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The Pregnancy Hub

4 weeks pregnant

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

Choose your week

Week 4

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 poppy seed

First trimester

About the size of

a poppy seed

Approximate length

0.08 in / 0.2 cm Head to bottom

Your baby

Your baby is developing inside a fluid-filled amniotic sac. A small yolk sac provides nourishment while the tissues that will form the placenta develop. At this early stage, the embryo is tiny; the poppy-seed illustration is only a comparison, not a way to assess how your own pregnancy is progressing.

Your body

A missed period may be the first change you notice. Breast tenderness, tiredness or no obvious symptoms are all possible. Pregnancy weeks are usually counted from the first day of your last period, rather than the day of conception. If your cycles are irregular or you do not know that date, tell your care team so they can help establish your dates.

This week

Getting started with prenatal care

After a positive home test, contact a prenatal care provider to arrange your first visit. Make a list of your medicines, vitamins, allergies, health conditions and previous pregnancies. Include questions about food, activity and anything you use for symptoms. Ask about a prenatal vitamin and folic acid, and check before starting or stopping a medicine. You do not need to have every answer ready: the first conversation is a chance to work out what information and support you need.

Explore the due-date calculator

Looking ahead

A question for your next visit

What should I bring to my first visit, and how will we confirm my due date?

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

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.