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Heidi Murkoff with Sharon Mazel2016 · 5th editionFirst published 1984

What to Expect When You're Expecting

Forty weeks is a lot to carry at once. This guide breaks it into one month at a time, and answers the worries as they come.

  • 40weeks, counted from the first day of the last period
  • 280days from that day to the due date
  • 9month-by-month chapters at the book's core
  • 3trimesters: to 13 weeks, to 27, then 28 on
Find your week
Weeks 1 to 40Due
  • First trimester
  • Second
  • Third
HourLife's drawing of a pregnancy as forty weeks, shaded by trimester. The dark squares close each one.

The core idea

Answer this month's questions, not all of them at once.

Heidi Murkoff wrote the first edition of this guide, published in 1984, with her mother Arlene Eisenberg and her sister Sandee Hathaway, after her own first pregnancy left her with more worries than answers. This fifth edition, written with Sharon Mazel, keeps the plan that made it a standard: one chapter for each month of pregnancy. Each month covers how the baby is growing, what is happening in your body, what you may be feeling, and the questions and worries that tend to come up, answered one at a time. Around the months sit chapters on getting ready for pregnancy, eating well, labour and delivery, and the first weeks after the birth. The tone is that of a calm, well-informed friend, and it keeps sending readers back to their own doctor or midwife for anything that concerns them.

The guide's real gift is its pacing. Pregnancy throws up a stream of small questions: is this twinge normal, can I eat that, should I be feeling more, or less? The book meets them where they arise, in the month they tend to arise, and says plainly which ones are worth a call.

Earlier editions were criticised for a tone some readers found alarming, especially around food. Later editions are gentler. Read it the way it asks to be read: a month at a time, alongside your own midwife or doctor, who knows your pregnancy in a way no book can.

  • Pillar one

    One month at a time

    Read the chapter you are living. The later months can wait until you get there.

  • Pillar two

    Worries, answered

    Most questions are common ones. Knowing what is normal makes the rare real warning easier to see.

  • Pillar three

    Your provider decides

    The book informs the conversation with your midwife or doctor. It never replaces it.

Interactive · this month

Where are you in the forty weeks?

Enter your due date or the first day of your last period. The tracker works out your week and trimester, opens the month you are in, and keeps a running list of questions for your next appointment.

A general guide, not medical advice. Every pregnancy is different, and this is not a substitute for care from your midwife or doctor. Your dates from a scan may differ; go with the ones your team gives you.

I know my

From your scan or your provider, if you have one.

Enter a date above to see your week, your trimester and your month.

Month by month

Month 1

Weeks 1–4

What's going on

Weeks are counted from the first day of your last period, so for about the first two of them you are not yet pregnant. Conception usually happens around week two, and the fertilised egg settles into the lining of the womb over the following week or so.

What you may notice
  • A missed period
  • Tender or swollen breasts
  • Tiredness
  • Needing to pee more often
  • Or nothing at all yet
Worth asking at your next appointment
  • When should I book my first appointment?
  • Should I take folic acid or a prenatal vitamin, and which one?
  • Are the medicines and supplements I take fine to keep taking?

HourLife's summary of what many people go through each month, in our words, not the book's. You may feel all of it, some of it or none of it.

Don't wait for an appointment

Call straight away, day or night, if you have:

Call your midwife, doctor or maternity unit. If it is an emergency, or you have thoughts of harming yourself or your baby, call your local emergency number now.

  • Bleeding from the vagina, especially if it is heavy
  • A severe headache, blurred vision or flashing lights, or sudden swelling of your face, hands or feet
  • Fluid leaking from the vagina
  • A fever, or feeling very unwell
  • Severe or constant pain in your bump
  • Your baby moving less than usual, or a change in the pattern
  • Regular tightenings or contractions before 37 weeks

Concept anatomy

Nine months on one forty-week line.

Pregnancy is counted in weeks, but the book is organised in months. Here is how the two line up, in the grouping most month-by-month guides use. A month here is four or five weeks, not a calendar month.

Inside a month

Each month chapter works through the same layers, so you always know where to look. HourLife's names for them:

  1. The babyHow the baby is growing this month, in plain terms.
  2. Your bodyWhat is changing for you, inside and out.
  3. What you may feelThe common symptoms, with the reminder that you may have all, some or none.
  4. What you may wonderEveryday worries taken one at a time, and when one is worth a call.
  5. The checkupWhat usually happens at this month's appointment.

The date maths

How a due date is counted

First day of last period+ 280 daysDue date
Due date− 280 daysStart of week 0
Days since then÷ 7Weeks + days

Why from the period? It is the one date most people know. Conception is usually about two weeks later, so the first two weeks are counted before you are pregnant.

It is a window. Only a small share of babies arrive on the day itself. Babies born from 37 weeks are counted as term, and an early scan may move your dates.

Community insights

What readers take from it.

Nº 01HourLife takeaway

Forty weeks is a lot to hold at once, so hold one month at a time.

The book is built around that idea. Each month gets its own chapter, so you can read the part you are living now and leave the later months for later. Reading ahead to the ninth month in week eight mostly adds worries you cannot act on yet.

Nº 02HourLife takeaway

Most of what worries you has worried a great many people before you, and most of it is normal.

Much of each month is a run of everyday questions answered one by one: a strange twinge, a food you ate before you knew, a symptom that came or went. The answers explain what is common and say plainly when something is worth a call.

Nº 03HourLife takeaway

Write your questions down when they come, because they never come in the exam room.

Worries tend to show up at night or between visits, and appointments are short. Keeping one running list and reading it out at each checkup means you leave with answers instead of remembering the question in the car park.

Nº 04HourLife takeaway

Learn the few signs that mean call now, so you can stop scanning for everything else.

Heavy bleeding, a severe headache or changes in your vision, fluid leaking, a fever, severe pain, or your baby moving less than usual all mean calling your midwife, doctor or maternity unit straight away. Knowing that short list well makes the long list of ordinary aches easier to live with.

Nº 05HourLife takeaway

Eat well most of the time; one imperfect meal does not undo a pregnancy.

The book gives eating well its own chapter: regular meals, protein, fruit and vegetables, whole grains, enough fluids, and a prenatal vitamin if your provider recommends one. Earlier editions were criticised for making every bite feel like a test, and later editions soften the tone. Steady habits matter more than a perfect day.

Nº 06HourLife takeaway

Your due date is an estimate, not an appointment.

It is counted as 40 weeks from the first day of your last period, which is about two weeks before conception. Only a small share of babies arrive on the day itself. Treat it as the middle of a window, and plan for the weeks around it.

Nº 07HourLife takeaway

No two pregnancies follow the same script, not even two of your own.

Symptoms come early, late or not at all, and a friend's pregnancy or your last one predicts less than it seems to. The book describes what many people feel each month and keeps adding that you may feel all of it, some of it or none of it.

Nº 08HourLife takeaway

Learn the range of ways labour can go, not a single script.

The labour chapters walk through the stages of labour, the options for pain relief, and caesarean births, so none of them arrives as a surprise. Knowing the range makes it easier to take part in decisions when plans change on the day.

Nº 09HourLife takeaway

The weeks after the birth deserve their own plan.

The book follows readers past delivery into the first weeks of recovery: healing, bleeding, feeding and sleep. Low mood or worry that lasts more than a couple of weeks, or any thought of harming yourself, is something to tell your provider about right away rather than wait out.

Action steps

Set things up once, then keep a steady rhythm.

Set up once this week

1

Work out your dates

Find your due date or the first day of your last period, and use the tracker on this page to see your week and trimester. Write the due date somewhere you will see it, and remember it is the middle of a window.

2

Start one questions list

Make a single note on your phone called Next appointment. Every question goes there, the moment you think of it.

3

Save the call-now numbers

Put your midwife's or doctor's number, the after-hours line and your maternity unit in your phone today, next to your local emergency number. Add the list of urgent signs to the same note.

4

Bring every medicine to your first visit

List every prescription, over-the-counter medicine and supplement you take, with doses, and go through it with your provider. Don't stop or change a prescribed medicine on your own; ask first.

5

Plan three easy meals for bad days

Pick three meals or snacks you can face on a tired or queasy day and keep what they need in the house. Regular small meals are easier to keep up than a perfect plan.

Keep it up every week

6

Read only this month's chapter

At the start of each month, read the part you are living now. Leave the later months until you reach them.

7

Clear your list at every appointment

Open your questions list at the start of each checkup and read it out before the visit ends. Write the answers next to the questions.

8

Check in with yourself each week

Once a week, write one line about your sleep, your mood and any new symptoms. If low mood or worry lasts more than two weeks, tell your provider.

9

Get to know your baby's movements

Once you feel regular movements, notice your baby's usual pattern. If the movements slow down, change or stop, call your midwife or maternity unit the same day rather than waiting.

Take it one month at a time, write down what worries you, and ask.
HourLife note after Heidi Murkoff

Read the whole book

What to Expect When You're Expecting by Heidi Murkoff and Sharon Mazel. This page is the short version; the book has the rest.

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Frequently asked

What is What to Expect When You're Expecting about?

Heidi Murkoff wrote the first edition of this guide, published in 1984, with her mother Arlene Eisenberg and her sister Sandee Hathaway, after her own first pregnancy left her with more worries than answers. This fifth edition, written with Sharon Mazel, keeps the plan that made it a standard: one chapter for each month of pregnancy. Each month covers how the baby is growing, what is happening in your body, what...

What are the key takeaways from What to Expect When You're Expecting?

HourLife’s key takeaways include: Forty weeks is a lot to hold at once, so hold one month at a time. Most of what worries you has worried a great many people before you, and most of it is normal. Write your questions down when they come, because they never come in the exam room.

Who should read What to Expect When You're Expecting?

It's a strong pick for readers exploring Conscious Parenting and How Your Body Works. HourLife distills its core idea into key insights and practical actions worth trying.

What's one thing I can do after reading What to Expect When You're Expecting?

Work out your dates — Find your due date or the first day of your last period, and use the tracker on this page to see your week and trimester. Write the due date somewhere you will see it, and remember it is the middle of a window.

How long does it take to read the What to Expect When You're Expecting summary?

About five minutes. The HourLife summary distills What to Expect When You're Expecting into its core idea, 9 community insights, and 9 practical actions you can apply right away.

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