Pregnancy Week 14

What does my baby look like?

This week your baby is about the size of a lemon. The head is gradually becoming rounder and starting to look more in proportion with the rest of the body.

Your baby is kicking and moving, though it's completely normal not to feel these movements yet. Even so, your doctor may be able to hear the heartbeat using a small handheld device placed on your belly.

What's developing in your baby this week?

Starting this week, some measurements assess your baby's length from head to heel rather than just to the bottom. So a noticeable jump compared with last week's measurement doesn't always mean a sudden growth spurt; sometimes it simply reflects a change in how the measurement is taken.

Your baby's neck is starting to lengthen, helping the head sit more upright. The facial muscles are getting to work, and your baby may be practicing movements like smiling or frowning. The roof of the mouth continues to develop.

Fine, soft hairs may begin to appear on your baby's body. This is called lanugo. In the weeks ahead, most of it sheds as body fat builds up. The contents of the intestines that contribute to meconium, your baby's first poop after birth, also begin to develop around this time.

The genitals are largely formed, but reliably determining the baby's sex by ultrasound at 14 weeks isn't always easy. That's why, in most cases, clearer information is given at the 20-week scan.

What's happening in my body?

The placenta delivers nutrients, oxygen, and hormones to your baby while helping carry away waste products like carbon dioxide. It connects to your baby through the umbilical cord. Your blood and your baby's blood come into close contact in the placenta, but they don't mix directly.

Your energy may start to come back, and for some people the nausea eases. Still, recovery doesn't happen at the same pace for everyone. If you're still dealing with nausea or vomiting, mention it to your doctor at your next visit.

Colostrum

You might notice yellowish stains on your bra. This could be colostrum, the first milk your body makes for after birth. If a change like this worries you, check with your doctor.

You may be starting to show

As your uterus rises up out of your pelvis, your belly may become more noticeable. Every pregnant belly looks different. A belly that looks small or large isn't a problem on its own; the most accurate assessment comes from your doctor.

Gum changes

About half of pregnant women notice bleeding, swollen, and tender gums when flossing or brushing. This is known as pregnancy gingivitis and may be linked to hormonal changes. Brushing and flossing regularly matter. Getting a dental cleaning is generally safe during pregnancy too; just remember to tell your dentist that you're pregnant.

Round ligament pain

The ligaments on either side of your uterus stretch to make room for your growing belly. This can cause round ligament pain. The pain may be brief and sharp, or it may feel like a dull ache after an active day. Resting, changing position, gentle massage, or a warm bath can help. Some women find a support belt useful.

Skin color changes

Hormonal changes can lead to darker patches on your skin. This can be more noticeable on darker skin tones. Since sun exposure can make these changes stand out more, using a high-SPF sunscreen can help.

Weight gain

Weight gain may pick up during these weeks. If you started pregnancy with a normal BMI, you can expect to gain around 5.5 to 6.5 kg over the second trimester. Still, the most accurate guidance comes from your own check-ups. Keeping an eye on your weight can be helpful, but it's important not to let it become a source of anxiety.

Symptoms you might notice this week

You're in the second trimester, and many people feel more energetic, less nauseous, and hungrier during this time. Even so, some symptoms may linger.

You may still experience the following:

• swollen and bleeding gums
• pain along the sides of your belly from your expanding uterus, known as round ligament pain
• nosebleeds
• bloating
• constipation
• indigestion and heartburn
• tender breasts
• leg cramps
• dizziness
• swollen hands and feet
• urinary tract infections
• vaginal infections
• darkening skin or brown patches on your face
• oilier, more acne-prone skin
• thicker, shinier hair

The following symptoms from earlier weeks may also continue:

• morning sickness
• pregnancy cravings
• a heightened sense of smell
• mood swings
• milky white vaginal discharge
• light spotting

You may still notice a little colostrum leaking this week. It's also common for the veins in and around your breasts to look more prominent.

Vaginal discharge

Vaginal discharge may increase in the second trimester. This discharge, called leukorrhea, is usually thin, milky in color, and mild-smelling or odorless. Rising estrogen and increased blood flow to the pelvic area play a role in this change.

To keep the area clean and dry, cotton underwear is a good choice. You can use a panty liner. Douching isn't recommended.

Anxiety

Many people feel more at ease once they pass the 12-week mark, but anxiety may not disappear entirely. These feelings can linger, especially for those who have experienced a pregnancy loss before. If your anxiety is getting worse, talk with your doctor.

Abdominal pain

Abdominal pain or cramps are common in pregnancy. Sharp pains on either side of your belly that get worse when you move may be round ligament pain. Constipation or gas can also cause pain.

That said, if you have abdominal pain and you're concerned, contact your doctor or a healthcare provider. It may be something that needs to be checked.

If you're struggling to quit smoking

Quitting smoking is one of the most important things you can do for your baby's health. Quitting at any point in pregnancy helps, and quitting within the first 15 weeks is especially valuable.

Avoiding secondhand smoke

If someone in your home smokes, supporting them in quitting matters. Secondhand smoke is also linked to risks like premature birth during pregnancy.

More prone to infections

Your immune system goes through some changes during pregnancy. Because of this, you may be a little more prone to colds, the flu, and similar infections. Washing your hands often, not sharing personal items, and staying away from people who are sick can help. If you feel unwell, check with your doctor. If needed, medications considered safe during pregnancy should always be prescribed by your doctor.

Sleep position

Sleeping on your back this week isn't likely to be a real problem for most people. However, in the third trimester, after 28 weeks, sleeping on your side is generally considered safer.

Travel

Traveling during pregnancy is possible, but it helps to look into how you'll access healthcare at your destination ahead of time. Ask your doctor about things like travel vaccines, medical records, and travel insurance.

Appetite and nutrition

Your appetite may increase in the second trimester. Your body uses more energy to support your baby and the physical changes of pregnancy. During this time, some people need about 300 to 350 extra calories a day.

Protein intake

Getting enough protein is important for supporting your baby's tissue development. Skinless chicken, lean meat, eggs, fish, dairy, and legumes are all good sources of protein.

Staying active

If you're feeling good, staying active within safe limits can be beneficial. Walking and everyday movement can support your overall well-being. If you have any specific concerns about an exercise plan, check with your doctor.

Welcome to the second trimester

Many people see the second trimester as the more comfortable stretch of pregnancy. Easing nausea, rising energy, and a more visible bump can all add to that feeling.

Sex during pregnancy

Your sex drive may go up or down during pregnancy. Both are completely normal. You can ask your doctor whether you have any specific restrictions when it comes to sex.