Your Pregnancy Week by Week: 9-16

Week 9
Baby: The embryo measures about 0.9 inches to 1.2 inches from crown to rump, or the size of a strawberry. The arms and legs are longer, and the fingers might be a little swollen where the touch pads are forming. The head is more erect and neck is more developed. Your baby now moves its body and limbs, and this movement can be visible during an ultrasound, but you won't be able to feel it yet.

Mom-to-be: Your uterus is continuing to grow, and you may begin to see your waistline thickening. But unless you tell people the good news, your pregnancy still won't be noticeable to others. Weight gain is still small, if at all, since you could be experiencing food aversions, cravings, heartburn, indigestion, nausea and bloating. Mood swings and weepiness similar to PMS symptoms are common, too.

Tip for the Week: Eat plenty of foods that contain calcium -- such as cheeses, sardines and broccoli -- to provide sufficient calcium for the development of your baby's teeth and bones.

Week 10
Baby: Congratulations! Your baby is now officially called a "fetus." It looks a little like a medium shrimp, measuring 1.25 to 1.68 inches from crown to rump, and weighing a little less than two-tenths of an ounce. You might be reassured to know that most physical malformations, when they occur, have occurred by the end of this week, so the most critical part of your baby's development is safely behind you. But other developmental processes, such as those affecting behavior and intelligence, will continue throughout pregnancy. Eyes are covered by skin that will eventually split to form eyelids.

Mom-to-be: You still probably don't show, but you may be wearing looser clothes. You may even be starting to eye maternity clothes, although you probably still don't need them. You may continue to feel tired and moody, but take heart: These symptoms shouldn't last too much longer.

Tip of the Week: If you're going to have chorionic villus sampling (CVS), a prenatal test used to detect genetic defects such as Tay-Sachs, sickle cell anemia, most types of cystic fibrosis and Down syndrome, it will probably be scheduled between now and 12 weeks.

Week 11
Baby: Your fetus, about the size of a large lime, measures about 1.75 to 2.4 inches from crown to rump and weighs about three-tenths of an ounce. About now the rapid "swooshing" noises of the heartbeat can be heard through a Doppler sound-wave stethoscope. Fingernails and external genitalia are showing distinguishing characteristics, and the baby is swallowing and kicking, although you still won't feel it.

Mom-to-be: Your uterus is almost big enough to fill your pelvis and may be felt in your lower abdomen. You may also experience changes in hair, skin, fingernails or toenails.

Tip of the Week: Don't ignore your dental hygiene during pregnancy. Floss and brush regularly, and make sure you see your dentist at least once in these nine months. Your gums may bleed more because of hormones during pregnancy and because of increased blood volume.

Week 12
Baby: The fetus now measures about 2.5 inches from crown to rump and weighs between three-tenths of an ounce and half an ounce. It is fully formed, from tooth buds to toenails, and your baby's job now is to continue getting larger and stronger for the rest of your pregnancy. With the most critical development behind the fetus, the chance of miscarriage drops considerably after this week.

Mom-to-be: Nausea and energy start to improve. You may be experiencing occasional headaches, dizziness and fatigue from hormonal changes. If it's your first baby, you still could be wearing loose-fitting clothes, but if you've had other pregnancies, you'll probably start to show earlier and may be in maternity clothes. The typical weight gain by now is about three to five pounds. Fathers-to-be might also experience pregnancy symptoms, called couvade or "hatching," during the third month and at delivery, including nausea, abdominal pain, appetite changes and weight gain.

Tip of the Week: Most women develop stretch marks on their abdomen, breasts, hips or buttocks sometime during their pregnancy. They won't go away, but they'll usually fade after pregnancy. Despite claims from manufacturers, creams and oils don't minimize them. It depends on your skin's natural elasticity. Gradual rather than rapid weight gain may help, as well as avoiding excessive weight gain during pregnancy.

What's Happening Inside You?
By the end of the third month, your baby is fully formed. Your baby has arms, hands, fingers, feet and toes and can open and close its fists and mouth. Fingernails and toenails are beginning to develop and the external ears are formed. The beginnings of teeth are forming. Your baby's reproductive organs also develop, but the baby's gender is difficult to distinguish on ultrasound. The circulatory and urinary systems are working and the liver produces bile.

At the end of the third month, your baby is about 4 inches long and weighs about 1 ounce.

Since your baby's most critical development has taken place, your chance of miscarriage drops considerably after three months.


Week 13
Baby: Your fully formed fetus, now in about its 11th week of development, measures 2.6 to 3.1 inches from crown to rump and weighs between half an ounce and seven-tenths of an ounce -- about the size of a peach. The head is still disproportionately bigger than the body, but the rest of the body is starting to catch up. In fact, your baby is growing rapidly these days. The face is starting to look more human, with eyes moving closer together. Toes and fingers are clearly separate, and ankles and wrists have formed. External genitalia are becoming visible. Intestines are shifting into their proper place, too.


Mom-to-be: Your uterus has grown a lot. It's filling your pelvis now and starting to grow upward into your abdomen. It probably feels like a soft, smooth ball. If you haven't put on any weight yet because of morning sickness, you'll begin to now as you start to feel better.

Tip for the Week: It's easy for your partner to feel left out of the pregnancy since he isn't feeling the same physical changes that you are. Both of you should share your excitement about having a child, your dreams, worries and your partner's level of involvement. Suggest that your partner goes to a check-up with you to hear the baby's heartbeat.

Week 14
Baby: Your baby measures about 3.2 to 4.1 inches from crown to rump now and weighs almost an ounce. The ears are shifting from the neck to the sides of the head, and the neck is getting longer and chin more prominent. Facial features and unique fingerprints are all there. Your baby is beginning to respond to outside stimuli. If your abdomen is poked, the fetus will try to wriggle away.

Mom-to-be: You're probably wearing maternity clothes now. Your skin and muscles are starting to stretch to accommodate your growing baby. You may notice some constipation because pregnancy hormones relax the bowel.

Tip of the Week: Try to alleviate constipation with moderate exercise, and by drinking plenty of fluids and eating lots of fruit and vegetables, preferably raw.

Week 15
Baby: Your 13-week-old fetus now measures about 4.1 to 4.5 inches from crown to rump and weighs about 1.75 ounces. Its body is covered by an ultrafine hair, called lanugo, which is usually shed by birth. Eyebrows and hair on the top of the head are beginning to grow. He may even be sucking his thumb by now. Bones are getting harder.


Mom-to-be: Your uterus can probably be felt about 3 to 4 inches below your navel. Sometime in the next five weeks you'll be offered a quadruple marker screening test, which measures four chemicals in your blood -- alpha-fetoprotein (AFP), human chorionic gonadotropin (hCG), inhibin A, and estrogen produced by the placenta. The test is a more accurate predictor of Down syndrome than AFP testing alone. Amniocentesis, which tests a small sample of amniotic fluid withdrawn by an ultrasound-guided needle, is usually performed between now and 18 weeks. It may be recommended if you're 35 or older or if your AFP or quadruple marker screen test results were suspicious.

Tip of the Week: Start learning to sleep on your left side because circulation is best that way. Lying on your back or stomach after about the fourth or fifth month can put extra pressure on your growing uterus and decrease circulation to your baby. You can try tucking pillows behind you and between your legs. Some manufacturers make a pregnancy pillow that supports your entire body.

Week 16
Baby: Your baby now measures about 4.3 to 4.6 inches from crown to rump and weighs about 2.8 ounces. Fingernails are well-formed and the fine hair, lanugo, may be growing on the head. Arms and legs are moving. The nervous system is functioning and muscles are responding to stimulation from your baby's brain. You may be able to hear the baby's heartbeat in the doctor's office.

Mom-to-be: Your uterus has grown significantly by now and weighs about 8.75 ounces. Within the next few weeks you may start to feel your baby move, called "quickening." It's often like a gas bubble or subtle fluttering movement. As it happens more regularly, you'll know it's your baby. There are other physiological changes happening in your body. Increased blood volume to support your growing fetus may produce nosebleeds, and leg veins may become more apparent. Your uterus is shifting so you may not have to urinate so much.



Tip of the Week: If veins in your legs are beginning to bulge, you may want to use support stockings, elevate your feet when you can and exercise to improve blood flow.

What's Happening Inside You?

Your baby's fingers and toes are well-defined; eyelids, eyebrows, eyelashes, nails and hair are formed. Teeth and bones become denser. Your baby can even suck his or her thumb, yawn, stretch and make faces.

The nervous system is starting to function. The reproductive organs and genitalia are now fully developed, and your health care provider can see on ultrasound if you are having a boy or a girl. Your baby's heartbeat may now be audible through an instrument called a Doppler.

By the end of the fourth month, your baby is about 6 inches long and weighs about 4 ounces.

Reviewed by The Cleveland Clinic Birthing Services and the Department of Obstetrics and Gynecology.

Comments