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Fetal development: The second trimester

Fetal development takes on new meaning in the second trimester. Highlights may include finding out your baby's sex and feeling your baby move.

By Mayo Clinic staff

As your pregnancy progresses, your baby may begin to seem more real. You may hear the heartbeat at your prenatal appointments, and your enlarging abdomen may force you to put away your favorite jeans.

While you're adjusting to the changes in your body, fetal development takes on new meaning. Two months ago, your baby was simply a cluster of cells. Now he or she has functioning organs, nerves and muscles. Find out what happens during the second trimester by checking out this weekly calendar of events.

Week 13: Urine forms

Thirteen weeks into your pregnancy, or 11 weeks after conception, your baby's intestines have moved from the umbilical cord to your baby's abdomen. Your baby is also beginning to form urine and discharge it into the amniotic fluid.

Tissue that will become bone is also developing around your baby's head and within his or her arms and legs. Tiny ribs may soon appear.

Week 14: Baby's sex becomes apparent

Fourteen weeks into your pregnancy, or 12 weeks after conception, your baby's arms have almost reached the length they'll be at birth and your baby's neck has become more defined. Red blood cells are forming in your baby's spleen.

Your baby's sex will become apparent this week or in the coming weeks.

By now your baby may be almost 3 1/2 inches (87 millimeters) long from crown to rump and weigh about 1 1/2 ounces (45 grams).

Week 15: Baby's skeleton develops bones

Fifteen weeks into your pregnancy, or 13 weeks after conception, your baby is growing rapidly. Your baby's skeleton is developing bones, which will become visible on ultrasound images in a few weeks. Your baby's scalp hair pattern also is forming.

Week 16: Facial expressions are possible

Sixteen weeks into your pregnancy, or 14 weeks after conception, your baby's eyes have begun to face forward and slowly move. The ears are close to reaching their final position. More-developed facial muscles may lead to various expressions, such as squinting and frowning. Your baby also can now make sucking motions with his or her mouth.

Although still too slight to be felt, your baby's movements are becoming coordinated and can be seen during ultrasound exams.

By now your baby may be more than 4 1/2 inches (120 millimeters) long from crown to rump and weigh nearly 4 ounces (110 grams).

Week 17: Fat accumulates

Seventeen weeks into your pregnancy, or 15 weeks after conception, fat stores begin to develop under your baby's skin. The fat will provide energy and help keep your baby warm after birth.

Week 18: Baby begins to hear

Eighteen weeks into your pregnancy, or 16 weeks after conception, your baby's ears begin to stand out on the sides of his or her head. As the nerve endings from your baby's brain "hook up" to the ears, your baby may hear your heart beating, your stomach rumbling or blood moving through the umbilical cord. He or she may even be startled by loud noises.

By now your baby may be 5 1/2 inches (140 millimeters) long from crown to rump and weigh 7 ounces (200 grams).

Week 19: Baby's uterus forms

Nineteen weeks into your pregnancy, or 17 weeks after conception, your baby's hearing continues to improve. He or she may pick up your voice in conversations — although it's probably hard to hear clearly through the amniotic fluid and protective paste covering your baby's ears.

For girls, the uterus and vagina may be forming this week.

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References
  1. Healthy pregnancy: Stages of pregnancy. U.S. Department of Health and Human Services. http://www.4women.gov/pregnancy/you-are-pregnant/stages-of-pregnancy.cfm#second. Accessed March 20, 2009.
  2. Moore KL, et al. The Developing Human: Clinically Oriented Embryology. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2003:4.
  3. Harms RW (expert opinion). Mayo Clinic, Rochester, Minn. May 28, 2009.

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July 25, 2009

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