Congratulations on your pregnancy!

As parents-to-be, you and your partner may be unsure what will happen next, or be confused by the barrage of ( well-meaning ) advice which parents, relatives and friends will no doubt bombard you with. We hope this handout will help to clarify some of your doubts as well as ease some of the anxiety you may face in the coming weeks before your appointment with the obstetrician.

What to expect?

Once your urine pregnancy test has been confirmed, we will attempt to calculate your baby’s expected delivery date based on the first day of your last menstruation cycle. Some of the common symptoms of pregnancy are:-

  • nausea / vomiting ( ‘morning sickness’ )
  • breast tenderness
  • pelvic fullness / bloatedness / cramps
  • fatigue or tiredness
  • backache
  • frequent urination
Click here to learn more about the Symptoms of Pregnancy

If your symptoms are excessive or severe, do seek a review with your doctor.

If you have previous pregnancies with poor outcome, previous surgeries, or any health / medical problems, or any family history of diabetes, multiple pregnancies or abnormal babies, please highlight it to your doctor.

Click here to learn more about Vaginal Bleeding during Early Pregnancy

Otherwise, the next step is to book an appointment with an obstetrician, who will usually proceed to do an ultrasound scan for you.

This bedside ultrasound scan is called the ‘dating scan’ because we will use it to confirm the gestation age and delivery date of your baby. At the same time, the obstetrician will look out for the heart beat of the baby, check for presence of more than 1 baby ( you might be having twins or triplets, for example ) and ascertain that the baby is indeed within the womb ( rather than in the Fallopian tubes or even outside the womb ).

If all is well, then your next appointments with the obstetrician is likely to be every 4 weeks in the 1st half of the pregnancy, every 2-3 weeks in the 2nd half and every 1-2 weeks once you are at term. Subsequent blood tests which will be required include tests for anemia, blood typing, rubella, syphilis, HIV, hepatitis B and diabetes. Urine tests will also be required. Your obstetrician will discuss the need for these, and other tests with you.

Dos and Don’ts


  • Do continue your folic acid tablets throughout the pregnancy unless otherwise advised by your obstetrician.
  • Do start on calcium and iron supplements during the 2nd half of the pregnancy or earlier as advised by your obstetrician.
  • Do let any treating physician know your gestation age as well as any allergies or other medical conditions you have. Remember – even medications which you have been taking regularly before the pregnancy may be unsuitable now so DO clear all medications with your doctor.\
  • Routine dental work can be continued as required.
  • Unless absolutely essential, all X-rays should be postponed until after the baby is born.


  • Don’t consume raw or half-cooked foods, including half-boiled eggs, unpasteurised cheese and sashimi.
  • Don’t consume alcohol.
  • Don’t consume more than 2 cups of coffee ( or equivalent caffeine ) per day.
  • Do take more fruits, vegetables and fish. There is no basis for avoiding certain fruits totally, like pineapples or watermelon.
  • Vitamins and supplements other than folic acid, calcium and iron are usually not required but if you are taking supplements, do ensure that your total vitamin A intake does not exceed 3000 IU/day.
Click here to learn more about Foods to avoid during Pregnancy


  • Don’t smoke; Do avoid smokers and second hand smoke.
  • Do continue with up to 30mins of light or moderate amounts of exercise per session, but be mindful to take large amounts of water, avoid exercising during the times when the sun is strongest and wear suitable light clothing. As you enter second and third trimesters, your tummy will get bigger and heavier. As that happens, tail down the level and intensity of exercise and never persist when it becomes uncomfortable or painful.
  • Don’t expose your baby to excessive heat from spas, hot tubs or saunas.
  • Do avoid close contact with animals, especially cats and birds, as there is a small risk of transmitting parasites or viruses which may affect the baby.
  • Do be mindful of people who may be ill with chicken pox or measles or rubella especially in the first trimester as such infections during pregnancy may affect the baby.
  • Do avoid or limit your exposure to paints, thinners and other solvents, insecticides and pesticides as far as possible.
  • Sex during pregnancy is safe for most women, unless otherwise advised by your doctor. The position of greatest comfort to you should be adopted.
Click here to learn about Sex in Pregnancy – Is it Safe?
Travelling while pregnant – How safe is it?
Click here for our full range of Women’s Health Services

Also Check out:

Early Pregnancy Test: What you need to know!

Need more advice?

Come down to Our Clinics for a discussion with Our Doctors, or call our clinics for more information:



  1. Hi Dr Tan,
    I am now a week and 4 days late for my period I took a pregnancy test 5 days ago when i was 6 days late and it was negative. I still have not got my period except 2 nights ago I had some spotting but only a tiny about, it didn’t even show on my underpants, i only saw when i went to the bathroom. Is it possible that I am pregnant?

    • Dr Justin Sim

      You may want to repeat a urine test again to re-confirm. If that is still negative and you want to be sure then you can do a blood test. Sometimes periods can be late for other reasons but they will usually start again.

  2. Hi Dr,

    im 18 years old, and i was 4 days late for my period on the 21, the 22nd around 9:00pm i started spotting light pinkish/orange, the next morning it got a little heavier but stayed the same color with a huge blood clot thing, then it got lighter, then today its a bright red with pink and brown, and what looks like little pieces of tissue…. could this be implantation bleeding, or should i be worried? also the day after the spotting i got a negative test result..

    • Implantation bleed does not happen at the end of a cycle. It could have been a spontaneous abortion. Or it could be an early pregnancy bleed. Repeat a pregnancy test if you do not get a normal period in 2 weeks. If that is still negative, you need not worry about pregnancy and just have to wait for your body to right itself.

    IF” someone” missed period, the pregnancy test positive, abdomen pain and vaginal bleeding,went to see the Dr , the DR answer this is OVARY CANCER!see again another Dr, he said this is not cancer ,this is ECTOPIC PREGNANCY…already open surgery, left place no ovary. .what cause the ECTOPIC PREGNANCY ?what about future pregnancy?

    • Hi miao,

      There are many causes of Ectopic Pregnancy. The truth is most of the time dotors cannot find a cause. A history of salpingitis (inflammation of the fallopian tubes) raises the risk of ectopic pregnancy significantly. Women who had one ectopic pregnancy are at a higher risk of having another extopic pregnancy.


      Dr Tan

  4. Dear Dr Tan,
    If someone already did abortion,is it possible the pregnancy test still show positive?The Dr said, The pregnancy test cannot believe,he scans stomach then he said look like stone grow inside.He said maybe the stone made the pregnancy test become positive..he cannot consider pregnant.. The dr said he only can WASH only not abortion…BUT the pregnancy test still show it possible the stone grow inside can made pregnacy test positive?

    • Hi miao,

      My opinion of this is that your doctor is using the word ‘stone’ as a simple explanation for something medically complex. If you are not pregnant than there really is nothing to abort. That said, I am not a specialist in Gynaecology. You should see a ObGyn Specialist to discuss this issue.


      Dr Tan


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