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Trimester 1 · week 5 of 40

5 weeks pregnant

The embryo enters an intense phase of formation. Structures that will give rise to the brain, the spinal cord and the cardiovascular system start to organize.

Translated from the original Brazilian Portuguese content with the help of artificial intelligence. Read the original in Portuguese

Read about your current week or get ready for what comes next.
Visual size comparison at week 5: a sesame seed
Visual reference: a sesame seed. Not an individual clinical measurement.
Quick read

In 1 minute

  • The neural tube is forming.
  • Heart tissue starts to develop.
  • Nausea, sleepiness and breast tenderness may appear — or not.
Fetal development

How your baby is doing this week

The fifth week marks the start of a stage in which fundamental structures appear quickly. The neural tube, which will give rise to the brain and spinal cord, is forming. Heart tissue is also starting to develop. It's still early to picture the baby with the proportions it will have later on.

3D artistic representation of fetal development at week 5
Artistic 3D representation. This is not an ultrasound and does not represent your baby's individual development.
Body and routine

What may change in your body

Rising hormones can bring tiredness, sleepiness, sore breasts, a frequent need to urinate and nausea. It's also perfectly possible to be pregnant and feel little or nothing at this stage.

Possible steps

Care for this week

  1. Have your first prenatal appointment as soon as possible.

  2. If nausea starts, small meals and frequent sips of fluid may help; seek advice if you can't keep fluids down.

  3. Review medications, supplements and workplace exposures with your team.

Prenatal care focus

  • Brazil's Ministry of Health recommends starting prenatal care as soon as pregnancy is discovered or suspected, preferably by the 12th week.
Twin pregnancy

If you're expecting twins

In multiple pregnancies, confirming the number of fetuses and then the chorionicity will be important to plan follow-up care.

Support network

For those by your side

You can help by taking on tasks on the most tiring days and by not downplaying symptoms that, although common, can be really uncomfortable.

Common questions

Questions for this week

I'm not feeling nauseous. Is that bad?

No. Symptoms vary a lot between pregnancies, and their absence alone doesn't indicate a problem.

Is it too early for an ultrasound?

It may be. Your team decides the timing based on dating, symptoms, history and the purpose of the scan.

When to seek care

  • Vaginal bleeding during pregnancy should be reported to your care team; how heavy it is, pain and gestational age change how urgent it is.
  • Severe, worsening or persistent abdominal pain deserves evaluation.
  • Fever, fainting, significant shortness of breath, chest pain or feeling very unwell need medical care.

In an emergency, go to the urgent care service in your area. This content does not replace a professional assessment.

Next · week 6

The next chapter

In week 6, facial structures start to appear and the developing heart may already be seen on some ultrasounds.

See week 6

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Sources and transparency

Nilu editorial content, written from the official sources above. Individual clinical review of each week is in progress — this text is for information and does not replace your prenatal care.