Week 1 of Pregnancy: Calculating the Date
World
Motherhood

The first month of pregnancy is a key stage during which your body begins to experience hormonal changes and prepares for gestation. Although many women do not yet know they are pregnant, embryonic development has already begun. Here, we explain everything you need to know week by week.
This week, a pregnancy test will not be useful, as it is not yet possible to confirm if you are pregnant. To get a reliable result, it is advisable to wait until at least week 4. This is one of the reasons why the estimated due date may have a margin of error of between 1 and 2 weeks.

The start of the cycle (No pregnancy yet, but the body is preparing)
Symptoms
- This week corresponds to the first day of your menstrual cycle. Technically, you are not yet pregnant.
- You may experience typical menstruation symptoms, such as cramps, fatigue, bloating, and breast tenderness.
Embryo size:
There is no embryo yet, but the body is shedding the uterine lining to prepare for a new cycle of ovulation and possible pregnancy.
What to do this week?
If you are trying to conceive:
- Start taking folic acid (400-600 mcg daily) to prevent neural tube defects in the baby.
- Maintain a healthy lifestyle: quit smoking, reduce alcohol consumption, and eat a balanced diet.
- Avoid stress: practices like meditation and yoga can help you stay calm.
Nutrition in the first week of pregnancy
Increase folic acid intake
Folic acid is crucial for the baby’s neural tube development. It is recommended to consume 400-600 mcg daily through foods like spinach, lentils, broccoli, and oranges, or via a prenatal supplement.
Prioritize iron- and calcium-rich foods
Iron helps prevent anemia, and calcium is essential for the baby’s bone development. Include foods like lean meat, chicken, fish, eggs, almonds, dairy products, and leafy green vegetables.
Stay well-hydrated
Drinking enough water (at least 2 liters a day) helps maintain good circulation and prevents constipation, which is common during pregnancy.
Avoid processed and ultra-processed foods
Reduce your consumption of refined sugars, soft drinks, processed meats, and foods high in sodium.

Reduce caffeine and eliminate alcohol
It is recommended not to exceed 200 mg of caffeine per day (approximately one cup of coffee), as excessive consumption can affect pregnancy. Alcohol should be avoided completely.

Breathing and stretching are key
Including deep breathing exercises and gentle stretches can help reduce stress and improve circulation.
Exercise in the first week of pregnancy
If you already exercise, you can continue with your moderate routine. If you are sedentary, it’s a good time to start with 20-30 minute walks daily.
Opt for low-impact exercises
Activities like walking, swimming, prenatal yoga, or Pilates are excellent options to stay active without overstraining your body.
Avoid high-impact or risky exercises
Sports such as intense weightlifting, physical contact, or sudden movements can increase the risk of injury.
Listen to your body
If you experience extreme fatigue, dizziness, or pain, it is best to stop the activity and consult your doctor.
Consuming alcohol, tobacco, or drugs
These substances can affect the baby’s development from the earliest stages. It is advisable to eliminate them completely.
Neglecting hydration
Drinking too little water can lead to fatigue, dizziness, and affect blood circulation. It is recommended to drink at least 2 liters of water per day.
Self-medicating
Some medications can be harmful during pregnancy. If you are taking any treatment, consult your doctor before continuing.
Exposure to toxic products or chemicals
Avoid contact with pesticides, strong cleaning products, or harmful chemical substances.

Ignoring recommended supplementation
Folic acid is key to preventing birth defects in the baby, so it is essential to start taking it if you haven’t already.
Frequently Asked Questions
Why is this week counted if I'm not yet pregnant?
Doctors count pregnancy from the first day of the last menstrual period because it is difficult to determine the exact day of conception.
Can I tell if I'm pregnant in the first week?
No, at this stage, it is not yet possible to confirm with a pregnancy test, as hCG hormone levels are not yet detectable. To get a reliable result, it is recommended to wait until week 4 or after your period was due.
What are the first symptoms of pregnancy?
During the first week, there are usually no symptoms, as the process is just beginning. However, some women may experience mild abdominal discomfort, breast tenderness, or fatigue, which are often confused with premenstrual symptoms.
How is the due date calculated?
Pregnancy usually lasts about 40 weeks and is counted from the first day of the last menstrual period, even though fertilization occurs approximately two weeks later. Therefore, the estimated due date may have a margin of error of one or two weeks.
Can I have an ultrasound in the first week?
No, in the first week, there is no visible embryo on an ultrasound. Generally, a transvaginal ultrasound can detect the gestational sac from week 5 or 6.
Can I exercise or continue with my normal routine?
Yes, unless your doctor advises otherwise, you can continue with your usual routine of moderate exercise and healthy eating.
Is it normal to have cramps or spotting at this stage?
Yes, some women may experience mild cramps similar to menstrual cramps and even light spotting, which may be related to implantation. However, if the bleeding is heavy or the cramps are very severe, consult your doctor.
What lifestyle changes should I make from now on?
It is advisable to avoid alcohol, tobacco, and excessive caffeine, maintain a balanced diet rich in nutrients, and consult your doctor about any medication you are taking.

