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Pregnancy timeline

Weeks 1-4

Fertilisation occurs and a ball of quickly multiplying cells embeds itself in

the lining of the uterus.

In the UK pregnancy is calculated from the first day of the woman's last period

so for as much as three weeks of this first month she might not be actually

pregnant. When fertilisation does occur the tiny mass of cells called a

blastocyst at this stage embeds itself in the lining of the womb which is

already thickening to support it.

Week 5

The mass of cells is developing fast and becomes an embryo. For many women the

first sign of pregnancy is a missed period.

Shopbought tests are considered largely reliable so the mother-to-be does not

have to have her pregnancy confirmed by her GP. If a first test is negative a

second one a few days later may prove positive as hormone levels in the urine

rise.

Week 6

The embryo officially becomes a foetus. It is about the size of a baked bean

and its spine and nervous system begin to form.

The foetus already has its own blood system and may be a different blood group

from its mother. Blood vessels are forming in what will become the umbilical

cord and tiny buds which will become limbs appear.

Week 7

The baby s heart is beginning to develop. Morning sickness and other side

effects of early pregnancy may take hold.

Around this time many women find they experience the side-effects of early

pregnancy including needing to urinate more often nausea and vomiting and

feeling a bit weepy and irritable. All medication including supplements need to

be carefully checked as the foetus is undergoing vital development in the first

12 weeks. If the woman has not told her GP or community midwife she is pregnant

yet now is a good time to do so.

Week 8

It is quite common to have a first scan at this stage if the woman has had a

previous miscarriage or bleeding.

An early scan is often done through the vagina and is used to check the

pregnancy is not ectopic. It should show up the baby s heartbeat. The nervous

system is also developing rapidly especially the brain. The head gets bigger

and eyes form under the skin of the face. The foetus' limbs are growing and

look more like arms and legs. All internal organs are developing and becoming

more complex.

Week 9

The foetus is about 5cm long with its head tucked onto its chest. It has most

its major organs and eyes and ears are developing.

Week 10

A scan at 10-13 weeks is recommended to pin down the date of the pregnancy.

Week 11

The umbilical cord is fully formed providing nourishment and removing waste

products. The foetus looks fully human now.

Week 12

By this week the threat of miscarriage is much reduced. Many women announce

their pregnancy to friends and colleagues.

The foetus is growing in length much more quickly by now it is about eight cm

long and weighs about 60 grams. The placenta is now wellformed though it's not

yet doing its full job it takes over fully in week 14. The mother is likely to

have her first scan this week.

Week 13

The womans uterus is becoming larger and is starting to rise out of the pelvis.

The foetus can move its head quite easily.

Week 14

Third of the way through. The average pregnancy lasts 266 days or 280 days from

the first day of last period.

Week 15

Screening for Downs syndrome is offered about now. A simple blood test is

carried out first then further tests may be offered.

On the basis of the blood test results the woman may opt for a Chorionic Villus

sample or an amniocentesis which would diagnose Down's syndrome or other

chromosomal abnormalities. However these diagnostic tests have a small risk of

subsequent miscarriage. An alternative to blood tests is a nuchal translucency

scan a new scan offered by some larger hospitals. But again an amniocentisis

would be required for firm diagnosis.

Week 16

The foetus now has toe and finger nails eyebrows and eyelashes. It is also

covered with downy hair.

The hair that will cover the baby until the last week or so of pregnancy -

called lanugo - starts to form. This hair is very fine more like down and it

probably serves as some form of insulation and protection for the skin.

Week 17

The foetus can hear noises from the outside world. By this stage the mother is

visibly pregnant and the uterus is rising.

Week 18

By this stage the foetus is moving around a lot - probably enough to be felt.

Week 19

The foetus is now about 15-20cm long and weighs about 300g. Milk teeth have

formed in the gums.

week 20

Half way through pregnancy now. Almost all mothers are offered a routine scan.

The foetus develops a waxy coating called vernix.

The scan can show the foetus in fine detail and often reveal if the baby is a

boy or a girl. However not all hospitals offer to tell parents the sex of the

child - and not all parents want to know.

Week 21

The mother may feel short of breath as her uterus pushes against her diaphragm

leaving less space for the lungs.

The mother may be offered another ultrasound scan around this time. The scan

can check the baby s spine internal organs and growth are normal.

Week 22

Senses develop: taste buds have started to form on the tongue and the foetus

starts to feel touch.

Week 23

The skeleton continues to develop and bones that form the skull begin to harden

- but not fully.

Week 24

Antenatal checkup and scan to check the baby s position. A baby born this early

does sometimes survive.

A baby born at 24 weeks may possibly survive but it would have severe breathing

difficulties as its lungs would not be strong enough to cope. It would also be

very thin lightweight and susceptible to infections.

week 25

All organs are now in place and the rest of the pregnancy is for growth.

Preeclampsia is a risk from here onwards.

This potentially fatal condition causes high blood pressure protein in the

urine and swelling caused by fluid retention. The causes are unclear but

research suggests it may be linked to an immune reaction to the foetus or the

placenta. If the condition is serious women may be advised to take drugs to

lower their blood pressure and in some cases an early caesarean or induction

may be performed. Serious complications of pregnancy

Week 26

The foetus skin is gradually becoming more opaque than transparent.

Week 27

The foetus measures about 34cm and weighs about 800g.

Week 28

Routine checkup to test for preeclampsia. Women with Rhesus negative blood will

also be tested for antibodies.

If the mother has Rh negative blood but the baby is Rh positive she can develop

antibodies to her baby s blood during labour. This is not a problem in the

first birth but can affect subsequent pregnancies and result in stillbirth.

Fortunately treatment is simple and effective. BBC Health: Ask the doctor -

Rhesus disease

Week 29

Some women develop restless leg syndrome in their third trimester.

This is sensations such as crawling tingling or even cramps and burning inside

the foot or leg - often in the evening and at night disturbing sleep and making

the mother feel she needs to get up and walk around. No-one knows what causes

this harmless but irritating condition.

Week 30

Braxton Hicks contractions may begin around now. They are practice contractions

which dont usually hurt.

These are irregular, painless contractions which feel like a squeezing

sensation near the top of the uterus. If contractions become painful or occur

four times an hour or more, the woman should call a doctor as she may be in

early labour.

Week 31

The foetus can see now and tell light from dark. The mother s breasts start to

produce colostrum about now

This high calorie milk is produced by the mother to feed the baby for the first

few days after birth before normal milk starts.

Week 32

Another antenatal appointment. The foetus is about 42cm and weighs 2.2kg. A

baby born now has a good chance of survival.

Week 33

From now the baby should become settled in a head downwards position. A midwife

can help to move it if necessary.

Week 34

The mother may find it more difficult to eat full meals as the expanded uterus

presses on her stomach.

Week 35

If the mother has been told she may need a planned caesarean, now is a good

time to discuss it further.

Week 36

The baby s head may engage in the pelvis any time now.

Week 37

The baby s lungs are practically mature now and it can survive unaided. The

final weeks in the womb are to put on weight.

Week 38

Babies born from this week onward are not considered early.

Week 39

Another ante-natal appointment. The mother has reached her full size and weight

by now.

Week 40

In theory the baby should be born this week. The mother s cervix prepares for

the birth by softening.

Week 41

First babies are often up to a week late but if there are signs of distress to

mother or child the birth will be induced.