Week 20of 40
Trimester 2
Week 20 of 40
The fetus
20 cm300 grams
Size of An eggplant
- The baby is now about 20 cm long – halfway through the pregnancy!
- Fat storage under the skin increases to regulate body temperature
- The sense of taste is developing and the baby can taste the amniotic fluid
- Movement patterns become more regular with distinct awake and sleep periods
Your body
Physical changes
- The uterus has now reached navel height
- Weight gain is noticeable – on average 4–6 kg at this point
- Nipples may darken and the breasts are preparing for breastfeeding
Common symptoms
- Shortness of breath during physical exertion is common
- Constipation and gas
- Increased vaginal discharge
Emotional changes
- Being halfway through the pregnancy can bring a mix of joy and worry
- Seeing the baby on ultrasound can strengthen the bond
Good to know
- You've reached the halfway point – congratulations!
- Follow up on weight gain with your midwife according to BMI guidelines
- Consider documenting your pregnancy belly with photos as a keepsake
Appointments & check-ups
- The routine ultrasound should be completed by now. It checks the baby's anatomy, growth, and the position of the placenta.
Food & nutrition
Good to eat
- Iron-rich foods such as red meat, beans, and lentils
- Whole grain bread and pasta for slow-release carbohydrates
- Fresh berries and fruits for vitamins and antioxidants
- Fatty fish for omega-3 and DHA
Be aware of
- Normal weight gain guidelines: BMI under 18.5: 12.5–18 kg, BMI 18.5–24.9: 11.5–16 kg, BMI 25–29.9: 7–11.5 kg, BMI over 30: 5–9 kg
- Eat fiber-rich foods to counteract constipation
Avoid
- Alcohol
- Raw fish and meat
- Liver and liver products due to high vitamin A content
Supplements
- Folic acid 400 micrograms daily
- Vitamin D 10 micrograms daily
- Iron supplements if needed after checking blood values
Exercise
Stay active but adjust the intensity. You should be able to talk during exercise without becoming too breathless.
As your belly grows, you may need to use a support belt during exercise to relieve pressure on your back.
Suggested activities
- Walking, preferably on varied terrain
- Prenatal yoga
- Swimming and water aerobics
- Strength training adapted for pregnancy
Avoid
- Sit-ups and crunches
- Exercising in very hot environments
Sources
The content on this website is based on information from 1177.se and the Swedish Food Agency. It does not replace professional medical advice. Always contact your midwife or doctor with questions about your pregnancy.