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Trimester 1

4 weeks pregnant: Implantation week and first signs

Here is what to expect this week for you and your baby.

Baby Size Sesame seed (til) 0.2 cm A poppy seed (~2 mm). Implantation completes.

Baby Development

  • Embryo fully implants in uterine wall
  • Neural tube (brain and spinal cord) begins forming
  • Heart tube starts to develop

Common Symptoms

  • Missed period
  • Morning sickness may begin
  • Breast swelling and tenderness
  • Mood swings

Tips & Advice

  • Confirm pregnancy with a blood test (beta-hCG)
  • Avoid raw or undercooked meat and fish
  • Start gentle walking for 20-30 minutes daily

Nutrition Guide

  • Iron-rich foods: palak, rajma, dates (khajoor)
  • Vitamin B6: banana, potato, chickpeas to ease nausea
  • DHA: fish oil supplements (if vegetarian, algae-based)

Medical Checklist

When to see your doctor at week 4

Some symptoms need attention right away. Contact your doctor or go to the nearest hospital if you notice any of these:

  • Heavy bleeding (soaking a pad within an hour)
  • Severe or persistent abdominal or pelvic pain
  • Fever above 38°C (100.4°F)
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Frequently asked questions

When will my home test be positive?

Most tests reliably turn positive within a day or two of the missed period.

Light bleeding — period or implantation?

Implantation bleeding is light, brief, pinkish. A period is heavier and lasts longer.

What if my test is faint?

A faint line usually still means positive. Retest in 48 hours; hCG typically doubles every 48–72 hours.

For partners

Schedule the first prenatal appointment together — being present early matters.

Prepare for your OB visit

  • How soon should we schedule the first scan?
  • Should I stop any current medications?
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This guide is for informational purposes only and does not replace professional medical advice. Always consult your doctor or healthcare provider for personalised guidance during pregnancy.