Week 20 Pregnancy
You are 20 weeks pregnant and in your second trimester. Your baby is about the size of a banana. This week's key development: Halfway. NHS note: Mid-pregnancy anomaly scan.
Baby's Development
Your baby is about the size of a banana.
Halfway — You've reached the midpoint of your pregnancy. Your baby's movements are becoming stronger and more frequent. Many parents have their mid-pregnancy anatomy scan around now — a chance to see your baby in wonderful detail.

Your Symptoms
- Stronger kicks
- Heartburn
- Shortness of breath
Every pregnancy is different. You may experience all, some, or none of these symptoms — and that's completely normal. If anything concerns you, speak to your midwife.
NHS Appointments
Mid-pregnancy anomaly scan. This is often when you can find out the sex if you wish.
Practical Advice for Week 20
Nutrition
- Continue vitamin D daily.
- You're halfway — celebrate with a nutritious but delicious meal!
- Iron needs increase in the second half of pregnancy — eat red meat, beans, and dark greens.
- Include healthy carbohydrates for energy — sweet potatoes, brown rice, quinoa.
Exercise
- Continue moderate exercise — 150 minutes per week is the NHS target.
- Swimming becomes increasingly comfortable as your bump grows.
- Pelvic floor exercises are essential — they help with labour and recovery.
- Avoid high-impact exercise if you experience any pelvic or back pain.
Wellbeing
- Stronger kicks are a wonderful reassurance — enjoy the feeling of your baby moving.
- Heartburn may become more persistent — eat smaller meals and avoid lying down after eating.
- Shortness of breath is normal as your uterus pushes against your diaphragm.
- Celebrate this milestone — you're halfway through your pregnancy!
Preparation
- Your mid-pregnancy anomaly scan — you may find out the sex if you wish.
- Start thinking about your birth plan in more detail.
- Research antenatal classes if you haven't booked yet — NHS ones are free.
- If this is your first baby, consider touring your local birth centre or hospital.
Tip of the Week
Celebrate! You're halfway through this incredible journey.
Track Your Due Date
Keep track of your pregnancy milestones, NHS scans, and countdown to your due date.
Go to TrackerNHS Resources
Find trusted information on financial support, antenatal classes, and local maternity services.
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