Week-by-Week Pregnancy Guide: The Complete 40-Week Handbook
Pregnancy lasts about 40 weeks, counted from the first day of your last period, and unfolds across three trimesters. This handbook walks you through every single week — how big your baby is, what's developing, how your body feels, which tests matter, and the warning signs to never ignore — in one calm, trustworthy place.
Key takeaways
- 40 weeks, 3 trimesters: weeks 1–12 (early growth), 13–27 (the "golden" middle), 28–40 (final growth & birth prep).
- Full-term is 37–42 weeks; your due date is the 40-week mark. A first-trimester scan dates it most accurately.
- First heartbeat ~6 weeks; first movements ~16–22 weeks; anatomy scan ~18–20 weeks.
- Every pregnancy is different — use this as a map, not a rulebook, and follow your doctor's advice.
How pregnancy is measured (and your due date)
Doctors count pregnancy in weeks from the first day of your last menstrual period (LMP) — which means you're considered "2 weeks pregnant" around conception. A full-term baby arrives between 37 and 42 weeks; 40 weeks is your estimated due date (EDD). An ultrasound in the first trimester is the most accurate way to date your pregnancy. (Sources: ACOG, NHS.)
The three trimesters at a glance
Week-by-week: all 40 weeks
Sizes are approximate (babies grow at their own pace). "Size" uses the familiar fruit/veg comparison; length & weight are typical averages.
| Week | Baby size | Length / weight* | What's developing | Your body |
|---|---|---|---|---|
| 1–3 | Poppy seed | <2 mm | Fertilisation & implantation; the blueprint is set. | You may not know yet; a missed period is the first clue. |
| 4 | Poppy seed | ~2 mm | Neural tube (brain & spine) begins forming. | Positive test! Start folic acid if not already. |
| 5 | Sesame seed | ~3 mm | Heart starts to beat; major systems begin. | Fatigue, tender breasts, nausea may begin. |
| 6 | Lentil | ~5 mm | Heartbeat visible on scan; limb buds appear. | Morning sickness, frequent urination. |
| 7 | Blueberry | ~1 cm | Brain growing fast; hands & feet forming. | Nausea peak for many; food aversions. |
| 8 | Kidney bean | ~1.6 cm | Fingers, toes, all organs taking shape. | First prenatal (booking) visit & bloods. |
| 9 | Grape | ~2.3 cm | Now a fetus; tiny movements (unfelt). | Mood swings, bloating, tiredness. |
| 10 | Kumquat | ~3 cm | Vital organs functioning; nails forming. | Heartbeat may be heard on Doppler. |
| 11 | Fig | ~4 cm | Bones hardening; can hiccup. | Nausea may start to ease. |
| 12 | Lime | ~5.4 cm | Reflexes develop; NT scan window. | Lower miscarriage risk after this point; bump may show. |
| 13 | Pea pod | ~7.4 cm | Fingerprints form; vocal cords develop. | Welcome to the 2nd trimester — energy returns. |
| 14 | Peach | ~8.7 cm | Can squint, frown, grasp. | Appetite improves; "glow" begins. |
| 15 | Apple | ~10 cm | Sensing light; forming taste buds. | Possible round-ligament twinges. |
| 16 | Avocado | ~11.6 cm | Facial muscles, tiny movements. | Some feel first flutters (quickening). |
| 17 | Pear | ~13 cm | Fat stores begin; skeleton to cartilage. | Bump growing; skin changes. |
| 18 | Bell pepper | ~14.2 cm | Ears in position; can hear sounds. | Anatomy scan window opens. |
| 19 | Mango | ~15.3 cm | Vernix (protective coating) forms. | Leg cramps, dizziness possible. |
| 20 | Banana | ~25.6 cm† | Halfway! Anatomy scan; swallowing. | Feeling movements more clearly. |
| 21 | Carrot | ~26.7 cm | Rapid growth; eyebrows appear. | Bigger appetite; visible kicks. |
| 22 | Papaya | ~27.8 cm | Sense of touch developing. | Stretch marks may appear. |
| 23 | Grapefruit | ~28.9 cm | Hearing your voice & heartbeat. | Swollen ankles; talk/sing to baby. |
| 24 | Corn cob | ~30 cm | Viability milestone; lungs developing. | Glucose screening (24–28 wks). |
| 25 | Cauliflower | ~34.6 cm | Gaining fat; hair colour forming. | Backache, haemorrhoids possible. |
| 26 | Lettuce | ~35.6 cm | Eyes open; responds to sound. | Braxton-Hicks may begin. |
| 27 | Cauliflower | ~36.6 cm | Sleep-wake cycles; hiccups. | End of 2nd trimester. |
| 28 | Eggplant | ~37.6 cm | Brain surface folding; dreams (REM). | 3rd trimester; count kicks daily. |
| 29 | Butternut squash | ~38.6 cm | Muscles & lungs maturing. | Shortness of breath, heartburn. |
| 30 | Cabbage | ~39.9 cm | Eyesight developing; bone marrow. | Fatigue returns; nesting urge. |
| 31 | Coconut | ~41.1 cm | Rapid brain & nerve growth. | Leaky breasts (colostrum) possible. |
| 32 | Jicama | ~42.4 cm | Practising breathing; toenails. | Antenatal visits become frequent. |
| 33 | Pineapple | ~43.7 cm | Immune system strengthening. | Trouble sleeping; pelvic pressure. |
| 34 | Cantaloupe | ~45 cm | Lungs nearly ready; fat plumping. | Pack your hospital bag. |
| 35 | Honeydew melon | ~46.2 cm | Kidneys mature; liver working. | Baby may "drop"; more waddling. |
| 36 | Romaine lettuce | ~47.4 cm | Usually head-down now. | Weekly checks begin; birth-plan talk. |
| 37 | Winter melon | ~48.6 cm | Early term; practising sucking. | Watch for labour signs. |
| 38 | Leek | ~49.8 cm | Firm grasp; organs ready. | Nesting, Braxton-Hicks stronger. |
| 39 | Mini watermelon | ~50.7 cm | Full term; building fat. | Rest, hydrate, watch for labour. |
| 40 | Small pumpkin | ~51.2 cm / ~3.4 kg | Ready to meet you! 🎉 | Due date — but 41–42 wks can be normal. |
*Averages; your baby may differ. †From ~week 20 length is measured head-to-heel (crown-heel) instead of crown-rump, so the number jumps. Sources: NHS, ACOG, IAP.
First trimester (weeks 4–12)
Week 4Week 5Week 6Week 7Week 8Week 9Week 10Week 11Week 12
Second trimester (weeks 13–27)
Week 13Week 14Week 15Week 16Week 17Week 18Week 19Week 20Week 21Week 22Week 23Week 24Week 25Week 26Week 27
Third trimester (weeks 28–40)
Week 28Week 29Week 30Week 31Week 32Week 33Week 34Week 35Week 36Week 37Week 38Week 39Week 40
Key tests & scans timeline
| When | Test / scan | Why it matters |
|---|---|---|
| 6–9 wks | Booking visit + bloods (Hb, blood group, TSH, infections) | Baseline health, dating |
| 11–13+6 wks | NT scan + dual marker (optional) | Screens for chromosomal conditions |
| 18–20 wks | Anatomy (TIFFA) scan | Checks baby's structure & growth |
| 24–28 wks | Glucose challenge (GTT) | Screens for gestational diabetes |
| 28 wks | Anti-D (if Rh-negative) | Prevents Rh complications |
| 28–40 wks | Growth scans, BP, urine, kick counts | Monitors baby & you |
Eating well: do's & don'ts
✅ Do enjoy
- Folic acid + iron + calcium (as prescribed)
- Dal, eggs, paneer, chicken, fish (low-mercury)
- Colourful fruits & veg, whole grains
- Milk/curd, nuts, seeds; plenty of water
- Small, frequent meals for nausea/heartburn
🚫 Do avoid
- Raw/undercooked meat, eggs & fish
- Unpasteurised milk & soft cheeses
- High-mercury fish; excess caffeine (>200 mg/day)
- Alcohol & smoking — completely
- Large amounts of raw papaya/pineapple
Guidance aligned with WHO, CDC & IAP. Always personalise with your doctor.
Myths vs facts
🚨 Warning signs — call your doctor or go to hospital now
- Heavy bleeding or fluid leaking from the vagina
- Severe or persistent abdominal pain or cramping
- Severe headache, blurred vision or sudden swelling (possible pre-eclampsia)
- High fever (>38°C) or chills
- Reduced or no baby movements after 28 weeks
- Painful or burning urination; persistent vomiting
Trimester checklist
1st trimester
- Start folic acid & prenatal vitamins
- Book first antenatal visit & bloods
- Confirm due date with a dating scan
- Stop alcohol/smoking; review medicines
2nd trimester
- Anatomy scan (18–20 wks)
- Glucose test (24–28 wks)
- Start gentle exercise/prenatal yoga
- Plan finances & maternity leave
3rd trimester
- Count kicks daily
- Pack hospital bag by ~34 wks
- Finalise birth plan & hospital
- Learn labour signs & breathing
Any time
- Stay hydrated & rest well
- Attend every antenatal visit
- Ask questions — no question is silly
- Look after your mental health too
You don't have to do this alone 💜
Join The Circle — Baby Circle's private, doctor-supported community for every stage of pregnancy. Ask questions, track your journey, and connect with parents due the same month as you.
Explore The Circle Find the perfect baby nameFrequently asked questions
How many weeks is a full-term pregnancy?
A full-term pregnancy is 39–40 weeks and 6 days, counted from the first day of your last period. From 37 weeks it's considered "term"; 40 weeks is your standard due date.
How is my due date calculated?
Usually 40 weeks (280 days) from the first day of your last period, or confirmed by a first-trimester dating ultrasound — the most accurate method.
When can I hear my baby's heartbeat?
A heartbeat is often visible on ultrasound at ~6 weeks and heard on a Doppler at ~10–12 weeks.
When will I feel my baby move?
First flutters (quickening) usually happen between 16 and 22 weeks — often earlier in a second pregnancy.
When can I find out the baby's sex?
Anatomy typically shows at the 18–20 week scan. In India, sex determination before birth is illegal under the PCPNDT Act.
Which foods must I avoid?
Raw/undercooked meat, fish & eggs; unpasteurised dairy; high-mercury fish; excess caffeine; alcohol; and large amounts of raw papaya/pineapple. Ask your doctor if unsure.
How much weight should I gain?
For a normal BMI, roughly 11.5–16 kg total — but your ideal range depends on your starting weight. Your doctor will guide you.
Is exercise safe during pregnancy?
Yes, for most people. ACOG suggests about 150 minutes of moderate activity weekly (walking, prenatal yoga, swimming) unless advised otherwise.
Is morning sickness normal, and when does it end?
Very normal — it often peaks around weeks 7–9 and eases by weeks 12–16. Severe, persistent vomiting (hyperemesis) needs medical care.
How many antenatal check-ups do I need?
WHO recommends at least 8 antenatal contacts across pregnancy; your doctor may advise more based on your needs.
Is it safe to travel or fly?
Usually fine until ~36 weeks for low-risk pregnancies. Stay hydrated, move your legs, and check with your doctor first.
Can I sleep on my back?
From the second half of pregnancy, sleeping on your side (preferably left) is recommended for better blood flow.
What is gestational diabetes?
High blood sugar that develops in pregnancy, screened around 24–28 weeks. It's usually managed with diet, activity and monitoring.
Are Braxton-Hicks contractions labour?
No — they're irregular "practice" contractions. Regular, intensifying contractions that get closer together may mean real labour.
When should I go to the hospital in labour?
Common guidance is the 5-1-1 rule: contractions every 5 minutes, lasting 1 minute, for 1 hour — or immediately if your water breaks, there's bleeding, or reduced movements.
How can I look after my mental health?
Rest, talk openly, lean on your partner and community, and tell your doctor if you feel persistently low or anxious. Perinatal mental health matters as much as physical health.
Keep exploring
References & sources
- World Health Organization (WHO). WHO recommendations on antenatal care for a positive pregnancy experience. who.int
- ACOG. Your Pregnancy and Childbirth. acog.org
- NHS. Week-by-week guide to pregnancy. nhs.uk
- CDC. During Pregnancy. cdc.gov
- UNICEF. Maternal and newborn health. unicef.org
- Indian Academy of Pediatrics (IAP). iapindia.org