Dr Dimple Doshi

Normal Pregnancy Course: Expert Care for a Healthy Journey

By Dr. Dimple Doshi | 27+ Years of Experience | 25,000+ Surgeries | 3D Laparoscopy Expert

Expecting a Baby? Here’s What to Know About Your Body Changes During Pregnancy

Are you anxious about how your body will change during pregnancy? Worried about symptoms like fatigue, nausea, or swelling and wondering what’s normal?

Pregnancy brings joy, but also uncertainty. Many women feel overwhelmed by the physical and emotional changes—from hormonal shifts and mood swings to morning sickness and body aches. Without proper guidance, even normal symptoms can cause unnecessary stress.

A normal pregnancy course follows predictable stages, and understanding these changes can help you feel more confident and prepared. At Vardaan Hospital, Dr. Dimple Doshi provides personalized prenatal care, guiding you through every trimester with expert advice, safe monitoring, and emotional support for a healthy pregnancy and delivery.

What Is the Normal Course of Pregnancy and How Long Does It Last?

Pregnancy lasts about 40 weeks, calculated from the first day of your last menstrual period. It is divided into three trimesters, each with unique changes and symptoms.

What Are the Different Trimesters of Pregnancy?

Pregnancy is divided into three trimesters, each about 12–14 weeks, and every stage brings physical and emotional changes.

  • First Trimester: 0–13 weeks
  • Second Trimester: 14–27 weeks
  • Third Trimester: 28 weeks until birth

What Changes Happen in the First Trimester?

First-Trimester

Hormonal changes dominate this stage, causing early pregnancy symptoms as your body adjusts to support the baby.

  • Missed period – first sign of pregnancy
  • Extreme fatigue and mood swings
  • Tender, swollen breasts and nipple changes
  • Nausea, vomiting, and morning sickness
  • Heartburn, constipation, and frequent urination
  • Food cravings or aversions
  • Headaches and mild weight changes

Tip: Take small frequent meals, stay hydrated, avoid alcohol and smoking, and rest adequately.

What Body Changes Occur During the Second Trimester?

Second-Trimester

The second trimester is often more comfortable, with reduced nausea and increased energy, but new changes occur as your baby grows.

  • Visible baby bump as the uterus expands
  • Quickening – first baby movements felt
  • Back pain, abdominal and thigh discomfort
  • Stretch marks on abdomen, breasts, thighs
  • Darkening of nipples and development of linea nigra (black line on abdomen)
  • Pigmentation on cheeks or forehead (melasma)
  • Carpal tunnel symptoms: tingling in hands
  • Mild swelling in feet, hands, and ankles
  • Bleeding gums – maintain oral hygiene
  • “Pregnancy glow” due to better blood flow

Tip: Wear comfortable clothing, stay active with doctor-approved exercises, and monitor any unusual symptoms.

What Changes Happen in the Third Trimester?

Third-Trimester

The third trimester brings more discomfort as the baby grows larger and prepares for birth.

  • Shortness of breath and heartburn
  • Swelling in ankles, hands, and face (report sudden swelling)
  • Piles and varicose veins
  • Breast tenderness and possible milk leakage
  • Belly button protrusion
  • Difficulty sleeping and frequent urination
  • Braxton Hicks contractions (false labor pains)

Tip: Avoid painkillers for discomfort; instead, practice relaxation and gentle stretching. Report severe pain or abnormal discharge.

What Are the Signs of True Labor?

Labor signs vary but usually include:

  • Regular, increasing uterine contractions with pain
  • Backache and pelvic pressure
  • Gush of amniotic fluid (water breaking)
  • Spotting or blood-tinged discharge
  • Thick mucus discharge – watch color (yellow/green needs immediate medical attention)

What Lifestyle Tips Help During Pregnancy?

Small changes in your routine can make pregnancy smoother and safer:

  • Eat a balanced, nutrient-rich diet
  • Get enough sleep and manage stress
  • Avoid alcohol, smoking, and unsafe medications
  • Stay physically active with approved exercises
  • Attend all prenatal checkups and tests

When Should You Call Your Doctor During Pregnancy?

Seek immediate medical care if you notice:

  • Severe abdominal pain or contractions before 37 weeks
  • Heavy vaginal bleeding
  • Severe headaches, blurred vision, or sudden swelling
  • Decreased fetal movement
  • High fever or signs of infection

Medical Code for Normal course of Pregnancy

ICD-10 Codes for Normal Pregnancy Course

ICD-10 CodeDescription
Z34.00Supervision of normal first pregnancy, unspecified trimester
Z34.01Supervision of normal first pregnancy, first trimester
Z34.02Supervision of normal first pregnancy, second trimester
Z34.03Supervision of normal first pregnancy, third trimester
Z34.80Supervision of other normal pregnancy, unspecified trimester
Z34.81Supervision of other normal pregnancy, first trimester
Z34.82Supervision of other normal pregnancy, second trimester
Z34.83Supervision of other normal pregnancy, third trimester

CPT Codes for Normal Pregnancy Care

CPT CodeDescription
59400Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy and/or forceps), and postpartum care
59425Antepartum care only; 4–6 visits
59426Antepartum care only; 7 or more visits
59430Postpartum care only (separate from delivery)
76801Ultrasound, first trimester, complete (less than 14 weeks)
76805Ultrasound, second or third trimester, complete
76815Ultrasound, limited (follow-up growth check)
0500FInitial prenatal care visit

FAQs - Normal Pregnancy Course

Q1. How many weeks is considered full-term pregnancy?

Ans. A full-term pregnancy typically lasts between 39 and 40 weeks, though delivery between 37 and 42 weeks is considered within the normal range.

Q2. Is it safe to deliver at 37 weeks?

Ans. Yes, delivery at 37 weeks is generally safe, but it is considered early term. Babies may need extra care compared to those born at 39–40 weeks.

Q3. How many days is a normal pregnancy?

Ans. A normal pregnancy lasts about 280 days or 40 weeks from the first day of the last menstrual period (LMP).

Q4. Which month is considered the safest for delivery?

Ans. The safest period for delivery is between 39 and 40 weeks of pregnancy, as the baby’s organs are fully matured.

Q5. How many weeks is 9 months pregnant?

Ans. Nine months pregnant typically corresponds to around 36–40 weeks of gestation.

Q6. Is 42 weeks pregnancy safe?

Ans. Pregnancy beyond 42 weeks is considered post-term and requires medical monitoring to reduce risks for mother and baby.

Q7. What is the minimum safe duration for pregnancy?

Ans. Babies born after 37 weeks are generally safe, but full-term is 39 weeks. Delivery before 37 weeks is considered preterm.

Q8. How many weeks is considered preterm?

Ans. Delivery before 37 weeks of pregnancy is considered preterm, which may require neonatal care.

Q9. How long should I wait between pregnancies?

Ans. It is usually recommended to wait at least 18–24 months between pregnancies for optimal maternal and fetal health.

Q10. How many doses of pregnancy vitamins are recommended?

Ans. Prenatal vitamins should be taken daily throughout pregnancy as advised by your doctor, starting before conception if possible.

Q11. Which is the most critical trimester during pregnancy?

Ans. The first trimester (0–13 weeks) is considered the most critical for fetal development, as major organs form during this time.

Q12. How to prepare for normal delivery?

Ans. Regular antenatal check-ups, a balanced diet, exercise (as advised), and breathing exercises can help prepare for normal delivery.

Q13. What is a maternity course?

Ans. A maternity course provides guidance on prenatal care, labor preparation, breathing techniques, and postnatal care.

Q14. Which month is best for confirming pregnancy?

Ans. Pregnancy can usually be confirmed as early as 4–5 weeks with a urine or blood test, or ultrasound from 6 weeks.

Q15. How long does it take for the uterus to return to normal after delivery?

Ans. The uterus typically returns to its pre-pregnancy size within 6–8 weeks after childbirth.

Take charge of your health today.

Book your consultation with Dr. Dimple Doshi at
Vardaan Hospital, Goregaon West, Mumbai.

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