Pregnancy Tracker
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📈 hCG Tracker
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Reference Information
hCG Ranges by Week
| Week | Range (mIU/mL) | Notes |
|---|---|---|
| 3 | 5 - 50 | Just implanted |
| 4 | 5 - 426 | Missed period expected |
| 5 | 19 - 7,340 | Gestational sac visible |
| 6 | 1,080 - 56,500 | Yolk sac visible (~6,000) |
| 7-8 | 7,650 - 229,000 | Heartbeat visible (~10K) |
| 9-12 | 25,700 - 288,000 | PEAK range |
| 13-16 | 13,300 - 254,000 | Beginning decline |
| 17-24 | 4,060 - 165,400 | Plateau/decline |
| 25-40 | 3,640 - 117,000 | Stable through delivery |
Expected Doubling Times
hCG <1200
48-72 hours
Min 48hr rise: 49%
hCG 1200-6000
72-96 hours
Min 48hr rise: 40%
hCG >6000
96+ hours
Min 48hr rise: 33%
Ultrasound Landmarks
Gestational sac
1,150 mIU/mL
Yolk sac
6,000 mIU/mL
Heartbeat
10,000 mIU/mL
Raw Fish / Sushi (raw)
Listeria, Anisakis parasites
Safe alternative: Cooked sushi
Raw / Undercooked Meat
Toxoplasma, E. coli, Salmonella
Raw / Runny Eggs
Salmonella
Cold Deli Meats & Hot Dogs
Listeria
Safe alternative: Safe if heated to 165°F
Unpasteurized Dairy & Soft Cheeses
Listeria
Safe alternative: Safe if pasteurized
High-Mercury Fish
Shark, swordfish, king mackerel, tilefish, bigeye tuna, marlin, orange roughy
Alcohol
NO safe amount
Raw Sprouts
E. coli, Salmonella
Safe alternative: Safe if cooked
First Trimester (Weeks 1-13)
Confirm Pregnancy
Blood test or urine test to confirm. Review medications and supplements.
First Prenatal Visit
Complete history, physical exam, baseline labs (blood type, CBC, Rh, rubella, STI screening).
NIPT / First Trimester Screening
Non-invasive prenatal testing for chromosomal conditions (Down syndrome, trisomy 18, 13). Optional.
NT Ultrasound
Nuchal translucency measurement. First chance to see baby on screen and hear heartbeat.
Dental Cleaning
Safe in all trimesters. Pregnancy hormones increase gum inflammation risk.
Second Trimester (Weeks 14-27)
Routine Visit
Check blood pressure, weight, urine, fundal height. Listen to fetal heart tones.
Quad Screen (if no NIPT)
Blood test for neural tube defects and chromosomal conditions. Offered if NIPT was not done.
Anatomy Scan (20-Week)
Detailed ultrasound checking all fetal organs, spine, brain, heart. Can often learn the sex.
Glucose Tolerance Test
Screen for gestational diabetes. Drink glucose solution, blood drawn at 1 hour.
Rh Antibody Screen
If Rh-negative, receive RhoGAM injection around week 28.
Tdap Vaccine
Whooping cough vaccine given each pregnancy. Ideally weeks 27-36 for maximum antibody transfer.
Third Trimester (Weeks 28-40)
Start Biweekly Visits
Visits every 2 weeks. Monitor blood pressure, weight, baby position, and growth.
Start Kick Counts
Begin daily kick counting. 10 movements in 2 hours is the goal.
RSV Vaccine (if in season)
Abrysvo vaccine during September through January RSV season. Protects newborn.
Group B Strep Test
Vaginal and rectal swab. If positive, receive IV antibiotics during labor.
Start Weekly Visits
Weekly visits until delivery. Cervical checks may begin. Discuss birth plan.
Baby Position Check
Confirm baby is head-down (vertex). Discuss options if breech.
Pre-Register at Hospital
Complete paperwork, tour labor and delivery if not yet done.
Membrane Sweep (optional)
Provider may offer membrane sweep to encourage labor after 39 weeks.
Post-Date Monitoring
If past due date: non-stress test, amniotic fluid check. Discuss induction timeline.
Poppy seed
0.04 in
Sesame seed
0.08 in
Lentil
0.25 in
Blueberry
0.4 in
Kidney bean
0.6 in · 0.04 oz
Grape
0.9 in · 0.07 oz
Kumquat
1.2 in · 0.14 oz
Fig
1.6 in · 0.25 oz
Lime
2.1 in · 0.5 oz
Lemon
2.9 in · 0.8 oz
Peach
3.4 in · 1.5 oz
Apple
4 in · 2.5 oz
Avocado
4.6 in · 3.5 oz
Pear
5.1 in · 5 oz
Bell pepper
5.6 in · 6.7 oz
Tomato
6 in · 8.5 oz
Banana
6.5 in · 10.6 oz
Carrot
10.5 in · 12.7 oz
Papaya
10.9 in · 15.2 oz
Grapefruit
11.4 in · 1.1 lb
Corn on cob
11.8 in · 1.3 lb
Rutabaga
13.6 in · 1.5 lb
Scallion bunch
14 in · 1.7 lb
Cauliflower
14.4 in · 1.9 lb
Eggplant
14.8 in · 2.2 lb
Butternut squash
15.2 in · 2.5 lb
Cabbage
15.7 in · 2.9 lb
Coconut
16.2 in · 3.3 lb
Jicama
16.7 in · 3.7 lb
Pineapple
17.2 in · 4.2 lb
Cantaloupe
17.7 in · 4.7 lb
Honeydew melon
18.2 in · 5.3 lb
Romaine lettuce
18.7 in · 5.8 lb
Swiss chard bunch
19.1 in · 6.3 lb
Leek
19.6 in · 6.8 lb
Mini watermelon
20 in · 7.3 lb
Small pumpkin
20.2 in · 7.6 lb
Daily Prenatal Targets
Key nutrients for a healthy pregnancy. Aim to meet these daily through prenatal vitamins + diet.
Folic Acid
600 mcg/dayPrevents neural tube defects (spina bifida, anencephaly). Critical in first 28 days, often before you know you're pregnant. Take 400-800mcg daily starting before conception.
Iron
27 mg/daySupports 50% increase in blood volume. Prevents iron-deficiency anemia which causes fatigue and increases preterm birth risk. Take with vitamin C for absorption; avoid with calcium.
Calcium
1000 mg/dayBuilds baby's bones, teeth, heart, nerves, and muscles. If intake is insufficient, your body will leach calcium from your own bones. Most prenatals have only 200-300mg; supplement with diet.
Vitamin D
600 IU/dayHelps absorb calcium and supports immune function. Deficiency linked to preeclampsia and gestational diabetes. Many providers recommend 1000-2000 IU, especially if low levels are detected.
DHA (Omega-3)
200-300 mg/dayEssential for fetal brain and retinal development, especially in 3rd trimester. Best source is fatty fish (2-3 servings/week) or algae-based DHA supplement if vegetarian.
Choline
450 mg/daySupports brain development, neural tube closure, and placental function. Most prenatals contain little to no choline. One large egg provides 147mg. Supplement separately if needed.
Iodine
220 mcg/dayCritical for fetal thyroid function and brain development. Deficiency is the leading preventable cause of intellectual disability worldwide. Found in iodized salt, dairy, and seaweed.
Protein
71 g/daySupports rapid fetal growth, especially in 2nd and 3rd trimesters (up from 46g pre-pregnancy). Good sources: eggs, Greek yogurt, chicken, beans, tofu, lentils.
Tips for Absorption
- • Take iron and calcium at different times (they compete for absorption)
- • Take iron with vitamin C (orange juice, bell peppers) to boost absorption
- • Take fat-soluble vitamins (D, DHA) with a meal containing fat
- • If your prenatal causes nausea, try taking it with dinner instead of morning
- • Split doses throughout the day if taking high amounts of calcium
Step-by-step approach from ACOG. Start with Step 1 and progress only if needed.
Lifestyle & Diet Changes
Small, frequent meals
Eat every 2-3 hours. Empty stomach worsens nausea.
Bland, dry foods
Crackers, toast, rice, bananas. Keep crackers by the bed.
Stay hydrated
Sip water, ginger ale, or electrolyte drinks throughout the day.
Avoid triggers
Strong smells, greasy/spicy foods, hot rooms.
Fresh air & rest
Take walks. Fatigue worsens nausea.
Natural Remedies
Ginger
250mg capsules 4x/day, ginger tea, ginger chews, or ginger ale (real ginger).
Evidence Level B
Vitamin B6 (pyridoxine)
10-25mg every 6-8 hours (up to 75mg/day).
First-line ACOG recommendation
Acupressure wristbands
Sea-Band or similar. Press P6 point on inner wrist.
Evidence Level C
Lemon/sour flavors
Sniff lemon, suck sour candies, or add lemon to water.
OTC Medications
Doxylamine + B6 (Unisom + B6)
25mg doxylamine (Unisom SleepTabs) at bedtime + 25mg B6 three times daily.
ACOG first-line Rx. Was prescription Diclegis.
Diphenhydramine (Benadryl)
25-50mg every 6-8 hours.
Also helps with sleep
Meclizine (Bonine)
25mg every 6 hours as needed.
Prescription Medications
Ondansetron (Zofran)
4mg every 8 hours. Ask your provider.
Very effective but discuss risks. Typically reserved for moderate-severe cases.
Promethazine (Phenergan)
12.5-25mg every 4-6 hours.
Causes drowsiness
Metoclopramide (Reglan)
5-10mg every 6-8 hours.
Helps with gastric emptying
Severe (Hyperemesis Gravidarum)
IV fluids & electrolytes
Emergency/urgent care for dehydration. Do not wait if you cannot keep fluids down for 12+ hours.
IV Zofran + steroids
Methylprednisolone for refractory cases.
Inpatient management
When to go to ER
Cannot keep any fluids down 12+ hours, dark urine, dizziness, weight loss >5%, rapid heartbeat.
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First Trimester (Weeks 1-13)
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of 10 kicks
About Kick Counting
- • Start at 28 weeks, do once daily
- • Pick a time when baby is usually active
- • Count any movement: kicks, rolls, jabs, flutters
- • Goal: 10 movements in 2 hours or less
- • Contact your provider if it takes more than 2 hours
Braxton Hicks vs. Real Contractions
| Feature | Braxton Hicks | Real Labor |
|---|---|---|
| Pattern | Irregular, no pattern | Regular, getting closer together |
| Intensity | Stay the same or weaken | Get progressively stronger |
| Location | Front of abdomen | Back to front, radiating |
| Duration | 30-60 sec, variable | 60-90 sec, getting longer |
| Activity effect | Stop with rest/position change | Continue regardless of activity |
| Hydration | Often stop with water | Continue despite hydration |
Your Baseline
Recommended total gain: 28-40 lbs(1 lb/week in 2nd/3rd tri)
Log Weight
Where Does the Weight Go?
Baby
7-8 lbs
Placenta
1-2 lbs
Amniotic fluid
2 lbs
Uterus
2 lbs
Breast tissue
2 lbs
Blood volume
4 lbs
Fluid
4 lbs
Fat stores
5-9 lbs
Total: approximately 25-35 lbs for normal BMI
IOM Weight Gain Guidelines
| Category | BMI | Total Gain | Weekly (2nd/3rd) |
|---|---|---|---|
| Underweight | 0-18.5 | 28-40 lbs | 1 lb |
| Normal | 18.5-24.9 | 25-35 lbs | 1 lb |
| Overweight | 25-29.9 | 15-25 lbs | 0.6 lb |
| Obese | 30-100 | 11-20 lbs | 0.5 lb |
Notes & Questions
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This page provides general health information and is not a substitute for professional medical advice. Always consult your healthcare provider for personalized guidance. Sources: ACOG, FDA, CDC, WHO, NIH, StatPearls, USPSTF.