4th Month

weeks 16 to 20



Your Baby

The baby will measure about 10 inches long and weigh about three-quarters of a pound by the end of this month

The amniotic fluid increases a lot this month and your baby enjoys moving about freely inside the amniotic sac

Its kidneys now make urine

Hair begins to appear on its head

A fine downy hair (lanugo) begins to appear over your baby's body

Its eyebrows and eyelashes begin to grow

Its skin begins to fill out with fat

It starts a growth spurt in both length and weight

Baby's heartbeat will be heard by the end of this month with a special stethoscope called a fetoscope; this usually marks the midpoint in pregnancy

Baby's movements may become strong enough for some to be felt by the mother by the end of this month


Your Body

Your uterus grows to just below your naval by the end of this month

Your weight starts to increase by about 3/4 to 1 pound a week now; you may gain about 3 to 4 pounds this month

The placenta secretes hormones into your body that helps to soften some of your joints and muscles to make labor and delivery easier

Your appetite increases so you may be hungry more often

Cravings may start for certain foods and may continue throughout pregnancy

Your nipples and the area around them become much darker in color.

A line down the middle of your abdomen may darken (linea nigra)

You may have some tendency now to become more susceptible to urinary tract infections so you need to drink 6 to 8 glasses of water each day

Your pregnancy is now beginning to show

You are less tired and fatigued now; you may find you are beginning to enjoy being pregnant

Your Responsibility

Get your prenatal check-up this month

Continue to eat a balanced diet with plenty of fruits and vegetables

Avoid caffeine drinks, cigarettes, alcohol, and medications (unless prescribed)

Get some regular exercise--work up to walking at least one mile a day

Make sure that seat belts fit low over your hips

Learn and practice the kegel and pelvic rock exercises everyday

Lie down and get your feet up for at least 30 minutes a day

Continue to take your prenatal vitamins and iron

Pick out some comfortable clothes to wear as you change size

If you are employed, find out the procedures for maternity leave

Talk with your partner about what you both think the baby will be like; its sex, hair color, eye color, personality and also about what it will be like to be responsible for a new baby


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