Day 128 of 280 · 18 weeks + 2 days
To find out or not
Last reviewed · 3 min read · 7 sources · Plain-text version
The scan can often tell you the sex. Today you and your partner decide whether you want to know, and who else gets told.
- Size this week
- about the size of a bell pepper
- Length this week
- around 14.2 cm from head to bottom

Eighteen weeks and two days. Somebody at the scan may ask "do you want to know?" and you'll have a few seconds to answer. Today you take longer than that.
Your baby

Your body
The anomaly ultrasound, typically between 18 and 20 weeks, is when the baby's sex can often be found (NICHD). "Often" is the honest word. Later ultrasounds can assess the baby's age, growth, position, and sometimes sex (MedlinePlus); a baby with legs crossed or back turned keeps the secret, whatever you decided.
So the decision is really two decisions: whether you want to be told if it's visible, and what you'll do with it once you know.
Try today
The find-out-or-not talk
Time: 15 minutes, no phones
Each of you says your first instinct out loud before any discussion: know, or wait.
If you differ, say why. One of you wants to plan; the other wants the moment. Both are reasons, not arguments.
Decide what you'll say at the scan. "Yes, tell us," "No, please don't," or "write it down and seal it."
If you find out, decide who else gets told, and when. Parents? Siblings? Nobody until the birth?
Agree that whatever the scan shows, the two of you hear it the same way, at the same time.
Make it work:If you can't agree, the sealed envelope buys you time; the clinic doesn't need your answer until the day.
Watch for
Normal
feeling warmer than everyone else in the room; "feeling hot" is on the NHS's list of common symptoms this trimester (NHS).
Call your provider
for a fever of 100.4°F (38°C) or higher; it's on the CDC's urgent list (CDC).
Normal
peeing more often.
Call your provider right away
for pain when urinating, or for fever or chills; both are on MedlinePlus's second-trimester call list (MedlinePlus).
Normal
mild, passing cramps as the womb grows.
Call your provider right away
for moderate to severe cramping or low abdominal pain (MedlinePlus).
For you
Neither answer is the right one. Finding out doesn't make you a planner who can't handle surprise; waiting doesn't make you sentimental. The sources in this series have nothing to say on it, which tells you how much it matters medically: not at all.
What the NHS does say is that about 1 in 5 women feel stressed or anxious during pregnancy (NHS). If the scan is what's sitting on your chest, that's worth naming to your partner tonight, in the same conversation. The sex question is the easy one.
If you're the partner: if she wants to know and you don't, or the reverse, this is a good first practice at a decision where nobody is wrong and somebody has to give. There will be more.
Sources
- NHS. "Week 18." Week-by-week guide to pregnancy, Best Start in Life. https://www.nhs.uk/best-start-in-life/pregnancy/week-by-week-guide-to-pregnancy/2nd-trimester/week-18/
- National Institute of Child Health and Human Development. "About Pregnancy." National Institutes of Health. https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo
- MedlinePlus. "Ultrasound pregnancy." Medical Encyclopedia, National Library of Medicine. https://medlineplus.gov/ency/article/003778.htm
- NHS. "Week 19." Week-by-week guide to pregnancy, Best Start in Life. https://www.nhs.uk/best-start-in-life/pregnancy/week-by-week-guide-to-pregnancy/2nd-trimester/week-19/
- Centers for Disease Control and Prevention. "Urgent Maternal Warning Signs and Symptoms." HEAR HER campaign, 2024. https://www.cdc.gov/hearher/maternal-warning-signs/index.html
- MedlinePlus. "Prenatal care in your second trimester." National Library of Medicine. https://medlineplus.gov/ency/patientinstructions/000557.htm
- NHS. "Week 17." Week-by-week guide to pregnancy, Best Start in Life. https://www.nhs.uk/best-start-in-life/pregnancy/week-by-week-guide-to-pregnancy/2nd-trimester/week-17/
This guide is general education that summarizes published research and guidance from groups like the American Academy of Pediatrics, the CDC, and the WHO. It isn’t medical advice, and every child develops on their own timeline. Your pediatrician knows your child; if something feels wrong, call them. In an emergency, call 911.
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