🌿Second TrimesterWeeks 14-27

Week 27 of Pregnancy

Your baby is the size of cauliflower
Medically reviewed by Dr. Rachel Kim, OB-GYNLast reviewed: March 2026Sources: ACOG, NIHEditorial Standards
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Length
14.4 inches
⚖️
Weight
2 pounds
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Size Comparison
Cauliflower

Medical Notice: This guide provides general information about pregnancy at week 27. Every pregnancy is unique. Always consult your OB-GYN or midwife for personalized medical advice. Read full disclaimer

👶 Your Baby at Week 27

At week 27 of pregnancy, your baby is approximately the size of a head of cauliflower, measuring about 36.6 cm in length and weighing 875 grams. This is an exciting time in the second trimester as your baby continues to grow and develop at a remarkable pace.

This week brings several important developmental milestones. The fetus is about the size of a head of cauliflower -- the last week of the second trimester. The lungs can now inflate and deflate (practice breathing). Retinas are developing layers that can detect light. These changes mark significant progress in your baby's journey from a cluster of cells to a fully formed newborn.

In terms of organ system development, your baby's body is making impressive strides this week. Lungs can inflate and deflate with practice breathing. Retinal layers develop for light detection. Brain develops REM sleep patterns. Immune and liver systems continue maturing. Each of these developments builds upon the work of previous weeks, creating increasingly complex and functional body systems that will sustain your baby after birth.

Additional developments this week include several noteworthy changes. The fetus has regular sleep cycles with periods of REM sleep. Brain tissue and neural connections continue rapid development. The fetus can suck its thumb. Body proportions are becoming more baby-like. The liver and immune system are still maturing. Every day brings new progress, even when the changes are too small to see or feel.

Regarding movement and sensory development, Regular and predictable movement patterns. REM sleep with possible dreaming. Strong response to external stimuli. Can distinguish between different voices. As your baby grows, you may notice patterns in their activity -- many babies are most active in the evening or when you are resting quietly.

Compared to last week, your baby has made noticeable progress. The growth rate during the second trimester is steady and consistent, with your baby gaining length and developing increasingly sophisticated body systems. Each week builds upon the last, creating a beautifully orchestrated sequence of development that has been refined over millions of years of human evolution.

🌟 Week 27 Development Milestones

  • 1
    Baby can recognize and respond to your voice, your partner's voice, and familiar sounds
  • 2
    Lungs continue maturing but still aren't fully ready for breathing air
  • 3
    Baby has established regular sleep and wake cycles that may not match yours
  • 4
    Brain is highly active with waves that can be measured on EEG
  • 5
    Hands are active - baby grasps umbilical cord, touches face, and sucks thumb
  • 6
    Baby can open and close eyes now
  • 7
    Hiccups are common as diaphragm develops

🤰 Your Body at Week 27

Week 27 brings a variety of physical changes as your body continues to adapt to your growing baby. Understanding what is happening and why can help you feel more prepared and less anxious about the changes you are experiencing.

The most common physical symptoms during week 27 include several that you may already be familiar with and some that may be new. Entering the home stretch as the second trimester ends. Pelvic girdle pain may develop. Hemorrhoids, varicose veins, and spider veins may worsen. Swelling increases, especially in warm weather. These symptoms are driven by the hormonal and physical changes that pregnancy demands of your body, and while they can be uncomfortable, they are generally signs that your pregnancy is progressing normally.

You may also experience difficulty finding comfortable sleeping positions. leg cramps, especially at night. shortness of breath with minimal exertion. increased urinary frequency returns. Not every woman experiences all of these symptoms, and their severity varies widely from person to person and even from one pregnancy to the next. If any symptom feels unusually severe or is interfering with your daily life, do not hesitate to discuss it with your healthcare provider.

Emotionally, week 27 can bring its own set of experiences. Anticipation of the third trimester milestone. Possible anxiety about the final stretch. Deepening emotional bond as movement patterns become familiar. Mixed feelings of excitement and apprehension about birth. These emotional shifts are influenced by hormonal changes, physical discomfort, sleep disruption, and the psychological weight of preparing for parenthood. The second trimester often brings improved mood and energy, though emotional ups and downs remain a normal part of the experience.

Your energy levels during week 27 are often improved compared to the first trimester. Many women describe the second trimester as the "golden period" of pregnancy when energy returns and physical symptoms are more manageable. Take advantage of this energy to stay active and prepare for your baby.

If this is your first pregnancy, many of these symptoms may feel unfamiliar and potentially worrying. Rest assured that the vast majority of pregnancy symptoms, while uncomfortable, are entirely normal. Women who have been pregnant before may recognize these symptoms more readily, though every pregnancy is different and symptoms that were present in one pregnancy may be absent in another (and vice versa). Your body has its own unique way of responding to pregnancy.

💭 Week 27 Symptoms Checklist

Common symptoms during week 27. Every pregnancy is unique -- you may not experience all of these.

Preparing physically and mentally for third trimester
Possible sciatic nerve pain shooting down legs from baby's position
Increased Braxton Hicks contractions
Possible swelling in hands, feet, and face
Trouble sleeping and frequent nighttime urination
Possible anxiety about upcoming labor and delivery
Growing belly causing balance and coordination changes

💭 Learn More About Week 27 Symptoms

Experiencing these symptoms? Learn more about causes, relief, and when to call your doctor:

🩺 Expert Advice for Week 27

Here is expert-informed guidance for navigating week 27 of your pregnancy, covering nutrition, exercise, medical care, and practical preparation.

Nutrition Focus for Week 27

Your nutritional needs this week are shaped by what your baby is developing. Third trimester will increase calorie needs to about 450 extra per day. Vitamin K for blood clotting preparation -- leafy greens. Continue iron supplementation. Protein for baby brain growth. Anti-inflammatory foods help with joint pain and swelling. The second trimester is an excellent time to focus on nutrition as your appetite returns and nausea typically subsides. Your calorie needs have increased by about 340 calories per day -- choose nutrient-dense options that benefit both you and your baby.

Exercise Recommendations

Physical activity remains important during week 27. Begin thinking about labor preparation exercises. Birth ball sitting can improve posture and help baby positioning. Gentle stretching for hip and pelvic pain. Continue walking and swimming. Consider a prenatal childbirth class. The American College of Obstetricians and Gynecologists recommends at least 150 minutes of moderate-intensity aerobic activity per week during pregnancy, spread throughout the week. Always listen to your body, stay hydrated, and stop exercising if you feel dizzy, short of breath, or experience pain.

Medical Care This Week

Routine prenatal visit marking transition to third trimester. Tdap vaccine is recommended (weeks 27-36). Glucose monitoring if gestational diabetes was diagnosed. Blood pressure screening. Discussion of Group B strep test (scheduled for weeks 36-37). If you have questions about any tests or screenings, write them down before your appointment so you remember to ask your provider. Being an informed and active participant in your prenatal care helps ensure the best outcomes for you and your baby.

Tips for Partners and Support People

Partners and support people play a vital role during week 27. Join in the excitement of feeling baby movements, help research baby gear and nursery plans, and accompany your partner to the anatomy scan if scheduled. This is a wonderful time to strengthen your bond as expectant parents.

Things to Start Preparing

The second trimester is ideal for tackling major preparations. Consider registering for childbirth classes, starting your baby registry, researching childcare options, and beginning to set up the nursery. Many couples also use this time to take a babymoon or special trip before the baby arrives.

🥗 Nutrition Tips for Week 27

Continue balanced nutrition with variety of whole foods
Eat foods rich in vitamin K like leafy greens for blood clotting
Include healthy fats like avocados, nuts, and olive oil for brain development
Stay hydrated with 10-12 glasses of water daily
Include DHA-rich foods for final brain development surge
Eat small frequent meals to maintain energy
Continue prenatal vitamins religiously

💭 Common Concerns at Week 27

It is completely normal to have questions and worries during week 27 of pregnancy. Here are some of the most common concerns at this stage and what you need to know about them.

Third trimester brings increased monitoring for preeclampsia and preterm labor. Sleep disruption is common and expected. Pelvic girdle pain can be managed with physical therapy. Baby position is not yet a concern -- baby will continue to shift and turn.

When to Contact Your Healthcare Provider

While most pregnancy symptoms are normal, certain warning signs require prompt medical attention. Contact your healthcare provider if you experience: Regular contractions (6 or more per hour); Leaking amniotic fluid; Decreased fetal movement; Signs of preeclampsia. When in doubt, it is always better to call and be reassured than to wait and worry. Your healthcare team expects these calls and would rather hear from you than have you suffer in silence.

Remember that every pregnancy is unique, and comparing your experience to others -- whether friends, family, or online forums -- is rarely helpful. What matters most is that you are receiving regular prenatal care, paying attention to your body, and communicating openly with your healthcare provider. Trust the process, trust your body, and do not hesitate to seek support when you need it.

This information is provided for educational purposes and should not replace personalized advice from your healthcare provider. Always consult your OB-GYN, midwife, or other qualified healthcare professional with specific questions about your pregnancy.

Your Checklist This Week

Here are the most important tasks to focus on during week 27 of your pregnancy:

  • Celebrate completing your second trimester - the "honeymoon period"!
  • Schedule third trimester appointments (now every 2-3 weeks, then weekly)
  • Start gathering items for your hospital bag
  • Review and refine your birth plan with your provider
  • Pre-register at your hospital or birth center
  • Take final maternity photos if desired
  • Begin thinking about postpartum support and help
  • Start stocking freezer with easy meals for postpartum

⚠️ When to Call Your Doctor

While the symptoms listed above are common, contact your healthcare provider if you experience:

  • Severe abdominal pain or cramping
  • Heavy bleeding or passing clots
  • Severe headaches with vision changes
  • Fever over 100.4°F (38°C)
  • Decreased fetal movement after week 28
  • Sudden swelling of face, hands, or feet

💬 What Other Moms Say

Starting the third trimester! It feels like time is flying and standing still at the same time. We're so close to meeting our little one but still have so much to do!

Kristin D.First-time mom, third trimester begins

Every pregnancy is unique. This experience from a real mom at week 27 shows the range of emotions and physical changes you might encounter.

Frequently Asked Questions: Week 27

Answers to the most common questions expectant mothers have during week 27 of pregnancy:

Q:Is entering the home stretch as the second trimester ends normal at 27 weeks?

A: Yes, entering the home stretch as the second trimester ends is a common and normal experience at week 27 of pregnancy. Second trimester symptoms are often related to your growing uterus and the increased demands on your cardiovascular system. If the symptom is severe or interfering with your daily activities, discuss it with your healthcare provider for personalized guidance.

Q:How big is my baby at 27 weeks?

A: At 27 weeks pregnant, your baby is approximately the size of a head of cauliflower, measuring about 36.6 cm in length and weighing approximately 875 grams. Babies are measured from head to heel during the second half of pregnancy. These measurements are averages and individual babies may be slightly larger or smaller.

Q:What should I be eating at 27 weeks pregnant?

A: During week 27, focus on a balanced diet that includes: Third trimester will increase calorie needs to about 450 extra per day; Vitamin K for blood clotting preparation -- leafy greens; Continue iron supplementation. Continue taking your prenatal vitamin daily. Your calorie needs increase by about 340 calories per day during the second trimester. Always avoid raw or undercooked meats, unpasteurized dairy, high-mercury fish, and alcohol.

Q:Can I still exercise at 27 weeks?

A: Yes, exercise is generally safe and recommended at 27 weeks pregnant. Begin thinking about labor preparation exercises. Birth ball sitting can improve posture and help baby positioning. The American College of Obstetricians and Gynecologists recommends at least 150 minutes of moderate-intensity exercise per week during pregnancy. Stop exercising if you experience bleeding, contractions, dizziness, headache, or chest pain, and consult your provider if you have concerns about your specific exercise routine.

Q:What tests should I expect at 27 weeks?

A: At 27 weeks of pregnancy, Routine prenatal visit marking transition to third trimester. Tdap vaccine is recommended (weeks 27-36). Glucose monitoring if gestational diabetes was diagnosed. Second trimester testing often includes the anatomy scan, glucose screening, and follow-up on any first trimester screening results. Ask your provider about any tests you do not understand.

Q:When should I worry at 27 weeks pregnant?

A: While most symptoms at 27 weeks are normal, contact your healthcare provider immediately if you experience: Regular contractions (6 or more per hour); Leaking amniotic fluid; Decreased fetal movement. Trust your instincts -- if something feels wrong, it is always better to call your provider and be checked. Most of the time, the reassurance of knowing everything is fine is worth the phone call.

Q:What changes happen entering the third trimester?

A: The third trimester brings increased fatigue, frequent urination, heartburn, shortness of breath, swelling, and Braxton Hicks. Baby's movements become stronger and more regular. Appointments become more frequent. You'll feel bigger and more uncomfortable. The good news: you're in the home stretch and will meet baby soon!

Q:When should I pack my hospital bag?

A: Pack your hospital bag by week 32-35 in case of early labor. Include: insurance/ID, birth plan, phone charger, comfortable clothes for labor, socks, toiletries, nursing bras, going-home outfit, baby clothes (various sizes), car seat, and comfort items. Keep it by the door. Make a list of last-minute items to grab.

Q:What is the Tdap vaccine and when do I need it?

A: The Tdap vaccine (tetanus, diphtheria, pertussis/whooping cough) is recommended between weeks 27-36 of each pregnancy, ideally before week 32. It protects your newborn from whooping cough via antibodies passed through placenta. Whooping cough is dangerous for infants. Family members should also be up to date on Tdap.
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Did You Know?

Your baby now has regular sleep-wake cycles and may even experience REM sleep, which means they could be dreaming! You may notice patterns in when baby is most active.

Evidence-Based Pregnancy Information

Our week 27 pregnancy content is developed based on guidelines from the American College of Obstetricians and Gynecologists (ACOG), Centers for Disease Control and Prevention (CDC), National Institutes of Health (NIH), and peer-reviewed medical literature.

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