Pregnancy is a transformative and beautiful experience, but it can also feel overwhelming—especially for first-time moms. That’s why having a clearly organized pregnancy to-do list for each trimester is so helpful. It gives you structure, reduces stress, and ensures both you and your baby stay healthy and well-prepared throughout the journey.
First Trimester To-Do List: Laying the Foundation
The first trimester is a crucial time for your baby’s development. Your body is undergoing major changes, and setting a strong foundation is essential.
Schedule Your First Prenatal Appointment
As soon as you get a positive pregnancy test, book an appointment with your gynecologist. Your doctor will confirm the pregnancy, estimate your due date, and discuss important tests, including blood work and early scans such as:
Dating Scan (6–9 weeks)
This scan confirms the pregnancy, detects the baby’s heartbeat, and helps estimate the due date.
NT Scan (11–14 weeks)
The nuchal translucency scan measures the fluid at the back of the baby’s neck to assess the risk of chromosomal abnormalities such as Down syndrome. It is often combined with a double marker blood test for better accuracy.
Thyroid and Blood Sugar Levels: Many Indian women are prone to gestational diabetes and thyroid imbalances, making these early tests crucial.
Take Prenatal Vitamins
Folic acid is critical in the first trimester as it helps prevent neural tube defects. Your doctor will recommend prenatal supplements containing folic acid, iron, calcium, and DHA to support your baby’s growth. It is essential to take only those supplements prescribed by your doctor to ensure the right balance of nutrients.
Adjust Your Diet: What to Eat & Avoid
Your diet plays a crucial role in your baby’s development. In India, where food choices are diverse, focus on:
Must-Have Foods: Green leafy vegetables (spinach, methi), dairy products (milk, paneer, curd), lentils (dal), nuts, and fruits like pomegranates and bananas.
Foods to Avoid: Raw papaya and pineapple (which can induce contractions), excessive caffeine, highly processed junk food, and unhygienic street food that may cause infections.
Hydration: Coconut water, buttermilk, and homemade fresh fruit juices can help keep nausea at bay while keeping you hydrated.
Expected Weight Gain
In the first trimester, weight gain is minimal—typically around 1-2 kg. If you experience severe nausea, you may even lose weight, which is normal. The focus should be on eating small, nutritious meals rather than worrying about weight gain.
Manage Morning Sickness
Nausea and vomiting are common in the first trimester. Here are some ways to manage it:
– Start your day with a dry snack like toast or khakra before getting out of bed.
– Sip ginger tea or lemon water to reduce queasiness.
– Eat small, frequent meals to prevent an empty stomach.
– Stay hydrated—drink plenty of fluids and avoid dehydration.
Plan Your Finances
Maternity expenses in India vary based on hospital choice and delivery type (normal or C-section). Consider budgeting for:
– Prenatal checkups and scans
– Delivery costs
– Baby essentials and postnatal care
– Maternity leave (check your employer’s policy)
Second Trimester To-Do List: The Active Phase
The second trimester is often the most enjoyable—your energy returns, and morning sickness usually subsides. Now’s the time to get proactive!
Announce Your Pregnancy
Many couples wait until after the first trimester to share the news. Whether you choose a simple family gathering or a creative social media announcement, this is an exciting milestone!
Shop for Comfortable Maternity Wear
As your belly grows, comfort becomes a priority. Invest in:
- Maternity kurtis, leggings, and palazzos for everyday wear.
- Comfortable cotton bras and inner-wear for support.
- Loose, breathable nightwear for a good night’s sleep.
- Swollen feet are common, so choose cushioned sandals or shoes that offer good arch support.
Continue Prenatal Checkups & Tests
The second trimester includes crucial scans and tests such as:
Anomaly Scan (Level 2 Ultrasound) (18-22 weeks): Checks the baby’s organs and development.
Gestational Diabetes Test: Essential for Indian women due to a higher risk of diabetes during pregnancy.
Haemoglobin, Iron, and Calcium Levels: Your doctor will monitor these to prevent anemia and ensure bone health.
Start Light Exercises
Staying active helps with flexibility, reduces pregnancy discomfort, and prepares your body for labor. Try:
Prenatal yoga (under supervision) to improve flexibility and reduce stress.
Walking for 30 minutes daily to maintain circulation and prevent swelling.
Light stretching and pelvic exercises to ease back pain and strengthen muscles for labor.
Avoid high-impact exercises, and always consult your doctor before starting any fitness routine.
Plan Your Baby’s Nursery & Essentials
Start researching and listing baby essentials such as:
- Baby clothes (cotton onesies, mittens, caps, swaddle blankets)
- Diapers and wipes
- Baby cot or cradle
- Feeding bottles and sterilizer
- Safe baby skincare products (mild soaps, baby oils)
In India, many families prefer buying baby items after birth due to cultural beliefs, but it’s good to plan in advance.
Third Trimester Pregnancy To-Do List: The Final Stretch
The last trimester is all about getting ready for the big day. Your baby is growing rapidly, and your body is preparing for labor.
Finalize Your Birth Plan
Discuss with your doctor:
- Preferred delivery type (normal or C-section based on medical conditions)
- Pain relief options (epidural availability)
- Hospital stay duration and facilities
- Emergency procedures and backup plans
Pack Your Hospital Bag
Keep your hospital bag ready by 36 weeks with essentials like:
- Comfortable nightwear and nursing bras
- Baby clothes and blankets
- Maternity pads and toiletries
- Important documents (hospital records, ID proofs, insurance details)
- Healthy snacks and a water bottle for labor
Learn About Labor Signs
Signs that labor may be approaching include:
- Frequent contractions: Unlike Braxton Hicks, true labor contractions become more intense and regular over time.
- Water breaking: A sudden gush or a slow leak of amniotic fluid may indicate that labor is starting.
- Lower back pain and cramps: These can be persistent and may worsen as labor progresses.
- Mucus plug discharge: A pink or brownish mucus discharge may indicate that the cervix is preparing for labor.
I’ve created a series of YouTube Shorts that explain each of these early signs of labor in simple and easy-to-understand ways.
👉 [Check out the series here!]
Arrange for Postpartum Help
In India, many families hire a japa maid or take help from elders for baby care. Arrange for help in advance if needed, as postpartum recovery can be physically and emotionally demanding.
Rest & Prepare Mentally
The final weeks of pregnancy can be exhausting. Prioritize self-care by:
- Taking frequent breaks: Avoid prolonged standing or sitting to reduce swelling and discomfort.
- Practicing deep breathing and relaxation techniques: Helps manage stress and prepares you for labor.
- Leaning on your family and partner: Emotional support plays a crucial role in maintaining a positive mindset.
Wrapping It Up
Pregnancy is a journey filled with excitement and challenges. Having a detailed pregnancy to do list for the first, second, and third trimesters ensures that you are well-prepared at every stage. From medical checkups to baby essentials and emotional well-being, each trimester has its own unique tasks. By staying informed, planning ahead, and taking care of yourself, you can embrace this journey with confidence and joy.
