four pregnant women

Week-by-week guide to pregnancy

When you’re pregnant, you have lots of questions. Our week-by-week pregnancy guide is packed with lots of useful information. From what’s happening inside your body, to how your baby is developing, and tips and advice on having a healthy pregnancy – this is your one-stop pregnancy guide!

Second trimester

Our week-by-week pregnancy guide is full of essential information. From staying fit in pregnancy to advice on your maternity rights, you’ll find it all here. Happy reading!

Week 23 – your second trimester

Week by week, you're hitting new milestones in your pregnancy as your baby prepares for life outside the womb. Around this time, your baby is practising breathing, and getting into patterns of sleeping and waking. Unfortunately, they won't always coincide with when you want to sleep – but that's babies for you!

What's happening in my body?

Have a good look at your breasts. Big, aren't they? They may be starting to leak colostrum, which is an early type of milk. Do you think you'll want to breastfeed? This gives your baby a flying start by boosting their immunity so they can fight off infections. It's good for you too, as it lowers your risk of breast cancer and burns around 300 calories a day. That's equivalent to a breakfast burrito followed by a choc cherry popcorn cake.

Find out more about breastfeeding. It might help to involve your partner too.

This week, you may start to get rib pain as your rib cage expands to accommodate your bump. You could be feeling a bit more breathless than usual as the growing baby puts pressure on your lungs. The best remedy is to put your feet up and relax. If you're worried about any symptoms of pregnancy, talk to your midwife or doctor. They will want to help you have a healthy and happy pregnancy!

Beyond the pale: staying sun safe

Did you know that even on a cloudy day, your skin could burn? Unfortunately, this is more likely to happen when you're pregnant, as your skin is more sensitive. The bad news for sun-worshippers is that sunburn increases your chances of skin cancer – and that's even if you just go pink, you don't have to peel or look like a lobster.

Cover up and head for the shade if you're going outdoors when the sun is at its strongest. That's between 11am and 3pm, from March to October. So even if you're just popping to the shops…

  • Choose a high-factor suncream (15+) with at least four-star UVA protection
  • Apply a nice thick layer to all exposed skin

There's no such thing as a safe tan – and fake tans can be risky too – so don't bother with either, and stay safe this summer.

Find out more about sun safety.

Losing a baby

Sadly, not all pregnancies go to plan, and some women and their partners have to cope with the tragic loss of their baby. Before 24 weeks, it's called a miscarriage. After that, it's a stillbirth. This can be a huge shock, but there are trained people who can support you through your bereavement.

Second trimester pregnancy symptoms (at 23 weeks)

No matter how excited you are about having a baby, anxiety might be creeping in as your bump gets bigger. Try taking the NHS mood self assessment quiz, which helps you work out how you're feeling. If you're getting mood swings or feeling stressed, talk to your midwife or doctor. Take along a printout of your mood quiz results.

This week, your signs of pregnancy could also include:

Tommy's, the baby charity, has produced a pregnancy guide with a further list of symptoms.

What does my baby look like?

Your baby, or foetus, is around 28.9cm long from head to heel and weighs about 500g. That's approximately the size of a squash and the weight of a packet of wholewheat dried pasta.

The limbs are now in proportion, so there's no question that this is a very cute baby, rather than an alien with a giant head. Over the next few weeks, you're going to be kicked around by your baby and will start to see your tummy move too, which looks very strange. Get to know your baby's rhythms and talk to your midwife if the kicking slows down. Download a guide to baby movements, published by Tommy's the baby charity.

Action stations

Are you drinking loads of tea and coffee? This week, why not make a real effort to swap your cuppas for alternatives such as smoothies and fruit teas. Giving up caffeine can be a hard habit to break, but it's worth it, as too much caffeine in pregnancy is linked to miscarriage and low birth weight. Your daily recommended maximum is 200mg. That's not much, when you consider that...

  • a mug of tea has around 75mg
  • a cup of instant coffee has around 100mg
  • a can of cola has about 40mg
  • a 50g bar of milk chocolate has up to 10mg

You can check your caffeine intake with Tommy's Caffeine Calculator.

This week you could also...

It's about time to break the news, if you haven't already. The latest you can leave it is 15 weeks before the baby is due, which is around week 25. As soon as you tell your employer, you will have maternity rights and can attend antenatal appointments during paid work time. You can also ask for a risk assessment of your workplace.

It's a good time to tone up those muscles 'down under'. Gentle exercises can help to prevent leakage when you laugh, sneeze, cough or jump around on your baby's future trampoline. Get the muscles going by pretending that you're having a wee and then stop the 'urine' in midflow. Visit Tommy's for more ideas.

Ask your midwife or doctor about antenatal classes in your area, as they get booked up very quickly. You could also contact your local branch of the National Childbirth Trust. Why not ask your partner to go with you? Even if you've had children before, and been there, done that, they're still worth going to, as you can meet other parents-to-be. Also, don't expect this pregnancy to be just like your others – your baby could have other ideas.

Do your best to stop smoking, give up alcohol and go easy on the cappuccinos. We know that’s easy to say but hard to do. Ask your midwife or GP for support.

During the winter, consider taking a daily dose of vitamin D, the sunshine vitamin. It’s recommended that you take 10 micrograms every day when you're pregnant and breastfeeding. Find out if you’re entitled to free vitamins.

Get moving! It's recommended that pregnant women do 150 minutes of exercise throughout the week. Perhaps take a brisk walk in the park, or go for a swim. If you start any classes, make sure the instructor knows that you're pregnant. Don't overdo it though – listen to your body.

Don't eat for two! Eat for you. You don't need any extra calories until the third trimester, which starts in week 28. Try and eat healthily with plenty of fresh fruit and veg, and avoid processed, fatty and salty foods. You may be able to get free milk, fruit and veg through the Healthy Start scheme.

How are you today? If you’re feeling anxious or low, talk to your doctor or midwife who can point you in the right direction to get all the support that you need. You could also discuss your worries with your partner, friends and family. You may be worried about your relationship, or money, or having somewhere permanent to live. Don’t bottle it up – you're important, so ask for help if you need it.

This week's treat

Have fun planning your baby's nursery. Are you going to have a theme or will you play it safe with neutrals? Get brainstorming with your partner and come up with designs for the décor. You can find wild ideas online ranging from a wooded wonderland to an underwater oasis. You don't have to spend a fortune, just DIY or enlist the help of creative friends who know what to do with a glue gun and bits of old curtain!

Go back to week 22

Go to week 24

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