Day 140 of 280 · 20 weeks
Halfway
Last reviewed · 2 min read · 7 sources · Plain-text version
Twenty weeks. Half of a forty-week calendar, a baby the size of a banana, and a short letter to write and seal for the due date.
- Size this week
- about the size of a banana
- Length this week
- around 25.6 cm from head to heel

Twenty weeks. Halfway, by the calendar every provider uses, the one that counts from the first day of your last period (NICHD). Today's task is a letter.
Your baby

Your body
NICHD puts 20 weeks as the point when a woman may begin to feel fetal movement (NICHD). If you haven't, you aren't behind; "may" is the word. The anomaly scan may happen this week, including an examination of the placenta (NHS); MedlinePlus describes the same scan as an ultrasound around 20 weeks that checks the baby's anatomy (MedlinePlus).
The symptom list hasn't changed much: tiredness and sleep problems, round ligament pains, headaches, feeling hot, and earlier symptoms such as mood swings that may carry on (NHS).
Try today
The halfway letter
Time: 15 minutes
Date it: 20 weeks.
Write to the baby, or to yourself. What you know today, what you hope, what you're scared of.
Put in one ordinary detail: what you ate, what the weather did, what the scan showed if you've had it.
Seal it, write "due date" on the front, and put it with your pregnancy papers. Open it on day 280.
Make it work:No rules. If the words don't come, write the date and three lines and seal it anyway.
Watch for
Normal
round ligament pains and indigestion (NHS).
Seek care immediately
for severe belly pain that doesn't go away (CDC).
Normal
mood swings, which the NHS lists among the earlier symptoms that may continue (NHS).
Call your provider
as soon as possible if you think you have depression; in a crisis, call or text 988, or call or text the National Maternal Mental Health Hotline, 1-833-TLC-MAMA (CDC).
Normal
tiredness, still on the list at 20 weeks (NHS).
Call 911
or go to the emergency room for severe chest pain or shortness of breath that does not go away (MedlinePlus); trouble breathing, chest pain, or a fast-beating heart are urgent warning signs (CDC).
For you
Pregnancy usually lasts about 40 weeks, just over 9 months (NICHD), and last week's NHS page put the birth at about 21 weeks away (NHS). So: twenty down, about twenty to go. The half you've done was the invisible one, the sickness and the secret and the waiting for a scan. The half ahead is the one other people can see.
If you're the partner: write your own letter, today, and seal it too. Don't show each other until the due date.
Sources
- 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/
- NHS. "Week 20." 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-20/
- National Institute of Child Health and Human Development. "About Pregnancy." National Institutes of Health. https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo
- MedlinePlus. "Prenatal care in your second trimester." National Library of Medicine. https://medlineplus.gov/ency/patientinstructions/000557.htm
- MedlinePlus. "Common symptoms during pregnancy." National Library of Medicine. https://medlineplus.gov/ency/patientinstructions/000583.htm
- 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
- Centers for Disease Control and Prevention. "Symptoms of Depression Among Women." Reproductive Health, 2024. https://www.cdc.gov/reproductive-health/depression/index.html
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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