Skip to content

Trimester 2 · week by week

Pregnancy week 20

Week 20 is the halfway point: the baby is about 25.6cm long and covered in vernix.

Week 20

What is happening in week 20

Doctors count pregnancy weeks from the first day of your last period, so week 20 sits in the second trimester (week 14 to week 27). That is about 20 weeks to go until week 40, and about 4.6 months by a rough conversion. Week 20 is the halfway point: the baby is about 25.6cm long and covered in vernix.

Your baby

The NHS guide gives about 25.6cm, a banana, now measured from head to heel. The skin is covered with a white, greasy layer called vernix. The baby is more active, kicking and punching, and may suck a thumb.

Your body

Sudden sharp calf pain at night is probably cramp; rub the muscle or pull your toes up towards your ankle. Tiredness, stretch marks, swollen gums and headaches are all possible.

This week’s to-do

  • Have your anomaly scan; the NHS says it is offered at around 18 to 21 weeks and checks 11 physical conditions.
  • Ask your doctor for the paperwork needed for maternity leave benefits, if you are employed.
  • You do not need extra calories until the third trimester, which the NHS says starts in week 28.

When to call

Call your doctor or hospital if you have any bleeding, or severe headaches or dizziness.

Chaitanya Hospital in Kadapa, near RTC Bus Stand, Simhapuri Colony, provides delivery and emergency care 24/7. Our antenatal check-ups team can answer questions about your own pregnancy.

Use the week-by-week guide to jump to your week, or the due date calculator to work out your dates. Timings for scans and tests come from NHS guidance in the UK and can differ from your doctor’s schedule, so always follow your own doctor’s advice. This page is educational and not a substitute for a doctor.

Sources

Text on this page is paraphrased from the sources above. Sizes are averages and vary between babies.

Frequently asked questions

How many months is week 20 of pregnancy?

Week 20 is about 4.6 months. This is only an estimate, because months are not a fixed number of weeks and doctors count in weeks from the first day of your last period. Ask your doctor how far along you are.

How is my baby growing in week 20?

Week 20 is the halfway point: the baby is about 25.6cm long and covered in vernix. Sizes are averages, and every baby is different.

When should I call my doctor in week 20?

Call your doctor or hospital if you have any bleeding, or severe headaches or dizziness. You can also reach Chaitanya Hospital in Kadapa for delivery and emergency care 24/7.

Your care journey starts with one call

Book a visit, ask a question on WhatsApp, or call us any time. Delivery and emergency care are open 24/7.