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8

First trimester · 8 weeks pregnant

Week 8: fingers, toes and the first appointment

Everything is in miniature and starting to move.

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The embryo is making small, jerky movements that you cannot feel yet. Fingers and toes are forming, eyelids are growing, and the tail-like end has almost disappeared.

Size and weight

About the size of

a raspberry

Length

1.6 cm

Weight

1 g

Averages from standard growth charts. Measured crown to rump until week 20 and head to heel afterwards.

How your baby is developing

  • Fingers and toes are forming, still webbed.
  • Eyelids, the tip of the nose and the upper lip are visible.
  • The embryo makes spontaneous movements as nerves and muscles connect.
  • The heart has four chambers and beats about 150–170 times a minute.

How you may feel

  • Nausea often at its strongest
  • Bloating; your waistband may feel tight although the bump is not visible
  • Tiredness that peaks around now
  • Frequent urination
  • Vivid dreams

Your uterus is about the size of a large orange. Most people cannot tell you are pregnant yet.

What's next

Tests and appointments

  • First prenatal visit at the polyclinic prenatal office (by 10 weeks): medical history, blood pressure, weight and BMI, breast and gynaecological examination, and dating by last period and ultrasound.
  • First-visit tests under the national protocol: blood group and Rh, HIV, hepatitis B and C, syphilis, complete blood count, biochemistry, fasting glucose or HbA1c, coagulation, thyroid (TSH), rubella antibodies, urine test and urine culture, vaginal smear; plus consultations with a therapist, dentist and eye doctor.

What to do this week

  • Write down questions before the appointment: screening options, exercise, work, travel, medicines.
  • Ask which screening tests are offered and when, so you can decide calmly.
  • Keep snacks with you to avoid an empty stomach, which makes nausea worse.

Call your doctor or maternity hospital if

  • Bleeding that is heavier than light spotting, or bleeding with cramps
  • Severe pain on one side of your lower abdomen, or pain with dizziness or fainting
  • Vomiting so often that you cannot keep fluids down for 24 hours
  • A temperature of 38 °C or higher, or pain when you pass urine

If something feels wrong, trust yourself and call 103 or your maternity hospital. You will never be wasting anyone's time.

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