Early signs and symptoms of pregnancy

Wondering if you could be pregnant? Whether you’ve been planning on having a baby for a while or you’re having some surprise pregnancy symptoms, the early signs of pregnancy can be exciting, confusing, or a mix of the two!

From missing your period and implantation bleeding, to mood swings and frequent urination, read our simple guide to spotting those tell-tale early signs of pregnancy and what to expect in the first weeks and months.

What are the early signs of pregnancy?

Some pregnancy symptoms are very well known. A change to your menstrual cycle in the form of a missed period for example, as well as food cravings, breast tenderness, and mood swings. 

But remember that pregnancy hormones can show up in lots of different ways, and whilst some pregnant women will experience a whole array of pregnancy symptoms, others won’t experience any at all.

If you think you might be pregnant, here are some of the early pregnancy symptoms to look out for.

Missing a period

If you’re used to a regular menstrual cycle, missing a period is the most obvious and reliable sign that you could be pregnant1. Even if your periods are less regular, you might notice that you’re unusually late or realise you’ve been waiting for a period that just hasn’t shown up.

In the first weeks of pregnancy, some pregnant women experience light bleeding or spotting called ‘implantation bleeding’1.

Implantation bleeding is the result of the embryo attaching itself to the lining of the womb, and it tends to happen around the same time your period would have been due in your menstrual cycle​2.

Keep in mind however that everyone’s menstrual cycle is different. So, whether your period’s late, light, or missing altogether, it’s always worth taking a pregnancy test or speaking to your healthcare provider to find out what’s going on.

Feeling nauseous and sick

Morning sickness is one of the very common signs of early pregnancy3. It usually starts between four and seven weeks of pregnancy, and in most cases, symptoms will subside anywhere between 16 and 20 weeks4. Don’t be fooled by the name – ‘morning’ sickness can strike at any time of day or night, not just in the mornings5.

​​​Around eight out of 10 pregnant women get at least some morning sickness symptoms5, but if you’re lucky, you may not experience any morning sickness at all.

Even though the nausea can be unpleasant, morning sickness, even if it’s regular, won’t cause any harm to your baby3. However, some pregnant women find that morning sickness makes daily life a little difficult. To try and ease any symptoms, you could try3:

  • Getting plenty of rest when you can. 

  • Eating plain foods, little and often. For example dry toast or some crackers.

  • Avoiding foods that affect your sense of smell (a change your sense of smell is another one of the common pregnancy symptoms). 

Hyperemesis gravidarum

If you find yourself being sick multiple times a day and can’t keep any food or drink down, this could be a sign of a condition called hyperemesis gravidarum (HG)5.

Symptoms of hyperemesis gravidarum include5:

  • Weight loss.

  • Severe nausea and vomiting that lasts a long time.

  • Dehydration.

Hyperemesis Gravidarum can be dangerous if you get too dehydrated or lose a lot of weight. So, if you’re worried about your nausea and sickness, it’s very important that you talk to your doctor as soon as possible to make sure you get the right treatment and support. 

Going to the loo a lot…or not enough

During the early weeks of pregnancy, there are a number of pregnancy hormones working their way around your body. These changes to your hormone levels can cause a variety of pregnancy symptoms, one of which is frequent urination1. So, if you find yourself needing a wee more often, especially during the night, it could be a sign that you’re pregnant1.

Pregnancy hormones can also slow down your digestion, making it uncomfortable or difficult to go to the loo. Constipation is a common symptom in early pregnancy, and you can ease the symptoms by eating more fibre, drinking lots of water and staying active if you feel up to it6.

Tiredness

Feeling shattered? One of the most common early signs of pregnancy is a feeling of complete exhaustion, especially in the first 12 weeks of pregnancy7

Tiredness and fatigue is thought to be the result of ​pregnancy hormones. So if there’s no other reason or explanation as to why you might feel so tired, check if you’re experiencing any of the other early pregnancy symptoms we’ve listed here.

Tired

Food aversions and changes to your sense of smell

​​In the early weeks of pregnancy, you may experience ​a funny, metallic taste in your mouth, a common symptom for many pregnant women1.

You might also notice that your sense of smell is more sensitive than usual and the scents of foods that you used to love now make your stomach churn.

F​​ood cravings are another early sign of pregnancy, starting in the first 12 weeks and peaking in the second trimester8. You might crave foods that you wouldn’t normally eat or develop aversions to the foods you previously enjoyed1. As well as food cravings, some pregnant women also get cravings for things like dirt or clay9. These are known as ‘pica’ cravings, and if you find yourself experiencing them, get in touch with your doctor or midwife, as this could be a sign of a lack of iron9

Changes to your breasts and nipples

If your breasts feel bigger than usual, or you’re ​​experiencing breast tenderness and soreness around the time in your menstrual cycle that your period was due, it could be a sign that you’re pregnant1. Changing hormone levels in the first trimester can make your breasts grow and change to get your body ready to breastfeed10.

You might also notice your breasts tingling, darker nipples and more visible veins1.

Vaginal discharge

You might notice that you’re getting more vaginal discharge than usual if you’re pregnant, as this is one of the common pregnancy symptoms. This is your body’s way of protecting your growing baby by preventing any infections entering your womb through the vagina11.

You should call your doctor or midwife if your vaginal discharge has a strong smell or looks green or yellow, as this could be a sign of an infection11.

Unexpected bleeding or cramps

Stomach pain and light bleeding are common early pregnancy symptoms.

Pains and cramps can be as a result of ligament or growing pains as your body stretches to support your ​​growing baby. They can also be caused by constipation and trapped wind, which are also common early pregnancy symptoms12.

Light bleeding or ‘spotting’ is also common in the first few weeks of pregnancy. As we discussed above, this can be ‘implantation bleeding’, which happens when your fertilised egg embeds itself into the lining of your uterus. ​In later pregnancy, light bleeding could be caused by changes to your cervix2.

Most of the time, light bleeding or cramps are nothing to worry about. But if you experience any heavy bleeding, severe stomach pains, or are worried about any of your pregnancy symptoms at all, get in touch with your doctor or midwife for advice12.

Mood swings

Changing levels of the pregnancy hormones, oestrogen and progesterone, can affect your body and mood during your monthly menstrual cycle13. If you’re pregnant, both of these hormones will increase to support you, your growing baby, and a healthy pregnancy. Sometimes, these increased hormone levels can cause you to have mood swings​14.

Changing hormone levels can cause pregnant women to feel tearful or easily irritated during the first trimester, even when they’re excited about being pregnant14. If you start having mood swings, you might want to check the other symptoms we’ve listed here and take a pregnancy test.

Had a positive pregnancy test?

Pregnancy test

How early can I take a pregnancy test? 

You can get a reliable positive result using a home pregnancy test from the first day of your missed period15. There are lots of different pregnancy tests available on the market, with some able to be used from as early as four of five days before your period is due.

If you have a regular menstrual cycle, you'll probably have an idea of when your next period is due. If you're not sure, it's best to wait 3 weeks after you think you may have conceived before doing a test15.

Whenever you choose to take a pregnancy test, always follow the instructions of the packaging to ensure an accurate result. 

Had a positive pregnancy test?

If you’ve taken a pregnancy test that’s shown a positive result, you should book an appointment to see your GP. They’ll be able to give you advice on how to look after yourself during ​ ​early pregnancy and fill you in on what happens next15.

Discovering you’re pregnant can be a really exciting time. It can also be a very daunting one. However you’re feeling about it, remember that your healthcare professional is there to support you, so don’t hesitate to have a chat with them if you feel the need.

Had a negative pregnancy test?

If you’re having symptoms of early pregnancy but your test comes back negative, it could be that you’ve taken it too early to get an accurate result. That’s okay, just wait a few days and try again. If your test is still negative but you’ve missed a period or have any other pregnancy symptoms, it’s time to speak to your GP for further advice15.

  1. NHS. Signs and symptoms of pregnancy [online] 2022. Available at https://www.nhs.uk/pregnancy/trying-for-a-baby/signs-and-symptoms-of-pregnancy/ [Accessed March 2024]

  2. NHS. Vaginal bleeding [online 2021]. Available at https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vaginal-bleeding/#:~:text=Implantation%20bleeding,period%20would%20have%20been%20due. [Accessed March 2024]

  3. NHS. Vomiting and morning sickness [online] 2021. Available at https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vomiting-and-morning-sickness/ [Accessed March 2024]

  4. NHS Start for Life [online]. Morning sickness. Available at https://www.nhs.uk/start-for-life/pregnancy/morning-sickness/ [Accessed March 2024]

  5. NHS [online] 2023. Severe vomiting in pregnancy. Available at https://www.nhs.uk/pregnancy/related-conditions/complications/severe-vomiting/. [Accessed March 2024]

  6. NHS Inform [online]. 2023. Common problems in pregnancy. Available at https://www.nhsinform.scot/ready-steady-baby/pregnancy/health-problems-in-pregnancy/common-problems-in-pregnancy/. [Accessed March 2024]

  7. NHS [online] 2024. Tiredness and sleep problems in pregnancy. Available at https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/tiredness/ [Accessed March 2024]

  8. Orloff NC, Hormes JM. Pickles and ice cream! Food cravings in pregnancy: hypotheses, preliminary evidence, and directions for future research. Front Psychol. 2014 Sep 23;5:1076. doi: 10.3389/fpsyg.2014.01076. PMID: 25295023; PMCID: PMC4172095.

  9. NHS Start for Life [online]. Week 5. Available at https://www.nhs.uk/start-for-life/pregnancy/week-by-week-guide-to-pregnancy/1st-trimester/week-5/ [Accessed March 2024]

  10. Alex A, Bhandary E, McGuire KP. Anatomy and Physiology of the Breast during Pregnancy and Lactation. Adv Exp Med Biol. 2020;1252:3-7. doi: 10.1007/978-3-030-41596-9_1. PMID: 32816256.

  11. NHS [online] 2021. Vaginal discharge in pregnancy. Available at https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vaginal-discharge/ [Accessed March 2024]

  12. NHS [online] 2021. Stomach pain in pregnancy. Available at https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/stomach-pain/ [Accessed March 2024]

  13. NHS [online] 2023. Periods. Available at https://www.nhs.uk/conditions/periods/ [Accessed March 2024]

  14. National Childbirth Trust. [online] 2022. Emotions during pregnancy  Available at https://www.nct.org.uk/pregnancy/how-you-might-be-feeling/emotions-during-pregnancy. [Accessed March 2024]

  15. NHS [online] 2022. Doing a pregnancy test. Available at https://www.nhs.uk/pregnancy/trying-for-a-baby/doing-a-pregnancy-test/ [Accessed March 2024]

Reviewed by Nutricia’s Medical and Scientific April 2024

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