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

How do I know if my pregnancy is OK at 4 weeks? ›

Your first call at week 4 of pregnancy should be to your doctor to schedule your first prenatal visit, where they'll confirm your pregnancy with a urine or blood test. For updates on what's happening with you and baby throughout your pregnancy, sign up for The Bump pregnancy week-by-week newsletter emails.

How big should you look at 4 weeks pregnant? ›

Week 4. 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.

How am I 4 weeks pregnant if I conceived 2 weeks ago? ›

Week 4 of pregnancy

For example, a fertilised egg may have implanted in your womb just 2 weeks ago, but if the first day of your last period was 4 weeks ago, this means you're officially four weeks pregnant! Pregnancy normally lasts from 37 weeks to 42 weeks from the first day of your last period.

Is 4 weeks too early for a pregnancy test? ›

Pregnancy tests work by detecting the presence of a hormone called human chorionic gonadotropin (hCG) in your urine. Some home pregnancy tests claim to detect pregnancy as early as five days before you miss your period, but it's best to wait until the first day of your missed period for accurate results.

How do I know if my pregnancy is still OK? ›

Potential signs of a problem include bleeding from your vagin*, severe abdominal pain, blurred vision, swelling and a bad headache that doesn't go away. You can lower your risk of complications by going to all your antenatal appointments and maintaining a healthy lifestyle.

How to know if baby is still alive in womb in the first trimester? ›

To conclusively diagnose a loss, a doctor must perform an ultrasound to check for a heartbeat. The heartbeat does not develop until 6.5–7 weeks of gestation, so the absence of a heartbeat before this time does not indicate a loss. To confirm a pregnancy loss, a doctor may choose to perform scans on multiple days.

Is there a heartbeat at 4 weeks? ›

Before about week 8 of pregnancy, a doctor may refer to the fetus as an embryo. Cardiac tissue starts to pulse at around 5–6 weeks of pregnancy, registering as a heartbeat on the ultrasound, though the heart has not developed yet.

How am I already showing at 4 weeks pregnant? ›

Other women might show early because of their age. Older women and women who have been pregnant before can show as early as the first trimester. Also, women who don't have strong core muscles may show earlier because their muscles are relaxed. Their stomach adapts more easily to looking pregnant.

When do you start to feel pregnant? ›

You may feel sick or be sick. Although commonly known as "morning sickness", vomiting and morning sickness can happen at any time of the day or night. Symptoms usually start when you're around 4 to 6 weeks pregnant. If you're being sick all the time and cannot keep anything down, see a GP.

How do I know the exact date I got pregnant? ›

Conception usually occurs 11 to 21 days following the first day of the previous period in a woman who has regular menstruation.

What day did I conceive if I'm 4 weeks pregnant? ›

Using your last menstrual period date

Therefore, if you know the first day of period, you can add 11 to 21 days to this day to have an idea of when conception occurred. For example, if you are pregnant and your last period started on March 5, that means you likely conceived between March 16 and 26.

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.

How should I feel at 4 weeks pregnant? ›

You at 4 weeks

In the first 4 weeks of pregnancy, you probably will not notice any symptoms. The first thing you may notice is that your period does not arrive, or you may have other signs and symptoms of pregnancy, such as breast tenderness. You can confirm the pregnancy with a pregnancy test.

Is there enough hCG at 4 weeks? ›

What should hCG levels be at 4 weeks? At 4 weeks pregnant, your hCG levels can range from about 10 to 708 mIU/mL.

Can I be 5 weeks pregnant and still test negative? ›

Pregnancy tests can sometimes give a false negative result to women several weeks into their pregnancies, according to research by Ann Gronowski, PhD, a professor of pathology and immunology at Washington University School of Medicine in St.

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

hCG Levels Chart by Week
Pregnancy weekRange of hCG levels in milli-international units per milliliter (mIU/mL)
3 weeks5–72 mIU/mL
4 weeks10–708 mIU/mL
5 weeks217–8,245 mIU/mL
6 weeks152–32,177 mIU/mL
10 more rows

Can you be 4 weeks pregnant and not feel anything? ›

You at 4 weeks

In the first 4 weeks of pregnancy, you probably will not notice any symptoms.

Am I miscarrying at 4 weeks? ›

At week 4, miscarriage is called a chemical pregnancy since the embryo cannot be detected on ultrasound, only through blood and urine testing. Signs of miscarriage include cramping, spotting, and heavy bleeding. If you experience these symptoms, don't necessarily fear the worst.

How do I know if my baby is okay in the womb early pregnancy? ›

Tests to screen for birth defects include blood tests and ultrasound. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb. Tests used to diagnose birth defects may include amniocentesis (also called amnio).

References

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