Week 21 Pregnancy

Second Trimester

You are 21 weeks pregnant and in your second trimester. Your baby is about the size of a pomegranate. This week's key development: Finding a Rhythm. NHS note: Routine midwife appointment to check growth and well-being.

Baby's Development

Your baby is about the size of a pomegranate.

Finding a Rhythm — Your baby is establishing sleep and wake cycles, and you may start to notice patterns — active in the evenings, quiet in the mornings, or vice versa. Eyebrows and eyelashes are now visible, and the lips are becoming more defined.

Illustration of a pomegranate, showing the approximate size of the baby at week 21
Pomegranate
Approx. 26.7cm

Your Symptoms

  • Varicose veins
  • Stretch marks
  • Increased appetite

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

Routine midwife appointment to check growth and well-being.

Practical Advice for Week 21

Nutrition

  • Continue vitamin D daily.
  • Eat regular, balanced meals to manage your increased appetite.
  • Include foods rich in vitamin K (broccoli, kale) for blood clotting.
  • Stay well hydrated — 2 litres of water per day is a good target.

Exercise

  • Walking remains one of the best forms of exercise throughout pregnancy.
  • Swimming or aqua aerobics — perfect for supporting your growing body.
  • If varicose veins are appearing, gentle movement helps circulation.
  • Avoid prolonged standing — take regular breaks if your job requires it.

Wellbeing

  • You may notice your baby has sleep and wake patterns — enjoy getting to know them.
  • Stretch marks are common — they affect most pregnant women and fade significantly.
  • Your appetite may increase — eat nutritious foods but don't restrict yourself.
  • If varicose veins are bothering you, support tights can help.

Preparation

  • Routine midwife check — growth and wellbeing assessment.
  • Start assembling a shortlist of baby names.
  • If you're planning a nursery, now is a good time to start (while you have energy).
  • Consider writing a baby shower guest list if friends are planning one.

Tip of the Week

Keep active with walking or swimming to help with circulation and leg aches.

Track Your Due Date

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NHS Resources

Find trusted information on financial support, antenatal classes, and local maternity services.

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All Weeks

Browse the complete week-by-week pregnancy guide from conception to birth.

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Week 21 Pregnancy: Symptoms, Baby Development & NHS Advice | DueDate.Baby