Pregnancy Week 20 vs Week 21
Complete comparison of baby development, mom's symptoms, and changes between these weeks
📊
Time Difference
1 week apart
🔄
Trimester
Both in 2nd trimester
Baby Size Comparison
Growth Progress
Week 20Banana
Week 21Carrot
Your baby is approximately 51% through pregnancy
Week 20
📏
Length
6.5 inches
⚖️
Weight
10.2 ounces
🍎
Size Comparison
Banana
Week 21
📏
Length
10.5 inches
⚖️
Weight
12.7 ounces
🍎
Size Comparison
Carrot
What Changes Between Week 20 and 21?
👶New Baby Developments
- ✓Baby can hear your voice clearly and may recognize it after birth
- ✓Eyebrows and eyelids are fully formed and visible
- ✓Fingers and toes are completely formed with distinct nails
- ✓Bone marrow has taken over producing red blood cells from the liver and spleen
- ✓Baby drinks several ounces of amniotic fluid daily for digestive practice
🤰New or Changing Symptoms
- ✓Significantly increased appetite as baby grows rapidly
- ✓Possible varicose veins in legs from increased blood volume and uterine pressure
- ✓Stretch marks may appear on belly, breasts, hips, or thighs as skin stretches
- ✓Braxton Hicks contractions (practice contractions) may start - they feel like tightening
- ✓Increased vaginal discharge
📈Key Changes Summary
Baby Growth: Your baby continues to grow rapidly, with organs developing and maturing each day.
Your Body: Your body adapts to support your growing baby with various physical and hormonal changes.
Baby Development Milestones
Week 20 Development
- •Baby is swallowing more amniotic fluid (up to several ounces per day)
- •Hair is growing on the scalp, and eyebrows and eyelashes are visible
- •Lanugo (fine, downy hair) covers entire body to regulate temperature
- •Baby can hear sounds clearly and may respond by moving or changing heart rate
- •Regular sleep and wake cycles are developing with distinct active and rest periods
- •Meconium (first bowel movement) is accumulating in intestines
Week 21 Development
- •Baby can hear your voice clearly and may recognize it after birth
- •Eyebrows and eyelids are fully formed and visible
- •Fingers and toes are completely formed with distinct nails
- •Bone marrow has taken over producing red blood cells from the liver and spleen
- •Baby drinks several ounces of amniotic fluid daily for digestive practice
- •Rapid brain development continues with billions of neurons forming
Common Symptoms
Week 20 Symptoms
- •Halfway through pregnancy - a major milestone to celebrate!
- •Visible baby movements that may be seen moving across your belly
- •Increased white or clear vaginal discharge (leukorrhea)
- •Possible varicose veins in legs due to increased blood volume and pressure
- •Shortness of breath as uterus pushes up on diaphragm
- •Increased sweating and body temperature
Week 21 Symptoms
- •Significantly increased appetite as baby grows rapidly
- •Possible varicose veins in legs from increased blood volume and uterine pressure
- •Stretch marks may appear on belly, breasts, hips, or thighs as skin stretches
- •Braxton Hicks contractions (practice contractions) may start - they feel like tightening
- •Increased vaginal discharge
- •Possible leg cramps at night
Nutrition Tips
Week 20 Nutrition
- •Eat iron-rich foods at every meal combined with vitamin C
- •Include vitamin C-rich foods (85mg daily) like oranges, strawberries, kiwi, and broccoli for iron absorption
- •Stay hydrated with 10-12 glasses of water to support increased blood volume
- •Eat calcium-rich foods (1000mg daily) at every meal
- •Include foods rich in vitamin K like leafy greens for blood clotting
- •Eat magnesium-rich foods to support muscle and nerve function
Week 21 Nutrition
- •Eat 25-35 grams of fiber daily from fruits, vegetables, whole grains, and legumes to prevent constipation
- •Include 75-100g of lean proteins daily from varied sources
- •Stay hydrated with 10-12 glasses of water to support blood volume
- •Eat foods rich in vitamin E like almonds, sunflower seeds, and avocados for skin elasticity
- •Include healthy fats for baby's brain development
- •Eat small, frequent meals to accommodate growing uterus
⚕️When to Contact Your Healthcare Provider
During weeks 20 to 21, contact your healthcare provider if you experience:
- •Severe abdominal pain or cramping
- •Heavy bleeding or passing clots
- •Severe headache with vision changes
- •Persistent fever over 100.4°F (38°C)
- •Sudden swelling of hands, face, or feet