4 Weeks Pregnant - Week-by-week guide (2024)

  1. Week 4
  2. Week 5
  3. Week 6
  4. Week 7
  5. Week 8
  6. Week 9
  7. Week 10
  8. Week 11
  9. Week 12

To the outside world, you'll look much the same as usual – but on the inside, your embryo is about the size of a poppy seed and some amazing things are happening.

For information on your pregnancy journey, sign up for regular emails tailored to your stage of pregnancy or baby's age.

What's happening in my body?

You probably don't look pregnant yet. If it's your first pregnancy you might not start showing until at least week 12.

However, if this isn't your first baby, you may start showing sooner, as the muscles in your uterus (womb) and belly may have been stretched from your last pregnancy.

Pregnancy is dated from the first day of your last period. Read about you and your pregnancy at 1 to 3 weeks on the NHS website.

Am I pregnant?

Wondering when to take a pregnancy test? Some of the home tests can tell you if you're pregnant after about 3 and a half weeks – and are 99% accurate.

Early pregnancy symptoms (at 4 weeks)

To start with, you may not have any symptoms at all.

When the pregnancy hormone "human chorionic gonadotrophin" starts to kick in, you may experience early pregnancy symptoms.

During your 1st trimester, which is up until week 12, you may experience:

  • a missed period (often one of the first signs of pregnancy)
  • a metallic taste in your mouth
  • sore breasts
  • nausea – also known as morning sickness, although you can experience it at any time (read about morning sickness in week 6)
  • tiredness
  • new food likes and dislikes
  • a heightened sense of smell
  • needing to pee more frequently
  • a milky white pregnancy discharge from your vagin*
  • light spotting as the fertilised egg burrows into your uterus (see your doctor if you get bleeding during pregnancy)
  • cramping, a bit like period pains
  • darkened skin on your face or brown patches – this is known as chloasma faciei or the "mask of pregnancy"
  • thicker and shinier hair
  • bloating (read about dealing with bloating in week 10)

If you think you could be pregnant but haven't noticed any symptoms, you still might be. Everyone's different and nobody else will have a pregnancy just like yours.

What does my baby look like?

Your baby, or embryo, is about 2mm long (about the size of a poppy seed) and growing rapidly in your womb.

It's protected by an amniotic sac, which is filled with cushioning fluid, and attached to a tiny yolk sac that provides all the nourishment it needs.

The outer layer will later develop into the placenta and provide your baby with oxygen and nutrients.

4 Weeks Pregnant - Week-by-week guide (1)

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See your midwife or GP

Share the news with your GP or ask for an appointment with a midwife at your doctors' surgery. Alternatively you can refer yourself to your local hospital – look for contact details on their website.

You'll need to arrange a booking appointment. This usually takes place between weeks 8 and 12, and takes around an hour.

You can talk about the options for your pregnancy and the birth. Plus you'll be offered screening tests for infectious diseases, and conditions such as Down's syndrome. You could ask about the Maternity Transformation Programme and how it could benefit you.

You will get your first dating scan at 8 to 14 weeks.

If it's your first pregnancy you will probably have around 10 appointments and 2 scans in total. Ask if it's possible to see the same carer for your entire pregnancy, to give you continuity.

Antenatal classes

Ask your midwife or doctor about online antenatal classes – they may be able to recommend one. The charity Tommy's has lots of useful information on antenatal classes and preparing you for birth.

Antenatal classes will give you the chance to meet other people and prepare you for parenthood. The NCT offers online antenatal classes with small groups of people that live locally to you.

Smoking, drinking and caffeine in pregnancy

Do your best to stop smoking and give up alcohol, and go easy on the tea, coffee and anything else with caffeine.

Ask your midwife or GP for support.

Vitamins in pregnancy

Take prenatal vitamins. You're advised to take 400mcg of folic acid every day, until at least week 12. This helps to form your baby's nervous system and offers some protection from conditions such as spina bifida.

To keep bones and muscles healthy, we need vitamin D. From late March/early April to the end of September, most people make enough vitamin D from sunlight on their skin.

However, between October and early March, consider taking a daily vitamin D supplement because we cannot make enough from sunlight.

Some people should take a vitamin D supplement all year round – find out if this applies to you on the NHS website.

You just need 10 micrograms (it's the same for grown-ups and kids). Check if you're entitled to free vitamins.

Exercising in pregnancy

It's recommended that you do 150 minutes of exercise a week while pregnant.

You could start off with just 10 minutes of daily exercise – perhaps take a brisk walk outside. Check out Sport England's #StayInWorkOut online exercises (scroll to the pregnancy section).

Listen to your body and do what feels right for you.

Healthy eating

There's no need to eat for 2. You just need to eat a healthy balanced diet, with a variety of different foods every day, including plenty of fruit and veg. Have a look at our guide to healthy eating in pregnancy.

You may be able to get free milk, fruit and veg through the Healthy Start scheme.

Emotional and mental wellbeing

How are you today? If you're feeling anxious or low, then talk to your midwife or doctor. They can point you in the right direction to get all the support that you need. You could also discuss your worries with your partner, friends and family.

You may be worried about your relationship, or money, or having somewhere permanent to live.

Don't keep it to yourself. It's important that you ask for help if you need it.

Sexually transmitted infections (STIs)

Do you think you or your partner could have an STI? If so, get checked out, as this could affect your baby's development. Talk to your midwife or GP, or visit a sexual health clinic.

Long-term conditions

If you have a long-term health condition, then let your specialist or GP know you're pregnant as soon as possible.

Don't stop taking any regular medication without discussing it with your doctor first.

More in week-by-week

4 Weeks Pregnant - Week-by-week guide (2)

Week 5

Many women realise that they're pregnant around week 5.

Week 6
Week 7

More in week-by-week guide to pregnancy

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4 Weeks Pregnant - Week-by-week guide (5)
4 Weeks Pregnant - Week-by-week guide (2024)

FAQs

What should I be doing at 4 weeks pregnant? ›

Baby is already undergoing important development at week 4 of pregnancy, so start taking a prenatal vitamin if you're not already. Look for one with at least 400 micrograms of folic acid and remember to take it daily.

What does your body go through at 4 weeks pregnant? ›

Your Body. The embryo continues to implant in your uterus, burying itself deep within the endometrium. Some women have slight cramping and spotting during this week while implantation happens. They might mistake this for a period, especially because this is around the time their monthly period was due.

How pregnant do you look at 4 weeks? ›

You probably don't look pregnant yet. If it's your first pregnancy you might not start showing until at least week 12. However, if this isn't your first baby, you may start showing sooner, as the muscles in your uterus (womb) and belly may have been stretched from your last pregnancy.

How does your stomach feel at 4 weeks pregnant? ›

At 4 weeks pregnant, you might experience a bit of bloating and cramping particularly in your abdomen, as your uterine lining is getting a bit thicker, and the swelling means your womb is taking up more space than usual.

What not to do at 4 weeks pregnant? ›

The do's during the first trimester of pregnancy include getting prenatal care and maintaining your health, rest and mental health; the don't include drinking alcohol, smoking, using drugs, eating dangerous foods and engaging in risky behaviors.

How strong should a pregnancy test be at 4 weeks? ›

The typical hCG level around four weeks of pregnancy is around 140 mIU/ml5, so a high hCG level can be generally considered to mean you are pregnant.

Can you bleed heavily at 4 weeks and still be pregnant? ›

Yes, you can bleed heavily and still be pregnant. Heavy bleeding doesn't always mean you've miscarried. It may be a sign of preterm labor or another serious problem that needs medical attention right away to keep you and your baby healthy.

What are the signs of twins at 4 weeks? ›

Some symptoms, such as nausea and breast tenderness may be even more intense with a twin pregnancy than with a single pregnancy, if felt this early at all. Some women have reported "having a feeling," or "just knowing" they were pregnant with twins, although this certainly isn't the case for everyone.

Is there a heartbeat at 4 weeks? ›

At the end of the 4th week of gestation, the heartbeats of the embryo begin. The heart, whose development starts at the 3rd week of gestation, has rapid and irregular contractions capable of pumping the blood inside the vessels.

When are you officially pregnant? ›

With a typical 28-day cycle, your ovary releases an egg on day 14. It lives 24 hours or less. If it gets fertilized, it takes another 5-6 days to travel through your fallopian tube and implant itself in your uterus. You're officially pregnant on about day 21.

When do pregnancy cravings start? ›

If you're going to have cravings, it's common for them to start in the first trimester around the fifth week. It is even possible you get cravings at 1-week pregnant! The cravings might lighten up by the second trimester or continue right up until your baby arrives.

Where do you touch to feel if you are pregnant? ›

It will still take some time before your belly starts showing that you are pregnant. And yet you will be able to feel that your womb has grown. Lie down on your back and press gently just above the edge of your pelvic bone.

How does a 1 month pregnancy look? ›

You may experience some bloating at the beginning of pregnancy, and your clothes might fit a little snugly, but you probably won't be showing a baby belly at one month pregnant. Read more about when you might start showing.

How can I tell if I am 1 month pregnant? ›

Most pregnancy tests will be positive by the time you've missed your period. Other early pregnancy symptoms include feeling tired, feeling bloated, peeing more than usual, mood swings, nausea, and tender or swollen breasts. Not everyone has all of these symptoms, but it's common to have at least 1 of them.

How to know you are pregnant without a test? ›

Things like missing your period, sore or tender breasts, feeling more tired and nausea (morning sickness) are common symptoms of early pregnancy. Some people have symptoms of pregnancy before they miss their period.

Should I rest at 4 weeks pregnant? ›

The American College of Obstetricians and Gynecologists (ACOG) doesn't recommend bed rest as a routine treatment. They, instead, recommend reducing your usual activities instead of stopping your activities entirely.

Can I lift things at 4 weeks pregnant? ›

Whether you should be lifting during pregnancy or not is a question for your health care provider, but the general rule of thumb is to let someone else do it for you. Women who are at risk for premature labor may need to stop lifting objects after the first trimester.

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