23 Weeks Pregnant: What to Expect as Your Baby and Belly Continue to Grow

At 23 weeks, you’re well into your second trimester, and exciting changes are happening for both you and your baby. This stage brings physical and emotional adjustments, along with new milestones for your developing little one. Here’s a guide on what to expect, how to manage common symptoms, and ways to care for yourself and your baby at 23 weeks.

Your Baby’s Development at 23 Weeks

Your baby is now around 11 inches long and weighs approximately 1 pound, about the size of a large mango. Here’s a closer look at what’s happening with your baby’s growth and development:

• Lung Development: Your baby’s lungs are beginning to produce surfactant, a substance that will help them breathe independently after birth. They’re also practicing breathing movements by inhaling small amounts of amniotic fluid.
• Skin Changes: At this stage, your baby’s skin is still thin and translucent but gradually becoming thicker. They’re also accumulating more fat, which will help regulate their temperature after birth.
• Enhanced Senses: Your baby’s sense of hearing is developing rapidly, allowing them to start recognizing sounds, including your voice. Talking, singing, or playing gentle music can help you bond with your baby even before they’re born.

Common Symptoms at 23 Weeks

As your belly continues to grow, you might notice some new physical symptoms or changes:

• Back Pain: With your baby’s weight increasing, back pain is common as your center of gravity shifts. Practicing good posture, stretching, and using supportive pillows can help alleviate discomfort.
• Braxton Hicks Contractions: Many women start to feel these mild, irregular contractions around this time. They’re normal “practice” contractions as your body prepares for labor, but if they become painful or regular, it’s best to consult your healthcare provider.
• Swelling: You may notice mild swelling in your feet, ankles, and hands due to increased blood volume and fluid retention. Resting with your feet elevated, staying hydrated, and avoiding long periods of standing can help reduce swelling.
• Increased Appetite: As your baby grows, so does your need for extra calories and nutrients. Try to focus on nutrient-dense foods like lean proteins, whole grains, and plenty of fruits and vegetables to nourish both you and your baby​​.

Self-Care Tips for 23 Weeks

This is a great time to prioritize self-care as you navigate the physical and emotional changes of pregnancy. Here are some ways to stay comfortable and healthy:

1. Eat Balanced Meals: Aim to eat small, frequent meals that are rich in vitamins and minerals. Foods high in calcium, iron, and protein are especially important for your baby’s bone and muscle development.
2. Stay Active: Gentle exercises, like walking, swimming, or prenatal yoga, can help reduce back pain, boost your mood, and keep your muscles strong.
3. Practice Sleep Hygiene: Finding a comfortable sleeping position may be challenging as your belly grows. Try sleeping on your left side with a pillow between your knees for support. If insomnia is an issue, establish a calming bedtime routine and avoid screen time an hour before bed.

Emotional Changes and Bonding with Your Baby

The 23-week mark often brings increased emotional connection with your baby as you feel more movement and kicks. Here are some bonding ideas:

• Talk or Sing to Your Baby: Your baby’s developing ears can now pick up your voice, so talking or singing to them can help create a comforting bond.
• Keep a Pregnancy Journal: Documenting your thoughts and experiences during pregnancy can be a meaningful way to reflect on this journey and feel closer to your baby.
• Include Your Partner: Involve your partner in feeling your baby’s kicks and movements. This can be an exciting bonding experience for both of you as you prepare for parenthood together.

Preparing for the Third Trimester

With the third trimester approaching, now is a good time to start thinking about birth plans and postpartum preparations:

• Research Birth Preferences: Consider your birth preferences, such as whether you’re interested in pain relief options or natural labor techniques. Many expectant parents find it helpful to write down a flexible birth plan.
• Attend a Prenatal Class: Prenatal classes can provide valuable information about labor, delivery, and newborn care. They’re also a great way to connect with other parents-to-be.
• Start a Baby Registry: As you plan for your baby’s arrival, creating a registry can help organize essentials and allow friends and family to support you with gifts.

When to Call Your Healthcare Provider

While mild discomforts are normal during pregnancy, certain symptoms should be reported to your provider to ensure everything is progressing smoothly:

• Severe Pain or Cramping: Intense abdominal pain or cramping could indicate a problem and should be checked out promptly.
• Heavy Bleeding: Any significant bleeding should be evaluated immediately.
• Unusual Symptoms: Persistent headache, vision changes, or sudden swelling, especially in the face or hands, can be signs of preeclampsia, a pregnancy complication.

Final Thoughts

At 23 weeks, you’re moving steadily closer to meeting your baby, and each day brings new growth and milestones. Embrace this special time by nurturing your body, bonding with your baby, and preparing for the exciting journey ahead. Remember that you’re not alone, and your healthcare team is there to support you every step of the way.