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Pregnancy Week by Week: Key Milestones from Conception to Birth

A trimester-by-trimester guide to fetal development and maternal changes — from the first heartbeat at 6 weeks to full-term readiness at 40 weeks. Informational only.

25 June 2026 4 min read By Tools.Town Team Fact Checked

Key Takeaways

  • Cardiac activity can typically be detected on ultrasound around weeks 5–6 of pregnancy (measured from the last menstrual period)
  • Via ultrasound, fetal sex can usually be determined at the 20-week anatomy scan
  • A pregnancy is considered full term from 39 weeks 0 days through 40 weeks 6 days
  • This guide provides general educational information about typical fetal development and is not a substitute for personalised prenatal care

This article is for general educational purposes only. Fetal development varies between pregnancies. Consult your obstetrician or midwife for personalised prenatal care.

Before you begin: knowing your due date

Pregnancy weeks are conventionally measured from the first day of your last menstrual period (LMP), not from the date of conception. This means weeks 1–2 happen before ovulation and fertilisation. Use the Pregnancy Due Date Calculator to calculate your estimated due date, fertile window, and the 3 upcoming cycle dates from your LMP and cycle length.

First trimester: weeks 1–13

Weeks 1–2: before conception

These weeks count from LMP but precede fertilisation. The uterine lining builds up, and ovulation occurs near the end of week 2 (around day 14 in a 28-day cycle). Fertilisation, if it occurs, happens within 12–24 hours of ovulation.

Week 3: fertilisation and implantation

The fertilised egg (zygote) travels down the fallopian tube, dividing into a cluster of cells (morula, then blastocyst). It reaches the uterus around day 5–6 after fertilisation and implants in the uterine lining at the end of week 3 or beginning of week 4.

Week 4: pregnancy confirmed

A home pregnancy test can now detect the rising level of human chorionic gonadotropin (hCG). The embryo is about 2 mm — barely visible. The amniotic sac and yolk sac are forming. Many women notice no symptoms yet; others experience implantation bleeding.

Week 5: first symptoms

hCG is rising rapidly. Morning sickness (nausea, sometimes vomiting) often begins this week. The embryonic disk — the precursor to the entire body — is forming three layers (ectoderm, mesoderm, endoderm) that will become the nervous system, muscles, and internal organs.

Week 6: heartbeat detected

The heart begins beating — visible on transvaginal ultrasound at approximately 100–120 bpm. The neural tube closes. Arm and leg buds appear. The embryo is about 6 mm long (the size of a pea).

Weeks 7–8: rapid organogenesis

The brain is growing rapidly. Fingers and toes begin forming (webbed at first, then separating). Eyes, ears, and nose take shape. All major organs are present in rudimentary form by week 8. The embryo is now about 1.6 cm and weighs less than 1 g.

Week 9: embryo becomes fetus

At week 9, the term “embryo” transitions to fetus. Kidneys begin producing urine. The fetus makes small spontaneous movements. Heartbeat is now 140–170 bpm. Nuchal translucency ultrasound is typically offered between weeks 11–13.

Week 10: genitals developing

External genitalia are present but not yet distinguishable. The placenta is taking over hormone production from the corpus luteum. First-trimester screening blood tests (PAPP-A, free β-hCG) are often drawn around this time.

Week 12: end of embryonic organ formation

All major body structures are present. Fingernails start forming. The fetus is approximately 6 cm long and weighs about 14 g. The risk of miscarriage drops significantly after 12 weeks, which is why many couples share pregnancy news now.

Week 13: end of first trimester

The fetus can make facial expressions, swallow amniotic fluid, and move its arms and legs. The placenta is fully functional. The uterus begins to rise above the pubic bone.

Second trimester: weeks 14–27

Weeks 14–16: “the golden trimester”

Morning sickness typically eases. Energy returns. The fetus begins making sucking movements. Fine hair (lanugo) covers the body for warmth. At week 15–16, amniocentesis (if chosen) can be performed.

Week 18–20: anatomy scan

The detailed 20-week anomaly scan checks all major organs, placenta position, amniotic fluid levels, and fetal growth. Fetal sex can often be determined. The fetus weighs about 300 g and is around 25 cm crown-to-rump.

Week 20: quickening

Most women feel the first fetal movements (“quickening”) between weeks 16–25. First-time mothers often feel it later than experienced ones. Movements feel like flutters or light taps.

Week 24: viability threshold

24 weeks is conventionally considered the threshold of viability — the point at which a premature baby born at this stage has a chance of survival with intensive neonatal care (survival rates at 24 weeks are 40–70% at specialist centres). Surfactant production in the lungs begins.

Week 25–27: rapid weight gain

The fetus gains approximately 100 g per week. Brain activity increases. The fetus responds to sound — can startle at loud noises. Eyes begin opening and closing. Glucose challenge testing (GCT) for gestational diabetes is typically done between weeks 24–28.

Third trimester: weeks 28–40

Week 28: third trimester begins

All five senses are functional. The fetus practices breathing (using amniotic fluid). Brain surface begins forming folds (gyri and sulci). Weight is approximately 1 kg.

Week 32: lung maturation

Surfactant production accelerates. Babies born at 32 weeks have excellent survival rates (>95%) and typically spend 4–6 weeks in the NICU. The fetus is approximately 1.8 kg.

Week 34–36: preparation for birth

The fetus moves into a head-down position (cephalic presentation) for most pregnancies. Lanugo begins shedding. White vernix (protective coating) is still present. Growth rate slows. Weight: approximately 2.5–2.8 kg.

Week 37: early term

From 37 weeks, the pregnancy is “early term.” Lungs are considered mature. However, studies show that babies born at 37–38 weeks have higher rates of certain complications (feeding difficulties, respiratory issues) than those born at 39+ weeks. Unless medically indicated, delivery before 39 weeks is generally avoided.

Week 39–40: full term

Full term begins at 39 weeks. The cervix begins softening (effacing) and may start to dilate. Braxton Hicks contractions become more regular. The baby is now 50–52 cm long and weighs on average 3.3–3.5 kg, though there is wide normal variation.

Week 41–42: post-term

If labour has not begun spontaneously by week 41, most providers will discuss labour induction due to increasing risks (placental insufficiency, meconium in amniotic fluid, increased stillbirth risk after 42 weeks). Most women deliver by 42 weeks.

Tracking your pregnancy timeline

Calculate your estimated due date, fertilisation date, and trimester transitions with the Pregnancy Due Date Calculator. Input your LMP and typical cycle length, and it will give you:

  • Estimated due date (Naegele’s Rule)
  • Estimated ovulation / fertilisation date
  • End of each trimester
  • Three upcoming predicted cycle dates

Remember that only 5% of babies are born on their exact due date — most arrive within 2 weeks either side. The due date is a midpoint, not a deadline.

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Frequently Asked Questions

When does the baby's heart start beating?
Cardiac activity can typically be detected on ultrasound around weeks 5–6 of pregnancy (measured from the last menstrual period). By week 9, the heart is beating at 140–170 beats per minute.
When can you find out the baby's sex?
Via ultrasound, fetal sex can usually be determined at the 20-week anatomy scan. Cell-free DNA (NIPT) testing can reveal sex as early as 10 weeks from a maternal blood sample.
When is a pregnancy considered full term?
A pregnancy is considered full term from 39 weeks 0 days through 40 weeks 6 days. Babies born at 37–38 weeks are 'early term'; at 41+ weeks they are 'late term'; at 42+ weeks, post-term.
Is this guide medically accurate?
This guide provides general educational information about typical fetal development and is not a substitute for personalised prenatal care. Timelines vary between pregnancies. Always follow your obstetrician's guidance.

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