Week 20 of Pregnancy: Halfway There and Baby’s Growth Spurts

Baby Size at Week 20: Your little one is now about the size of a banana, measuring around 6.5 inches (165 mm) from crown to rump. They weigh approximately 10.6 ounces (300 grams). Your baby’s body is becoming more proportionate, and their skin is developing a protective layer called vernix caseosa.

Changes and State in the Mother’s Body: As you reach the halfway mark of your pregnancy, you may notice that your baby bump is more pronounced. Your uterus has grown to about the level of your belly button, and you may feel occasional fluttering movements as your baby becomes more active. You might also experience some discomfort due to round ligament pain, which is caused by the stretching of the ligaments supporting your uterus.

Common Symptoms:

  • Increased appetite: Your growing baby requires more nourishment, so it’s common to experience an increase in appetite. Focus on eating nutritious meals and snacks to fuel your body.
  • Heartburn: Hormonal changes can relax the valve between your stomach and esophagus, leading to heartburn. Avoid spicy and greasy foods, eat smaller meals, and try propping yourself up with pillows while sleeping.
  • Leg cramps: As your body undergoes changes, you may experience occasional leg cramps. Stretching, staying hydrated, and gentle exercise can help alleviate these cramps.
  • Nasal congestion: Pregnancy hormones can cause nasal passages to swell, leading to congestion. Use saline nasal drops or a humidifier to relieve congestion.
  • Braxton Hicks contractions: These practice contractions may become more noticeable around week 20. Stay hydrated, change positions, and practice relaxation techniques to ease any discomfort.

Tips for Week 20:

  1. Stay hydrated: Drink plenty of water throughout the day to stay hydrated and help prevent leg cramps.
  2. Support your back: Use a pregnancy pillow or place a small pillow behind your lower back while sitting to provide support and alleviate backaches.
  3. Take breaks and elevate your feet: If you’re experiencing swelling in your feet and ankles, take breaks to elevate your feet above heart level to promote circulation.
  4. Stay active: Engage in low-impact exercises like swimming or prenatal yoga to maintain your strength and flexibility.
  5. Bond with your baby: Play soothing music or read aloud to your baby. This can help create a bond and stimulate their hearing development.


  1. Is it normal to feel occasional sharp pains in my abdomen during week 20?
    • Yes, it is common to experience round ligament pain during pregnancy. These sharp, shooting pains on the sides of your abdomen are caused by the stretching of the ligaments that support your growing uterus. However, if the pain is severe or persistent, it’s best to consult your healthcare provider.
  2. When should I start preparing my nursery for the baby?
    • It’s a good idea to start preparing the nursery during the second trimester. This will give you ample time to decorate, shop for baby essentials, and set up the room before your due date.
  3. Can I still travel during week 20 of pregnancy?
    • Traveling during the second trimester is generally considered safe for most women. However, it’s important to consult with your healthcare provider before making any travel plans. They can provide guidance based on your specific medical history and any potential risks associated with your destination.

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