Clinical Trial. JAMA Intern Med. 2016;176(11):1621-1627.  doi:10.1001/jamainternmed.2016.5641

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