Week 20 of Pregnancy

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Your baby is the size of: Banana

Approximate length16.5 cm
Approximate weight300 grams
TrimesterSecond
Pregnancy monthFifth

Baby Size Comparison in Week 20

In week 20 of pregnancy your baby measures about 16.5 cm long and weighs about 300 grams: roughly the size of Banana. Remember these are approximate averages from standard growth charts; every baby grows at their own pace, and your doctor follows your baby's personal growth curve across visits, not a single number. If an ultrasound measures a little bigger or smaller than average, that is usually normal as long as growth continues at a steady rate.

Baby Development in Week 20

Halfway there! The baby is now the size of a banana and weighs about 300 grams. It regularly swallows amniotic fluid, training its digestive system for digestion, and its intestines produce a dark substance called meconium (the first stool it will pass after birth). The bone marrow produces blood cells, and the sebaceous glands work.

The hair, eyebrows, and eyelashes are visible, and the nails are complete. The baby's sex can usually be known by ultrasound with high accuracy this week. The fetus sleeps and wakes in a pattern that has begun to regularize, and its movements are strong; most mothers now feel them clearly, especially in quiet evening hours. The lungs practice with breathing movements of the amniotic fluid.

The fetus regularly swallows amniotic fluid, training its digestive system, and its intestines produce the dark meconium (the first stool after birth). The bone marrow produces blood cells, and the sebaceous glands work. The hair, eyebrows, and eyelashes are visible, and the nails are complete. The baby's sex can usually be known by ultrasound with high accuracy. The fetus sleeps and wakes in a pattern that has begun to regularize, and its movements are strong; most mothers feel them clearly in quiet evening hours. The lungs train with breathing movements of the amniotic fluid.

Your Body Changes in Week 20

Your navel may begin protruding outward (an outie belly button); it is normal and temporary. Heartburn intensifies as the uterus presses on the stomach, and mild ankle swelling in the evening is common.

Leg cramps, back pain, and varicose veins are daily matters. You may feel short of breath climbing stairs. Vaginal discharge increases. Emotionally: the middle of pregnancy brings a feeling of achievement, and seeing the baby in the detailed ultrasound is a moving moment for both parents. Total weight gain is 4 to 7 kilograms. Watch for danger signs: bleeding, severe persistent pain, or leaking fluid.

The protruding navel is normal and will return after birth. Evening ankle swelling eases with raised feet. Heartburn is treated with small meals and a raised head. And watch for danger signs: bleeding, severe pain, or leaking fluid.

Practical Tips for Week 20

Frequently Asked Questions About Week 20

What is the anatomy (detailed) ultrasound?

It is a precise ultrasound done between weeks 18 and 22 in which the doctor examines every organ of the baby in detail: the brain, heart, kidneys, spine, limbs, placenta, and fluid amount, with growth measurements and confirmation of the sex. It takes 30 to 45 minutes and is the most reassuring scan of pregnancy; most results are normal and bring great peace of mind.

Is my baby's size in week 20 the same in every pregnancy?

No. The lengths and weights shown are approximate averages from standard growth curves, and every baby grows at their own pace. What matters is your baby's personal growth curve across checkups: steady growth at a consistent rate is the reassuring sign, not any single number.

What month am I in during week 20?

Week 20 falls in the fifth month of pregnancy (the fifth month = weeks 18-21), within the second trimester.

⚕️ Medical note: Medical note: results are for guidance and do not replace your doctor. If your cycles are irregular or yours is a high-risk pregnancy, always consult your doctor.
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Last reviewed: 2026-10-07

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