The change of pregnant women week 20

The article was consulted professionally by Master, Dr. Ly Thi Thanh Nha – Department of Obstetrics and Gynecology – Share99 Da Nang International Health Hub.

Pregnant women who are 20 weeks pregnant have gone halfway through pregnancy. The fetus begins to move, move and pedal the mother more often. The womb grows large and the umbilical cord may slightly protrude because of the pressure pushed out of the uterus.

1. What's so special about being 20 weeks pregnant?

Pregnancy week 20 is the middle stage of pregnancy. The mother's uterus at this time begins to grow as large as the umbilical region. The waist gradually disappears, signaling that the fetus is growing steadily in the womb. The urinary tract muscles dilate, making the 20-week pregnant woman susceptible to bacterial penetration, causing bladder infections. The mother's breathing will be deeper and the body sweats more than usual as the thyroid gland enhances activity.

The fetus of week 20 begins to have the ability to hear sounds, such as voices, heart rate and contractions of the mother's stomach, as well as sounds outside the body. The baby will cover his ears if he hears a loud sound near the outside, he may even be startled and "jumped up". In addition, during the 20th week of pregnancy,the pregnant woman also feels more clearly the movements of the fetus, such as twisting movements, turning, wiggling, stretching her arms and also pedals to the womb.

2. How does the body of a 20-week pregnant woman change?

Pregnant women in week 20 begin to show unpleasant symptoms such as back pain, knee fatigue. In this case, the pregnant woman should pay more attention to the position. Avoid standing too long. Sitting in a chair with a backrest, with room to cover the legs, it is possible to line a pillow on the back. When sleeping, the pregnant woman should put a small pillow behind, under the waist. Avoid lifting objects that are too heavy.

Sometimes pregnant women have an appetite for some special items and feel the hunger coming more often. The pregnant belly in the 20th week of pregnancy grows large enough for the pregnant woman to fit in the clothes for the pregnant woman, embracing the abdomen in a fit. The feeling with the baby also becomes more real.

3. Common symptoms in pregnant women week 20

Heartburn and ingestion

If you experience heartburn and indgestion, try chewing a sugar-free gum after meals. The increased amount of saliva helps to neutral the stomach acid and limit gastroesophageal reflux.

Dizziness, headache and fainting

Pregnant women in week 20 often present with dizziness, headaches, especially when the weather is hot, the space is stuffy or in the room without ventilation windows. To remedy this situation, pregnant women should rest in a well-ventilated, airy space, wear wide clothes and add a protective jacket to avoid the effects of hot weather that causes headaches.


Leg cramps are common symptoms in pregnant women

Leg cramps

Cramps in the legs can be caused by compressed blood vessels in the legs (as a result of which weight gain and the abdomen grow enlarged). To minimize cramps, help blood circulation more easily, pregnant women should raise their legs in a lying position and drink plenty of water.

Edema (swelling in the feet and ankles)

Edema in the feet and ankles can lead to pain. If you encounter this condition, pregnant women in week 20 should wear comfortable shoes that fit their feet. Also, avoid using tight socks or pants.

Protruding umbilical opening

During the 20th week of pregnancy,the umbilical cord may protrude outside the abdomen due to the larger uterus, pushing the abdomen and navel forward. This condition makes many pregnant women feel uncomfortable, but after birth, the navel will return to its former position.

4. Tips for pregnant women week 20

4.1. Ultrasound to know the sex of the baby

Many women do not want to wait until the date of birth to know if they have a son or daughter. In fact, pregnancy week 20 is when the doctor can perform an ultrasound of the pregnancy to know if in the womb is a boy or girl. However, the results of determining the sex of the baby are still likely to be flawed and uncertain until the date the baby is born. Therefore, despite knowing the sex of the child in advance, the pregnant woman should still be mentally prepared so as not to be too surprised if the sex of the child is born not as predicted.

4.2. Feel the movement of the fetus

For first-time pregnant women who have children, about weeks 18 -20 are when the first fetal movement begins to appear and can be felt clearly. These movements are a sign that the mother's fetus is growing healthy.

4.3. Consider carefully before long trips

Pregnant women should only travel long distances (long distances) in case it is imperative to go. Pregnancy in the second trimepcle is the cause of many serious car accidents. Symptoms such as nausea, fatigue and loss of concentration will greatly affect the movement of the pregnant woman. On the other hand, long trips are at risk of many unexpected events, such as epidemics, affecting the health of the mother and the fetus.

4.4. Limit excessive movement

One of the symptoms that usually occurs during pregnancy at the 20th week is muscle tension and loose ligaments, which can easily lead to injuries when exercising, especially when performing too heavy, overworked exercises. If it feels pain, the pregnant woman should stop and rest. Even if there is no pain, pregnant women should still exercise moderately and focus their time on rest.

4.5. Moderate weight gain

During pregnancy, pregnant women must increase energy supplements for the whole baby part. However, this does not mean that the pregnant woman must eat in twice the normal amount.

Pregnant women gain weight as a sign that the baby in the abdomen is growing well and growing. However, at the 20th week of pregnancy, pregnant women should only gain an average of 0.5 kg per week (depending on the advice of a doctor). Moreover, pregnant women should opt for healthy foods, strengthening greens and fruits. A reasonable, scientific diet will help the 20-week pregnant woman gain moderate weight, while easily regaining her pre-birth physique.

4.6. Iron Supplements

Pregnant women who are 20 weeks pregnant should increase iron supplements because iron reserves at this time are virtually depleted due to serving the developmental needs of the baby. This puts the pregnant woman at risk of anemia or some other symptoms due to iron deficiency.

In fact, almost all pregnant women are prone to anemia, especially those who have just had a baby, are pregnant with multiple pregnancies or are undernourished at any time during the period. Pregnant women can supplement iron through a number of supplements, foods rich in iron, combined with foods high in vitamin C.


Pregnant women who are 20 weeks pregnant should boost iron supplements

4.7. Do not sit or stand for too long

If you have to spend a lot of hours sitting at work (or having to constantly walk), change your position for 5-10 minutes after each working hour. By getting up to walk down the hallway or performing a few stretching movements, pregnant women can improve blood circulation, prevent symptoms such as edema, muscle tension, varicose veins.

Share99 International Health Hub offers a full maternity care program for women from the very beginning of pregnancy from the first months with a full range of pregnancy examinations, 3D ultrasounds, 4D routines and routine tests to ensure the mother is always healthy and the fetus develops comprehensively. Maternity will no longer be alone when entering labor because having a companion helps the process of childbirth always bring peace of mind and happiness.

In addition to regular visits, women will also be consulted on nutrition and exercise so that mothers can gain weight properly but the fetus still absorbs nutrients well, Obstetrics and Gynecology will be consulted and checked health under the close supervision of experienced obstetricians and gynecologists. , expertise, helping mothers have more knowledge to protect their health during pregnancy as well as minimize complications affecting mothers and children.

Master. physician. Ly Thi Thanh Nha worked at Hue University Health Hub of Medicine and Pharmacy and Quang Tri General Health Hub before working at Share99 Danang International Health Hub. Dr. Nha has strengths and experience in the diagnosis of monitoring and treatment of pregnancy and pathology. Pregnancy screening. Perform cesarean section techniques. Laparoscopic surgery for ovarian cysts, extra-uterine pregnancy.

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Article reference source:, whattoexpect,


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About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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