The Pregnancy Guide
A Week by Week Progress Report on Your Baby's Growth and Development
Week 1: The Starting Point
Week 1: The Last Menstrual Period or LMP
The first day of your menses is considered Day 1 of your menstrual cycle or The Last Menstrual Period (or LMP). It is important for knowing how old your baby is because you may not remember when you last had sex, or may have had sex several times so it is difficult to pinpoint when you got pregnant. It is also almost impossible to know when you ovulated or when the egg was fertilized by the sperm. It is essential to remember that if you base your baby's age on the LMP, it is usually 2 weeks older than your baby's actual age because ovulation happens 2 weeks after your LMP or on Day 14 to 16 of your menstrual cycle.
Week 2: Ovulation and Fertilization
Week 2: Ovulation and Fertilization
Ovulation happens between 12 to 16 days after the first day of your menses. This happens when a mature follicle releases an egg into the fallopian tubes. The egg can survive for only 24 hours after it is released. This is an important window especially for couples who are trying to conceive.
Fertilization happens when a sperm penetrates the released egg. The days that follow fertilization are among the most active times of development during pregnancy. This is why it is important to have supplementation even before you find out you are pregnant.
Week 2 sees the egg being released from the ovary usually from Day 12 of the menstrual cycle to early part of the 3rd week--until Day 16. Within the next 24 hours after ovulation, the egg gets fertilized and undergoes a rapid rate of development.
2 weeks and 1 day after menses
Sperm penetrate the egg. The genetic material of both parents are combined.
2 weeks and 2 days after menses
The fertilzed egg starts to divide.
2 weeks and 3 days after menses
Cells inside the fertilized continue to divide at an exponential rate.
2 weeks and 4 days after menses
2 weeks and 5 days after menses
Week 3: The Journey
Week 3: The Journey
The last part of the second week overlaps with the first part of the third week in that it begins with ovulation (Day 12 to 16 of menses) and fertilization (within 24 hours of ovulation). The fertilized egg then journeys from the fallopian tubes to the uterus where it implants and eventually develops into your baby.
Once it reaches the uterus, your baby, now a ball of cells called the blastocyst nestles in the nutrient-rich lining of your uterus called the endometrium. It is now a microscopic ball of hundreds of rapidly multiplying cells that will develop into your baby.
After implantation, your baby begins to produce the pregnancy hormone hCG, which tells your ovaries to stop releasing eggs. It is also the hormone that adds the second line to your pregnancy test, confirming that you are indeed, pregnant.
Implantation bleeding happens which is sometimes mistaken for mesntruation.
If you have a reliable pregnancy test, you can confirm your pregnancy by the 22nd day of menses.
2 weeks and 6 days after menses (almost end of 3rd week)
The fertilized egg is now a blastocyst and is ready to implant into the uterine lining or the endometrium
Week 4
Week 4: The Forming of the Amniotic Sac
Once firmly in place, the ball of cells divide into 2 groups. One group will continue to differentiate into your baby, while the other group will become the placenta-–the structure that provides nourishment to your baby.
The amniotic sac or the bag of water is formed during this time. It is a water-filled water that will keep your baby safe from getting hurt if you experience
The First Trimester
Week 5
Week 5: The Tadpole
Your baby resembles a tadpole more than a human.
Arm and leg buds are developing.
The amnion is beginning to surround the body stalk which will later become the umbilical cord.
The circulatory system is beginning to form, and cells in the tiny "heart" will start to flicker this week.
Your baby is approximately 3mm long, the size of a sesame seed. It may be visualized and measured through ultrasound.
Although the heart starts to flicker at this age, it may not always be visible during ultrasound.
There's no need to panic, the scan can be repeated after two weeks to confirm that the baby is alive.
What to do when you test positive on your pregnancy test?
Most mommies-to-be find out they are pregnant at around this time.
A home pregnancy test will usually test positive with 70% accuracy. Many parents will confirm the pregnancy with a serum pregnancy test that can be done at the lab involving blood extraction.
Schedule a Prenatal Consultation
Start Prenatal Supplements
Have Baseline Labs Taken
Confirm the Pregnancy through Ultrasound
Week 6
Week 6: The Lentil
Your baby's nose, mouth and ears are starting to take shape, and their intestines and brain are beginning to develop.
The hearbeat is almost always visible on ultrasound.
Your baby is the size of a lentil.
Your baby at 6 weeks and 4 days on ultrasound
Week 7
Week 7: The Blueberry
Your baby has doubled in size since last week, but still has a tail, which will soon disappear. Little hands and feet that look more like paddles are emerging from the developing arms and legs.
Your baby is the size of a blueberry.
Week 8
Week 8: The Kidney Bean
Your baby has started moving around! Although you'll have to wait until the 18th to 20th week to feel it.
Nerve cells are branching out, forming primitive neural pathways, these are necessary for your baby to feel.
Breathing tubes now extend from their throat to their developing lungs.
Your baby is the size of a kidney bean.
The crown rump length or the distance between the head to the butt is approximately 22mm.
Fingers and toes become more visible, and the arms can now start to bend at the elbows.
The upper lip is complete, and the external ears form definitive elevations on either side of the head.
This is probably the best time to have an Ultrasound done, because the baby is visible and the heart beat can be appreciated.
Ultrasound done in the first trimester is the most reliable to determine the baby's age and estimated date of delivery.
Week 9
Week 9: The Grape
Your baby's basic anatomy is developing (they even have tiny earlobes now), but there's much more to come. Their embryonic tail has disappeared and they weigh just a fraction of an ounce but are about to start gaining weight fast.
Your baby is the size of a grape.
Week 10
Week 10: The Kumquat
Your embryo has completed the most critical portion of development. Their skin is still translucent, but their tiny limbs can bend and fine details like nails are starting to form.
Your baby is the size of a kumquat
Week 11
Week 11: The Fig
Your baby is almost fully formed. They're kicking, stretching, and even hiccupping as their diaphragm develops, although you can't feel any activity yet.
Your baby is the size of a fig.
Week 12
Week 12: The Lime
Your baby continues to grow very fast!
Areas for bone formation and development appear in most bones, and your baby's fingers and toes have now differentiated.
Skin and nails develop, while patches of hair appear.
The external genitalia show definitive signs of being a boy or a girl, although it won't be seen on Ultrasound until the 18th to 20th week at the earliest.
Your Baby at 12 weeks and 3 days
The profile of the baby is visible with the Crown-Rump length (CRL) being measured. The head, the hand and the foot are visible.
From Williams Obstetrics 25th Edition
Your uterus can now be felt above your panty line making it easier for your OB to monitor your baby's heartbeat with a Doppler.
On Ultrasound, the measurement from the head to the butt (or the Crown Rump Length) is now approximately 5 to 6 centimeters.
Your baby is the size of a lime.
Week 13
Week 13: The Pea Pod
This is the last week of your first trimester. Your baby's tiny fingers now have fingerprints, and their veins and organs are clearly visible through their skin.
If you're having a girl, her ovaries contain more than 2 million eggs.
Your baby is the size of a pea pod.
Week 14
Week 14: The Lemon
Your baby's brain impulses have begun to fire and they're using their facial muscles. Their kidneys are working now, too. If you have an ultrasound, you may even see them sucking their thumb.
The neck is getting longer and the head more erect
Hair may start growing on top of the head as well as eyebrows
Soft, downy hair called lanugo may also be seen to grow all over the body
Your baby is the size of a lemon.
Week 15
Week 15: The Apple
Your baby's eyelids are still fused shut, but they can sense light. If you shine a flashlight on your tummy, they'll move away from the beam. Ultrasounds done this week may reveal your baby's sex.
Your baby is the size of an apple.
Week 16
Week 16: The Avocado
The patterning on your baby's scalp has begun, though their hair isn't visible yet. Their legs are more developed, their head is more upright, and their ears are close to their final position.
Your baby is the size of an avocado.
Week 17
Week 17: The Turnip
Your baby can move their joints, and their skeleton – formerly soft cartilage – is now hardening to bone. The umbilical cord is growing stronger and thicker.
Your baby is the size of a turnip.
Week 18
Week 18: The Bell Pepper
Your baby is flexing their arms and legs, and you may be able to feel those movements. Internally, a protective coating of myelin is forming around their nerves.
Your baby is the size of a bell pepper.
Week 19
Week 19: The Tomato
Your baby's senses – smell, vision, touch, taste and hearing – are developing and they may be able to hear your voice. Talk, sing or read out loud to them, if you feel like it.
Your baby is the size of an heirloom tomato.
Week 20
Week 20: The Banana
Your baby can swallow now and their digestive system is producing meconium, the dark, sticky goo that they'll pass in their first poop – either in their diaper or in the womb during delivery.
Your baby is the size of a banana.
Week 21
Week 21: The Carrot
Your baby's movements have gone from flutters to full-on kicks and jabs against the walls of your womb. You may start to notice patterns as you become more familiar with their activity.
Your baby is the size of a carrot.
Week 22
Week 22: The Small Squash
Your baby now looks almost like a miniature newborn. Features such as lips and eyebrows are more distinct, but the pigment that will color their eyes isn't present yet.
Your baby is the size of a spaghetti squash.
Week 23
Week 23: The Large Mango
Your baby's ears are getting better at picking up sounds. After birth, they may recognize some noises outside the womb that they're hearing inside now.
Your baby is the size of a large mango.
Week 24
Week 24: The Ear of Corn
Your baby cuts a pretty long and lean figure, but chubbier times are coming. Their skin is still thin and translucent, but that will begin to change soon too.
Your baby is the size of an ear of corn.
Week 25
Week 25: The Rutabaga
Your baby's wrinkled skin is starting to fill out with baby fat, making them look more like a newborn. Their hair is beginning to come in, and it has color and texture.
Your baby is now the same weight as an average rutabaga.
Week 26
Week 26: The Scallion Bunch
Your baby is now inhaling and exhaling amniotic fluid, which helps develop their lungs. These breathing movements are good practice for that first breath of air at birth.
Your baby is the size of a bunch of scallions.
Week 27
Week 27: The Cauliflower
This is the last week of your second trimester. Your baby now sleeps and wakes on a regular schedule, and their brain is very active. Their lungs aren't fully formed, but they could function outside the womb with medical help.
Your baby is the size of a head of cauliflower.
Week 28
Week 28: The Large Eggplant
Your baby's eyesight is developing, which may enable them to sense light filtering in from the outside. They can blink, and their eyelashes have grown in.
Your baby is the size of a large eggplant.
Week 29
Week 29: The Butternut Squash
Your baby's muscles and lungs are busy getting ready to function in the outside world, and their head is growing to make room for their developing brain.
Your baby is the size of a butternut squash.
Week 30
Week 30: The Large Cabbage
Your baby is surrounded by a pint and a half of amniotic fluid, although there will be less of it as they grow and claim more space inside your uterus.
Your baby is the size of a large cabbage.
Week 31
Week 31: The Coconut
Your baby can now turn their head from side to side. A protective layer of fat is accumulating under their skin, filling out their arms and legs.
Your baby is the size of a coconut.
Week 32
Week 32: The Jicama
You're probably gaining about a pound a week now. Half of that goes straight to your baby, who will gain one-third to half their birth weight in the next seven weeks in preparation for life outside the womb.
Your baby is the size of a large jicama.
Week 33
Week 33: The Pineapple
The bones in your baby's skull aren't fused yet. That allows them to shift as their head squeezes through the birth canal. They won't fully fuse until adulthood.
Your baby is the size of a pineapple.
Week 34
Week 34: The Cantaloupe
Your baby's central nervous system is maturing, as are their lungs. Babies born between 34 and 37 weeks who have no other health problems usually do well in the long run.
Your baby is the size of a cantaloupe.
Week 35
Week 35: The Honeydew
It's getting snug inside your womb – but you should still feel your baby moving as much as ever. Your baby's kidneys are fully developed, and their liver can process some waste products.
Your baby is the size of a honeydew melon.
Week 36
Week 36: The Head of Lettuce
Your baby is gaining about an ounce a day. They're also losing most of their lanugo hair that covered their body, along with the vernix caseosa, a waxy substance that was protecting their skin until now.
Your baby is the size of a head of romaine lettuce.
Week 37
Week 37: The Swiss Chard
Your due date is very close, and though your baby looks like a newborn, they're not considered full-term until 39 weeks. Over the next two weeks, their lungs and brain will continue to mature.
Your baby is the size of a bunch of Swiss chard.
Week 38
Week 38
Are you curious about your baby's eye color? Their irises aren't fully pigmented at birth, so their eyes could change color up until they're about a year old.
Your baby is the size of a leek.
Week 39
Week 39
Your baby's physical development is complete, but they're still busy putting on fat and growing bigger.
Your baby is the size of a mini watermelon.
Week 40
Week 40
If you're past your due date, you may not be as late as you think, especially if you calculated it solely based on the day of your last period. Sometimes women ovulate later than expected.
Your provider will continuously assess your pregnancy to make sure you can safely continue your pregnancy.
Your baby is the size of a small pumpkin.
Week 41
Week 41
Your baby is now considered late-term. Going more than two weeks past your due date can put you and your baby at risk for complications, so your provider will probably talk to you about inducing labor. They may perform a non-stress test (NST) to monitor your baby's fetal heart rate and your contractions to make sure your baby isn't in any distress.