Trimester 2
23 weeks pregnant: Lungs maturing, weight gain accelerating
Here is what to expect this week for you and your baby.
Baby Size Large mango (aam) 28.9 cm A mango / aam (~28.9 cm). Surfactant production begins.
Baby Development
- Baby can hear external sounds clearly now
- Rapid eye movement (REM) — baby may be dreaming!
- Lungs developing surfactant for breathing
- Skin is wrinkly and translucent but filling out
Common Symptoms
- Swollen hands — rings may feel tight
- Carpal tunnel syndrome symptoms possible
- Frequent Braxton Hicks contractions
- Difficulty sleeping comfortably
Tips & Advice
- Remove rings if hands swell to avoid getting stuck
- Wrist stretches can help carpal tunnel discomfort
- Develop a calming bedtime routine
Nutrition Guide
- Lecithin: soybean, egg yolk, sunflower seeds
- Chromium: broccoli, whole grains, green beans
- Vitamin B5: mushrooms, avocado, sweet potato
Medical Checklist
When to see your doctor at week 23
Some symptoms need attention right away. Contact your doctor or go to the nearest hospital if you notice any of these:
- Heavy bleeding (soaking a pad within an hour)
- Severe or persistent abdominal or pelvic pain
- Fever above 38°C (100.4°F)
- Sudden severe headache, blurred vision or upper-abdominal pain (possible preeclampsia)
- Decreased fetal movement after week 24 (fewer than 10 movements in 2 hours)
Frequently asked questions
Viability milestone?
Around 23–24 weeks; survival with NICU care becomes more likely. Inside is still best.
Is sex still safe?
Yes, in low-risk pregnancies. Avoid with placenta previa, preterm-labour signs, or bleeding.
Itchy skin — concern?
Stretching + dryness. Severe itching on palms/soles can signal cholestasis — flag it.
For partners
Massage with cold-pressed coconut or sesame oil — soothes stretching skin.
Prepare for your OB visit
- Tour the NICU just in case?
- Itching pattern to escalate?
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