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The Pregnancy Hub

20 weeks pregnant

Get to know your growing baby and the changes you may be feeling.

Choose your week

Week 20

Know your due date?

Enter the due date from your care team to find your estimated week today. Your date stays in this browser tab.

Illustration of a banana

Second trimester

About the size of

a banana

Approximate length

10.1 in / 25.6 cm Head to heel

Your baby

A coating called vernix helps protect your baby's skin in the amniotic fluid. Your baby is kicking, turning and practicing sucking movements. This guide now measures approximate length from head to heel instead of head to bottom. That change in measurement explains the apparent jump from week 19; it does not mean your baby suddenly grew that much in a week.

Your body

You may be noticing movements more clearly, although experiences vary. Leg cramps or changes in sleep may also be part of this stage. Bring up symptoms that affect rest and ask about suitable comfort measures. Do not use whether you feel a particular symptom, or the size of your bump, to interpret the outcome of a scan.

This week

Understanding the anatomy scan

The anatomy ultrasound looks at your baby's developing structures and other features of the pregnancy. It can provide useful information, but cannot detect every condition or guarantee a particular outcome. Ask which findings were assessed, whether all the needed views were obtained and whether any follow-up is recommended. If a term or measurement is unfamiliar, ask the clinician to explain it in context. Keep a note of the results and next steps so you know whom to contact with questions after the appointment, rather than trying to interpret a report alone.

Learn about pregnancy ultrasound

Looking ahead

A question for your next visit

What did the anatomy scan show, what could not be assessed, and is any follow-up needed?

Browse pregnancy weeks

A little context for these comparisons

These are approximate sizes for each week, not measurements of your baby. Babies and produce both come in different sizes, and the illustrations are not shown to scale.

Before week 20, length is measured from head to bottom. From week 20, it includes the legs, from head to heel. That change explains the jump in length between weeks 19 and 20.

When to get help

If your baby’s usual movements slow down, stop, or change, contact your maternity care team right away.

Seek medical care right away for warning signs such as a severe or persistent headache, vision changes, chest pain, trouble breathing, severe belly pain, vaginal bleeding, leaking fluid, or thoughts of harming yourself or your baby. These are examples, not a complete list. If you cannot reach your care team, seek urgent medical care. Call 911 for a medical emergency.

Read the CDC urgent maternal warning signs (opens in a new tab)
About this guide

Approximate measurements and development information draw on the NHS weekly guides. Linked US health resources support care and preparation topics. The topics are suggestions for discussion, not a schedule of required appointments or tests. Your own care plan may differ.

Every pregnancy is different. Your care team can help you understand your baby’s growth and any symptoms you’re experiencing.