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First-trimester checklist: tasks to plan before 14 weeks

NNova editorial team · 6 min read

By 14 weeks, many people have had a first prenatal visit, initial blood work, and a dating ultrasound, and have a care plan. Heavy bleeding, severe pain, or being unable to keep fluids down needs prompt medical attention.

What is usually done by 14 weeks

The first trimester can move quickly, and fatigue, nausea, and new questions often arrive together. This checklist can help you keep track of the main medical and everyday tasks without feeling overwhelmed.

Your provider will tell you which tests and visits are routine for you. Care can vary based on your health history, your pregnancy, and your clinic's schedule, but the general goals are usually the same: confirm your due date, review your risks, and collect baseline health information.

Medical basics

  • First prenatal visit with an OB-GYN, family doctor, or certified nurse-midwife.
  • Review of medicines (including over-the-counter products), supplements, chronic conditions, and allergies.
  • Routine prenatal blood tests, such as blood type and Rh status, and a urine test. Ask your provider which other tests are recommended for you.
  • Dating ultrasound to confirm your due date and check for more than one baby.
  • Discussion of genetic screening options, such as cell-free DNA screening (NIPT) and first-trimester screening, which many providers offer between about 10 and 14 weeks.

Practical and everyday tasks

  • Keep test results and clinic contact details in one place.
  • Review your work leave options, schedule, and health insurance coverage. Ask your employer or HR office about paid leave and job protections.
  • Plan for sleep, meals, and daily activity for the next few weeks.
  • Choose a comfortable time to share the news at work, if you want to.
  • Ask your provider about a daily prenatal vitamin with folic acid, and about which habits to change. Most providers advise avoiding alcohol and tobacco during pregnancy.

When to get medical help right away

  • Vaginal bleeding that is heavier than a period, or soaking a pad in an hour or less.
  • Severe belly pain, or pain on one side, especially with dizziness or fainting.
  • Vomiting that keeps you from drinking fluids or holding down food for a day or more.
  • Fever of 100.4°F (38°C) or higher, pain or burning when urinating, or severe weakness.
  • Fluid leaking from the vagina or sudden dizziness.

A checklist does not replace care from your provider, but it can help you feel more in control during a stage that may feel fast and new. Call your provider with any questions or concerns, even if they do not seem urgent.

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General information only; it does not replace advice from your doctor or midwife.