The Second Trimester: Your Baby's Growth and Development in Middle Pregnancy

Month 4 of Pregnancy

Your baby's fingers and toes are well-defined; eyelids, eyebrows, eyelashes, nails, and hair are formed. Teeth and bones become denser in the second trimester of pregnancy. Your baby can even suck his or her thumb, yawn, stretch, and make faces.

The nervous system is starting to function at this point in pregnancy. The reproductive organs and genitalia are now fully developed, and your health care provider can see on ultrasound if you are having a boy or a girl. Your baby's heartbeat may now be audible through an instrument called a Doppler.

By the end of the fourth month, your baby is about 6 inches long and weighs about 4 ounces.

Month 5 of Pregnancy

Hair is beginning to grow on your baby's head and lanugo, a soft fine hair, covers his or her shoulders, back, and temples. This hair protects your baby and is usually shed at the end of the baby's first week of life.

Your baby's skin is covered with a whitish coating called vernix caseosa. This "cheesy" substance, thought to protect baby's skin from long exposure to the amniotic fluid, is shed just before birth.

You may begin to feel your baby move, since he or she is developing muscles and exercising them. This first movement is called quickening.

By the end of the fifth month of pregnancy, your baby is about 10 inches long and weighs from 1/2 to 1 pound.

Now that you've read about your baby's development in the first 20 weeks of pregnancy, take this quiz to test your smarts!

Month 6 of Pregnancy

By the end of the sixth month, your baby is about 12 inches long and weighs about 2 pounds. His or her skin is reddish in color, wrinkled, and veins are visible through the baby's translucent skin. Baby's finger and toe prints are visible. The eyelids begin to part and the eyes open.

Your baby may respond to sounds by moving or increasing the pulse, and you may notice jerking motions if baby hiccups.

If born prematurely, your baby may survive after the 23^rd week of pregnancy with intensive care.

Reviewed by The Cleveland Clinic Birthing Services and the Department of Obstetrics and Gynecology.