Pregnancy is a long, transformative journey—and each month brings its own milestones, symptoms, and needs. A month-by-month wellness checklist helps you stay organized, prepared, and confident as your baby grows. This guide, designed for U.S. moms-to-be, covers what to expect each month, what appointments to schedule, how to support your body and mind, and the warning signs you should never ignore.
Month 1: Confirming Pregnancy
What to do:
Take a home pregnancy test.
Start (or continue) taking prenatal vitamins with folic acid.
Begin tracking early symptoms: fatigue, nausea, breast tenderness.
Health & wellness:
Avoid alcohol, smoking, and high-mercury fish.
Rest as much as possible—early fatigue is common.
Warning signs:
Severe one-sided pain
Heavy bleeding
Month 2: First Appointments Begin
What to do:
Schedule your first prenatal visit (usually between weeks 6–8).
Discuss medical history with your OB/GYN or midwife.
Optional: early ultrasound for dating the pregnancy.
Nutrition & movement:
Start eating small, frequent meals if nausea increases.
Walk 10–20 minutes daily if you feel up to it.
Warning signs:
Persistent vomiting preventing fluid intake
Severe cramping or spotting
Month 3: Completing the First Trimester
What to do:
First-trimester screening (blood test + nuchal translucency ultrasound).
Discuss genetic testing options (NIPT).
Wellness focus:
Hydration is key—aim for 8–10 cups/day.
Start incorporating gentle stretching.
Mental health:
Mood swings are normal; track anything concerning.
Warning signs:
Sudden abdominal pain
Signs of dehydration from nausea
Month 4: Energy Returns
What to do:
Second-trimester appointment.
Consider announcing your pregnancy if you want.
Nutrition & movement:
Add iron-rich foods: lentils, spinach, fortified cereal.
Begin low-impact exercise such as prenatal yoga or swimming.
Warning signs:
Severe headaches
Vision changes
Month 5: Anatomy Scan Month
What to do:
Schedule (and attend) your 20-week anatomy ultrasound.
Monitor early fetal movements.
Wellness focus:
Wear supportive shoes and consider a belly band.
Increase protein intake.
Warning signs:
No fetal movement after it was previously felt
Unusual discharge or cramping
Month 6: Preparing for the Third Trimester
What to do:
Gestational diabetes screening.
Discuss labor preferences with your provider.
Nutrition & movement:
Eat balanced meals with complex carbs + healthy fats.
Elevate legs to reduce swelling.
Mental wellness:
Start building your support team (partner, friends, doula).
Warning signs:
Intense swelling in hands/face
Sudden weight gain (possible blood pressure issue)
Month 7: Entering the Homestretch
What to do:
Begin bi-weekly prenatal visits.
Choose a pediatrician.
Take a childbirth or breastfeeding class.
Wellness focus:
Sleep on your left side.
Add magnesium-rich foods to reduce muscle cramps.
Warning signs:
Decreased fetal movement
Persistent upper abdominal pain
Month 8: Final Preparations
What to do:
Finalize birth plan.
Pack hospital bag.
Install baby’s car seat and get it inspected (U.S. fire stations often offer checks).
Nutrition & movement:
Eat light, easy-to-digest meals.
Gentle walks to support circulation.
Mental wellness:
Reduce stress by delegating chores.
Warning signs:
Early contractions
Leaking fluid
High blood pressure symptoms
Month 9: Almost There
What to do:
Weekly prenatal appointments.
Group B strep test.
Practice labor positions and breathing techniques.
Wellness focus:
Prioritize rest.
Continue staying active with slow walking.
Mental health:
Prepare postpartum support: meals, visitor boundaries, childcare help.
Warning signs:
Heavy bleeding
Fever
Baby not moving normally
Severe headaches or swelling
Final Thoughts
Each month of pregnancy builds toward the life-changing moment you meet your baby. By keeping track of appointments, supporting your physical and mental wellness, and knowing when to seek medical help, you’re giving yourself the healthiest journey possible.
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