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First-Time Mum? What to Expect in the First Few Weeks of Pregnancy

  • Writer: Jessica Ball
    Jessica Ball
  • Jan 8
  • 3 min read

Finding out you’re pregnant for the first time is a life-changing moment. For many women, it brings excitement, disbelief, happiness — and a surprising amount of uncertainty. The first few weeks of pregnancy can feel confusing, especially when symptoms vary and there is little visible reassurance while waiting for your first NHS scan.

If you’re a first-time mum, it’s completely normal to wonder whether what you’re feeling is “normal” and what you should expect next. This guide walks you through the early weeks of pregnancy, both physically and emotionally, so you can feel more informed and reassured as your journey begins.

Symptoms of Pregnancy in the First Week

The First Few Weeks: Why They Can Feel So Unsettling

In the UK, pregnancy is dated from the first day of your last period, which means you’re already considered around four weeks pregnant when you first get a positive test. At this stage, a lot is happening inside your body — even though you may not feel pregnant at all.

For first-time mums, this can be unsettling. You may be expecting obvious signs, yet find yourself questioning everything from mild cramps to sudden fatigue. The lack of routine scans or appointments in the early weeks can add to this uncertainty.

Common Early Pregnancy Symptoms

Every pregnancy is different, but many first-time mums experience some of the following symptoms in the first few weeks:

Fatigue

Feeling unusually tired is one of the earliest and most common symptoms. Your body is working hard to support early development, even before a visible bump appears.

Nausea or Food Aversions

Morning sickness doesn’t always happen in the morning — and not everyone experiences it. Some women notice nausea, others simply feel off-put by foods or smells.

Breast Changes

Breasts may feel tender, fuller, or more sensitive due to hormonal changes.

Mild Cramping

Light cramping can be normal as the uterus begins to change. This can be worrying for first-time mums, but it is often harmless.

Emotional Changes

Hormonal shifts can cause mood swings, tearfulness, or anxiety. Many first-time mums are surprised by how emotional early pregnancy can feel.

It’s also normal to have very few symptoms, which does not automatically mean anything is wrong. Early Pregnancy Anxiety: Why It’s So Common

For first-time mums, everything is new. You may find yourself:

  • Overanalysing symptoms

  • Worrying when symptoms change or disappear

  • Feeling unsure when you don’t “feel pregnant enough”

  • Anxious while waiting for confirmation everything is progressing

This anxiety is extremely common and understandable, particularly during the weeks before your first scan.


When Are Scans Offered in the UK?

On the NHS, the first routine pregnancy scan usually takes place between 11 and 14 weeks. Until then, there may be little physical confirmation that everything is developing normally.

Because of this gap, many first-time mums choose to have a private early pregnancy scan, often from around 6 weeks, for reassurance.


How an Early Pregnancy Scan Can Help First-Time Mums

An early reassurance scan can help:

Pregnancy Symptom Timeline
  • Confirm the pregnancy is developing in the uterus

  • Check early development

  • Detect a heartbeat in many cases

  • Reduce anxiety during the early weeks

For many first-time mums, seeing their pregnancy on screen — and possibly hearing the heartbeat — makes everything feel more real and far less frightening.


It’s important to know that early scans do not replace NHS care, but complement it by offering reassurance during the waiting period.


What’s Normal — and When to Seek Advice

As a first-time mum, it can be hard to know when to worry. While many early symptoms are normal, you should seek medical advice if you experience:

  • Heavy bleeding

  • Severe or persistent pain

  • Sudden, concerning changes in how you feel

A reputable clinic or healthcare provider will always encourage you to ask questions and seek reassurance when needed.

Taking Care of Yourself in the Early Weeks

The early weeks of pregnancy are as much about emotional wellbeing as physical health. Simple steps can help:

  • Rest when you need to

  • Eat little and often if nausea is present

  • Avoid comparing your pregnancy to others

  • Seek reassurance if anxiety feels overwhelming

There is no “right” way to feel during early pregnancy — especially the first time.

A Gentle Beginning to Motherhood

The first few weeks of pregnancy can feel uncertain, emotional, and at times overwhelming — particularly for first-time mums. Understanding what’s normal, knowing what support is available, and allowing yourself reassurance can make a meaningful difference.

Whether through trusted healthcare providers, early pregnancy scans, or simply giving yourself time to adjust, these early weeks are the beginning of an extraordinary journey.


 
 
 

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