Weeks from last menstrual periodPhysiological processMedicine impact on fetus
1. First trimester 4 weeks or lessNo blood supply connecting mother & fetus; Fetal organs have not yet started to form Minimal
2. First trimester 4-10 weeksIndividual organs form over specific time point during this period e.g. limb buds (arms & legs) develop at week 6 while the heart divides into different cavities at week 7. Potential for birth defects where the adverse effect links with the timing of target organ being formed
3. First trimester 11-13 weeksFetal organs require nutrition to grow and begin to functionMinimal
4. Second trimester 13-26 weeksFetal organs require nutrition to grow and begin to functionMinimal
5. Third trimester 27-40 weeksFetal organs practice functioning to prepare for delivery but are immature and less efficient at nutrient and medication elimination than the mother.Potential for Increased medication levels in the fetus which can cause toxicity & in some cases withdrawal effects postpartum